Individual provider Active NPI

David John Massop, MD

  • Retina Specialist (Ophthalmology) Physician
  • Des Moines, IA
National Provider Identifier
1003267956
Registry record updated Apr 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Retina Specialist (Ophthalmology) PhysicianTaxonomy code 207WX0107X
License
47004 Issued in IA
Practice address
1415 Woodland Ave
Suite 140
Des Moines, IA 50309-3203
Phone
(515) 241-8595
Fax
(515) 241-4080
NPI assigned
Jun 22, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 12, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Retina Specialist (Ophthalmology) Physician 207WX0107X 47004 IA Primary

Addresses

Primary practice location

1415 Woodland Ave
Suite 140
Des Moines, IA 50309-3203

Mailing address

309 E Church St
Marshalltown, IA 50158-2946
Phone (641) 754-6262

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200527000203 IA Practitioner - Ophthalmology 8628362365 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Creighton University School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wolfe Clinic IncGroup PAC ID 8628979291, 37 clinicians

Practice addresses (Care Compare)

2004 Hwy Blvd
Suite a
Spencer, IA 51301-2112
Phone (712) 262-2379

309 E Church St
Marshalltown, IA 50158-2946
Phone (641) 754-6200

6200 Westown Pkwy
Wolfe Eye Clinic
West Des Moines, IA 50266-7755
Phone (515) 223-8685

800 E 1St St
2500 Wolfe Clinic PC Ankeny
Ankeny, IA 50021-2077
Phone (515) 676-7014

804 Kenyon Rd
Suite 100
Fort Dodge, IA 50501-5746
Phone (515) 576-7777

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery16

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
47004IAMDRetina Specialist (Ophthalmology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wolfe Clinic Inc CurrentSince Jul 1, 2020 Accepting new patients
Wolfe Surgery Center, LLC Past Accepting new patients

Locations

804 Kenyon Rd
Ste 100
Fort Dodge, IA 50501
Phone (515) 576-7777

309 E Church St
Marshalltown, IA 50158
Phone (515) 754-6200

6200 Westown Pkwy
West Des Moines, IA 50266
Phone (515) 222-9880

Interoperability endpoints

  • Direct secure messaging: dmassop@wolfe.intellechartdirect.net

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": "1466553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618185600000",
    "number": "1003267956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 E CHURCH ST",
            "city": "MARSHALLTOWN",
            "state": "IA",
            "postal_code": "501582946",
            "telephone_number": "641-754-6262",
            "fax_number": "641-754-6215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 WOODLAND AVE",
            "address_2": "SUITE 140",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503093203",
            "telephone_number": "515-241-8595",
            "fax_number": "515-241-4080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASSOP",
        "first_name": "DAVID",
        "middle_name": "JOHN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-06-22",
        "last_updated": "2021-04-12",
        "certification_date": "2021-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "IA",
            "license": "47004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Moines, IA

Sources for this page

Verify at the official NPI Registry.