SOUTHEAST IOWA ORTHOPEDICS & SPORTS MEDICINE PC
NPI 1356521504
Specialist in Burlington, IA

Q: What is Southeast Iowa Orthopedics & Sports Medicine PC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Active since November 05, 2007

903 OAK ST, BURLINGTON, IA 52601(319) 758-9133(319) 758-9143 Get Directions Write a Review

NPPES record last updated: April 16, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Southeast Iowa Orthopedics & Sports Medicine Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTHEAST IOWA ORTHOPEDICS & SPORTS MEDICINE PC (NPI 1356521504) is a healthcare organization registered as a specialist in Burlington, Iowa and active in the NPI registry since November 2007. The organization lists Michael W Hendricks, Ceo, as its authorized official.

NPPES Registry Identity

NPI1356521504

Entity TypeOrganization

Primary Taxonomy174400000X

Legal Business NameSOUTHEAST IOWA ORTHOPEDICS & SPORTS MEDICINE PC

Location Address903 OAK STBurlington, IA 52601-4608

Mailing AddressPo Box 156Burlington, IA 52601-0156 · (319) 758-9133 · Fax (319) 758-9143

Phone(319) 758-9133

Fax(319) 758-9143

Organization SubpartNo

Authorized OfficialMichael W HendricksCeo · (319) 758-9133

Enumeration DateNovember 5, 2007

Last NPPES UpdateApril 16, 2025

NPPES CertifiedApril 16, 2025

✔ NPI 1356521504 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in IA · 26178

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

903 OAK ST, Burlington, IA 52601

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Other Identifiers 6

Other10954IA · Midlands Choice

Other30001IA · Iahs

Other470000991Medicare Railroad

Other267960871IA · Medicaid Illinois

Medicaid1043539IA

Other46204IA · Bcbs

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Southeast Iowa Orthopedics & Sports Medicine Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Southeast Iowa Orthopedics & Sports Medicine PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Michael Hendricks, MD

Orthopedic Surgery

NPI 1568482446

903 OAK ST
Burlington, IA 52601

(319) 758-9133

✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Southeast Iowa Orthopedics & Sports Medicine PC's NPI number?

The NPI number for Southeast Iowa Orthopedics & Sports Medicine PC is 1356521504. It was assigned to this organization in the NPPES registry on November 5, 2007.

Where is Southeast Iowa Orthopedics & Sports Medicine PC located?

Southeast Iowa Orthopedics & Sports Medicine PC is located at 903 Oak St, Burlington, IA 52601. The listed phone number is (319) 758-9133.

What is Southeast Iowa Orthopedics & Sports Medicine PC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Southeast Iowa Orthopedics & Sports Medicine PC enrolled in Medicare?

Yes. Southeast Iowa Orthopedics & Sports Medicine PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Southeast Iowa Orthopedics & Sports Medicine PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Orthopedic Surgery) reassigns their Medicare billing to Southeast Iowa Orthopedics & Sports Medicine PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Southeast Iowa Orthopedics & Sports Medicine PC was last updated on April 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.