Individual provider

John Southard, MD

Pulmonary Disease Physician Medicare enrolled

John Southard, MD is a Pulmonary Disease Physician in Council Bluffs, IA, registered under NPI 1104967090.

Getting there

The practice address on file is 1 EDMUNDSON PL SUITE 312, Council Bluffs, IA 51503. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.

1 EDMUNDSON PL SUITE 312, Council Bluffs, IA 51503 Open in Google Maps →

Credentials and Medicare

State licence
LicenceStateSpecialty
22453 IA Pulmonary Disease Physician primary

This provider holds licence 22453 issued in IA. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.

Medicare (PECOS)
Status
Approved
Provider type
Practitioner - Pulmonary Disease
PAC ID
9537051503

Medicare enrolment is recorded as approved under the provider type Practitioner - Pulmonary Disease. This means the provider is enrolled to bill Medicare, though it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.

What Pulmonary Disease covers

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. NUCC Health Care Provider Taxonomy, code 207RP1001X
Allopathic & Osteopathic Physicians Internal Medicine Pulmonary Disease

The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.

Full NPPES record

An NPI-1 identifies a single person. It stays with the clinician for life, even if they move practice or change state, which is why the address on file can lag behind where they actually work today.

NPI1104967090 valid check digit
Entity typeIndividual (NPI-1)
Enumeration dateFeb 12, 2007
Last updatedJul 8, 2007
StatusActive
Sole proprietorNo
CredentialMD
Practice address 1 EDMUNDSON PL
SUITE 312
Council Bluffs, IA 51503
(712) 396-4295
Fax (712) 396-4298
Other identifiers 1133413 (IA)
47244 · BLUE CROSS BLUE SHIELD (IA)
This record was last updated on Jul 8, 2007, roughly 19 years ago. Address and phone details that old are frequently out of date. Verify by phone before travelling to the address shown.

Number check

1104967090 passes the NPI check digit test The final digit 0 matches the value computed from the first nine digits, so this is a well-formed NPI.
How the check works, step by step

Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.

Digit 8 0 8 4 0 1 1 0 4 9 6 7 0 9
Doubled? ×2 ×2 ×2 ×2 ×2 ×2 ×2
Value 8 0 8 8 0 2 1 0 4 9 6 5 0 9

Sum = 60 · next multiple of 10 = 60 · check digit = 0 · actual last digit = 0

A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.

Common questions

What is NPI number 1104967090?
NPI 1104967090 is the National Provider Identifier assigned to John Southard, MD in Council Bluffs, IA. It is a 10-digit number issued by the Centers for Medicare & Medicaid Services and used on claims, referrals, and prescriptions to identify the provider.
What does Pulmonary Disease cover?
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
How do I contact John Southard, MD?
The phone number on file with NPPES is (712) 396-4295, last updated Jul 8, 2007. Because NPPES is only updated when a provider files a change, call ahead to confirm the number and the current practice address before visiting.
Does John Southard, MD accept Medicare?
This NPI has an approved Medicare enrolment in PECOS, which means the provider is enrolled to bill Medicare. Enrolment does not guarantee they are accepting new Medicare patients — verify directly with the office.
Is NPI 1104967090 a valid number?
Yes. 1104967090 passes the Luhn check digit validation that CMS uses for NPI numbers, and it resolves to an active record in the registry.
How to use this page. Everything here comes from public federal records. Tips Health does not verify quality of care, confirm that a licence is currently active, or check malpractice history, and accepts no fees for placement. A listing is not a recommendation. Verify independently before seeking care.