Individual provider Active NPI

Ross Robert Hausmann, D.C.

  • Chiropractor
  • Hiawatha, IA
National Provider Identifier
1992099055
Registry record updated Jun 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
007366 Issued in IA
Practice address
1625 Boyson Rd Ste 104
Hiawatha, IA 52233
Phone
(319) 393-4264
NPI assigned
Jun 7, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4687012 WI
Chiropractor 111N00000X 007366 IA Primary

Addresses

Primary practice location

1625 Boyson Rd Ste 104
Hiawatha, IA 52233

Mailing address

1625 Boyson Rd Ste 104
Hiawatha, IA 52233-2336
Phone (319) 393-4264

Other practice location 1

1202 County Road Ph
Onalaska, WI 54650-8439
Phone (608) 781-2225

Other identifiers 1

IdentifierTypeStateIssuer
1992099055MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120313000469 IA Practitioner - Chiropractic 9133397128 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - Davenport, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1625 Boyson Rd
Suite 104
Hiawatha, IA 52233-2336
Phone (319) 393-4264

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4687012WIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Excel Chiropractic and Rehab PC Chiropractor CurrentSince Jan 1, 2012 Accepting new patients
Leo J Bronston Chiropractor Past Accepting new patients

Locations

1625 Boyson Rd
Ste 104
Hiawatha, IA 52233
Phone (319) 373-7576

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1307404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559779200000",
    "number": "1992099055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1625 BOYSON RD STE 104",
            "city": "HIAWATHA",
            "state": "IA",
            "postal_code": "522332336",
            "telephone_number": "319-393-4264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1625 BOYSON RD STE 104",
            "city": "HIAWATHA",
            "state": "IA",
            "postal_code": "52233",
            "telephone_number": "319-393-4264"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1202 County Road Ph",
            "address_purpose": "LOCATION",
            "city": "Onalaska",
            "state": "WI",
            "postal_code": "546508439",
            "country_code": "US",
            "telephone_number": "608-781-2225",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HAUSMANN",
        "first_name": "ROSS",
        "middle_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-07",
        "last_updated": "2019-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "WI",
            "license": "4687012",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "IA",
            "license": "007366",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1992099055",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hiawatha, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.