Mahaska Health Partnership – Family Medicine Physician, NPI 1407869852
Family Medicine Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Mahaska Health Partnership
1229 C AVE E
OSKALOOSA, IA 525774298
Phone: (641) 672-3100
Fax: (641) 672-3336
Type: Mailing
Mahaska Health Partnership, 1229, C Avenue East, Oskaloosa, Mahaska County, Iowa, 52577, United States
OSKALOOSA, IA 525774298
Phone: (641) 672-3360
Fax: (641) 672-3366
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2025-05-07
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2024-10-31 (587 days ago).
Enrollment records
19
Earliest due date
2024-10-31
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20041202000965 | O | Clinic/Group Practice | IA | 2024-10-31 |
| O20240209001483 | O | Clinic/Group Practice | TN | TBD |
| O20240209003166 | O | Clinic/Group Practice | MO | TBD |
| O20240213004161 | O | Clinic/Group Practice | TX | TBD |
| O20240213004742 | O | Clinic/Group Practice | CO | TBD |
| O20240215002709 | O | Clinic/Group Practice | MA | TBD |
| O20240215003857 | O | Clinic/Group Practice | FL | TBD |
| O20240216002845 | O | Clinic/Group Practice | WA | TBD |
| O20240216003388 | O | Clinic/Group Practice | CA | TBD |
| O20240222000368 | O | Clinic/Group Practice | PA | TBD |
| O20240222000644 | O | Clinic/Group Practice | MD | TBD |
| O20240222000916 | O | Clinic/Group Practice | DC | TBD |
| O20240223003489 | O | Clinic/Group Practice | AZ | TBD |
| O20240718000080 | O | Clinic/Group Practice | NY | TBD |
| O20240816003733 | O | Clinic/Group Practice | OR | TBD |
| O20240819000830 | O | Clinic/Group Practice | OH | TBD |
| O20240926000225 | O | Clinic/Group Practice | GA | TBD |
| O20241030000195 | O | Clinic/Group Practice | NM | TBD |
| O20250507002632 | O | Clinic/Group Practice | NH | TBD |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 52577)
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