NPIMap

Individual provider Active NPI

Dmitriy M Acherkan, MD

  • Family Medicine Physician
  • Coralville, IA
National Provider Identifier
1952565368
Registry record updated Feb 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD-39445 Issued in IA
Practice address
2055 Oakdale Rd
Coralville, IA 52241-4704
Phone
(319) 668-2722
Fax
(319) 688-2491
NPI assigned
Jul 15, 2008
Last updated
Feb 14, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X MD-39445 IA
Family Medicine Physician 207Q00000X MD-39445 IA Primary

Addresses

Primary practice location

2055 Oakdale Rd
Coralville, IA 52241-4704

Mailing address

200 Hawkins Dr
Iowa City, IA 52242-1009
Phone (319) 668-2722

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110707000446 IA Practitioner - Family PracticePractitioner - Emergency Medicine 4082892450 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Emergency Medicine
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Progressive Rehabilitation Associates LLCGroup PAC ID 2961443072, 275 clinicians
State University of IowaGroup PAC ID 7618884230, 1,886 clinicians

Practice addresses (Care Compare)

1130 S Scott Blvd
Suite 1
Iowa City, IA 52240-2909
Phone (319) 354-2429

200 Hawkins Dr
Iowa City, IA 52242-1009
Phone (319) 356-1616

2055 Oakdale Rd
Coralville, IA 52241-4704
Phone (319) 248-0037

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.02 of 100Reported as group
Quality
75.68
Promoting interoperability
78
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
State University of Iowa Family Medicine CurrentSince Jan 31, 2024 Accepting new patients
Mercy Hospital, Iowa City, Iowa Current Accepting new patients

Locations

2055 Oakdale Rd
Coralville, IA 52241
Phone (319) 248-0037

200 Hawkins Dr
Iowa City, IA 52242
Phone (319) 356-2633

200 Hawkins Dr
#H
Iowa City, IA 52242

269 N 1st Ave
Iowa City, IA 52245
Phone (319) 339-3541

2104 Cedarwood Dr
Ste 102
Muscatine, IA 52761
Phone (319) 337-3193

510 W Main St
Ste A
Solon, IA 52333
Phone (319) 624-2991

819 S Highland St
Williamsburg, IA 52361
Phone (319) 202-4687

Interoperability endpoints

  • Direct secure messaging: dmitriyacherkan@mic.allscriptsdirect.net

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1216080000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739491200000",
    "number": "1952565368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 HAWKINS DR",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522421009",
            "telephone_number": "319-668-2722",
            "fax_number": "319-688-2491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2055 OAKDALE RD",
            "city": "CORALVILLE",
            "state": "IA",
            "postal_code": "522414704",
            "telephone_number": "319-668-2722",
            "fax_number": "319-688-2491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ACHERKAN",
        "first_name": "DMITRIY",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-07-15",
        "last_updated": "2025-02-14",
        "certification_date": "2025-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IA",
            "license": "MD-39445",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "MD-39445",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coralville, IA

Sources for this page

Verify at the official NPI Registry.