Individual provider Active NPI

Tiffany A. S. Hauptman, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Mount Pleasant, IA
National Provider Identifier
1982608584
Registry record updated Mar 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
00671 Issued in IA
Practice address
501 S White St
Ste 27
Mount Pleasant, IA 52641-2600
Phone
(319) 385-6756
Fax
(319) 385-6759
NPI assigned
Jun 10, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 00671 IA Primary

Addresses

Primary practice location

501 S White St
Ste 27
Mount Pleasant, IA 52641-2600

Mailing address

501 S White St
Ste 27
Mount Pleasant, IA 52641-2600
Phone (319) 385-6756

Other identifiers 3

IdentifierTypeStateIssuer
0212472MedicaidIA
480030686OtherIARAILROAD MEDICARE
20069OtherIAWELLMARK BC/BS

Other names 1

  • Tiffany Ann Seymour Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tiffany.hauptman@Direct.greatriverhealth.org 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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040415001268 IA Practitioner - Podiatry 3072508480 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
00671IAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Henry County Health Center Inc CurrentSince Mar 1, 2024 Accepting new patients
Henry County Health Center, Inc. Current Accepting new patients
Southeast Iowa Regional Medical Center, Inc. CurrentSince Jul 1, 2021 Accepting new patients
Henry County Health Center, Inc. Past Accepting new patients

Locations

501 S White St
Ste 27
Mt Pleasant, IA 52641
Phone (319) 385-6756

407 S White St
Ste 101
Mt Pleasant, IA 52641
Phone (319) 385-6190

407 S White St
Mt Pleasant, IA 52641
Phone (319) 385-6110

1221 S Gear Ave
West Burlington, IA 52655
Phone (319) 768-3622

1401 W Agency Rd
West Burlington, IA 52655
Phone (319) 768-4100

Interoperability endpoints

  • Direct secure messaging: tiffany.hauptman@direct.greatriverhealth.org

Organizations & group practices 4

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.

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
77.06 of 100Reported as group
Quality
64.36
Promoting interoperability
81
Improvement activities
40
Cost
75.01

NPI Registry JSON

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

{
    "created_epoch": "1118361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616976000000",
    "number": "1982608584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 S WHITE ST",
            "address_2": "STE 27",
            "city": "MOUNT PLEASANT",
            "state": "IA",
            "postal_code": "526412600",
            "telephone_number": "319-385-6756",
            "fax_number": "319-385-6759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 S WHITE ST",
            "address_2": "STE 27",
            "city": "MOUNT PLEASANT",
            "state": "IA",
            "postal_code": "526412600",
            "telephone_number": "319-385-6756",
            "fax_number": "319-385-6759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAUPTMAN",
        "first_name": "TIFFANY",
        "middle_name": "A. S.",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-10",
        "last_updated": "2021-03-29",
        "certification_date": "2021-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IA",
            "license": "00671",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0212472",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "480030686",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK BC/BS",
            "identifier": "20069",
            "state": "IA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tiffany.hauptman@Direct.greatriverhealth.org",
            "affiliation": "N",
            "endpointDescription": "Great River Health Direct Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "501 S White St",
            "address_2": "Ste 27",
            "city": "Mount Pleasant",
            "state": "IA",
            "country_code": "US",
            "postal_code": "526412600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "TIFFANY",
            "last_name": "SEYMOUR",
            "middle_name": "ANN",
            "credential": "D.P.M.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Mount Pleasant, IA

Sources for this page

Verify at the official NPI Registry.