Active NPI
Edna S. Becht, DO
- Family Medicine Physician
- Indianola, IA
National Provider Identifier
1962842872
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 04905
- Practice address
- 1504 N 1St St
Indianola, IA 50125-3702 - Phone
- (515) 875-9520
- Fax
- (515) 875-9521
- NPI assigned
- Jun 25, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 11017200A | IN | |
| Family Medicine Physician | 207Q00000X | 04905 | IA | Primary |
Addresses
Primary practice location
1504 N 1St St
Indianola, IA 50125-3702
Mailing address
PO Box 424
Des Moines, IA 50302-0424
Phone (515) 875-9255
Other practice location 1
1501 E 10th St
Atlantic, IA 50022-1936
Phone (712) 243-2850
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962842872 | Medicaid | IA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ednabecht@tic.allscriptsdirect.net | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20161018002313 | IA | Practitioner - Family Practice | 8224271101 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1801 Hickman Rd
Des Moines, IA 50314-1548
Phone (515) 282-2200
Hospital & facility affiliations
- Broadlawns Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 04905 | IA | MD | Family Medicine Physician |
Interoperability endpoints
- ebecht117352@uihcdirect.org
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
Hospital & facility affiliations 1
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": "1372118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1702512000000",
"number": "1962842872",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 424",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503020424",
"telephone_number": "515-875-9255",
"fax_number": "515-875-9223"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1504 N 1ST ST",
"city": "INDIANOLA",
"state": "IA",
"postal_code": "501253702",
"telephone_number": "515-875-9520",
"fax_number": "515-875-9521"
}
],
"practiceLocations": [
{
"address_1": "1501 E 10th St",
"address_purpose": "LOCATION",
"city": "Atlantic",
"state": "IA",
"postal_code": "500221936",
"country_code": "US",
"telephone_number": "712-243-2850",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BECHT",
"first_name": "EDNA",
"middle_name": "S.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-06-25",
"last_updated": "2023-12-14",
"certification_date": "2023-12-14",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IN",
"license": "11017200A",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IA",
"license": "04905",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1962842872",
"state": "IA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ednabecht@tic.allscriptsdirect.net",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "1504 N 1st St",
"city": "Indianola",
"state": "IA",
"country_code": "US",
"postal_code": "501253702",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Indianola, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.