Active NPI
David John Massop, MD
- Retina Specialist (Ophthalmology) Physician
- Des Moines, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Retina Specialist (Ophthalmology) Physician
- License
- 47004
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 16 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 47004 | IA | MD | Retina Specialist (Ophthalmology) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wolfe Clinic Inc | Current | 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
- 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.
-
- Ophthalmology Physician
- Marshalltown, IA
- NPI 1477532174
-
- Ambulatory Surgical Clinic/Center
- West Des Moines, IA
- NPI 1063733095
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.