ERICA L. IBENDAHL M.D. – NPI #1134483514
Surgery

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

ERICA IBENDAHL is a surgeon located in COLUMBIA, MO. NPPES has assigned the NPI number 1134483514 to ERICA IBENDAHL on June 29, 2012. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 208600000X from the Health Care Provider Taxonomy code set, which is classified as Surgery.

The NPI profile was previously updated about 6 years ago on Oct 22, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for ERICA IBENDAHL below.

NPI Profile for
ERICA L. IBENDAHL

NPI Number
1134483514
Enumeration Date

(about 14 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
ERICA L. IBENDAHL
Credentials
M.D.
Primary location
ONE HOSPITAL DRIVE
MC 414 MCHANEY HALL
COLUMBIA, MO 65212
Phone: (573) 882-5609 Fax: (573) 884-4611
Mailing address
Same as primary location
Sole Proprietor
Yes
Updated
Certification Date
Oct 22, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208600000X
- Surgery (Primary)
MO 2012017823

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Endpoint

Health Information Exchange (HEI)

HEI is the mobilization of health care information electronically across organizations within a region, community or hospital system. Endpoints provide a simple and secure way for participants to send authenticated, encrypted health information directly to known, trusted recipients over the internet such as primary care physicians, specialists, hospitals, labs, etc.

View All Endpoint(s)
Endpoint
[email protected]
Endpoint type
Direct Messaging Address
Endpoint Description
Content Type
OTHER
Affiliation
N
Endpoint Location
5 GOOD SAMARITAN WAY,
MOUNT VERNON, IL 77025-1669

Endpoint
https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/
Endpoint type
FHIR URL
Endpoint Description
Content Type
OTHER
Affiliation
N
Endpoint Location
5 GOOD SAMARITAN WAY,
MOUNT VERNON, IL 77025-1669

Additional Information

Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
ERICA IBENDAHL is affiliated with the following medical group(s):
  • HOSPITAL
    • SSM HEALTH - GOOD SAMARITAN HOSPITAL
      1 GOOD SAMARITAN WAY
      MOUNT VERNON, IL 62864
    • SSM HEALTH ST MARY'S HOSPITAL -CENTRALIA
      400 NORTH PLEASANT AVENUE
      CENTRALIA, IL 62801

Why is my NPI data (personal information) being displayed publicly?
If you have an active NPI profile, your profile is required to be disclosed according to the FOIA and eFOIA. HIPAA also requires covered providers to share their NPI with other providers, health plans, clearinghouses and any entity that may need it for billing purposes.

How do I correct or change the NPI data displayed here?
At any time, providers can make changes to their NPI profile at NPPES. Login to NPPES to make changes online or call (800) 465-3203 for assistance. Changes made at NPPES will be reflected on this web site within a few days.

Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.