Individual provider Active NPI

William H Schupp, MD

  • Family Medicine Physician
  • Waukee, IA
National Provider Identifier
1013229236
Registry record updated Jan 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD-43548 Issued in IA
Practice address
842 NE Alices Rd
Waukee, IA 50263-8857
Phone
(515) 875-9610
Fax
(515) 875-9611
NPI assigned
Jul 2, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 56793 WI
Family Medicine Physician 207Q00000X MD-43548 IA Primary

Addresses

Primary practice location

842 NE Alices Rd
Waukee, IA 50263-8857

Mailing address

PO Box 424
Des Moines, IA 50302-0424
Phone (515) 875-9255

Other practice location 1

120 NE Dartmoor Dr
Waukee, IA 50263
Phone (515) 875-9890

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address williamschupp@tic.allscriptsdirect.net

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
I20160810002619 IA Practitioner - Family Practice 7618110750 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Iowa, RJ & L Carver College of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Iowa Clinic PCGroup PAC ID 4082513742, 307 clinicians

Practice addresses (Care Compare)

842 NE Alices Rd
Waukee, IA 50263-8857
Phone (515) 875-9610

Hospital & facility affiliations

  • Unitypoint at Home Home health agency, Urbandale, IA, CCN 167148
  • Wesley Life Home Health Home health agency, Urbandale, IA, CCN 167295
  • Wesleylife Hospice Hospice, Urbandale, IA, CCN 161587
  • Dallas County Hospital Hospital, Perry, IA, CCN 161322

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions35
Removal or shaving of skin growth1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The Iowa Clinic PC Family Medicine CurrentSince Oct 1, 2016 Accepting new patients
The Iowa Clinic, PC CurrentSince Oct 1, 2016 Accepting new patients

Locations

1005 Pennsylvania Ave
Ste 102A
Ottumwa, IA 52501
Phone (641) 684-2589

120 NE Dartmoor Dr
Waukee, IA 50263
Phone (515) 987-3117

842 NE Alices Rd
Waukee, IA 50263
Phone (515) 875-9610

7147 Vista Dr
Ste 150
West Des Moines, IA 50266
Phone (515) 875-9255

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/639e10d5-cd9b-4520-ac16-cab58cec3fc7/
  • Direct secure messaging: williamschupp@tic.allscriptsdirect.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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1278028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704931200000",
    "number": "1013229236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 424",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503020424",
            "telephone_number": "515-875-9255",
            "fax_number": "515-875-9223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "842 NE ALICES RD",
            "city": "WAUKEE",
            "state": "IA",
            "postal_code": "502638857",
            "telephone_number": "515-875-9610",
            "fax_number": "515-875-9611"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "120 NE Dartmoor Dr",
            "address_purpose": "LOCATION",
            "city": "Waukee",
            "state": "IA",
            "postal_code": "50263",
            "country_code": "US",
            "telephone_number": "515-875-9890",
            "fax_number": "515-875-9892",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHUPP",
        "first_name": "WILLIAM",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-02",
        "last_updated": "2024-01-11",
        "certification_date": "2024-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "56793",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "MD-43548",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "williamschupp@tic.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "842 NE Alices Rd",
            "city": "Waukee",
            "state": "IA",
            "country_code": "US",
            "postal_code": "502638857",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Waukee, IA

Sources for this page

Verify at the official NPI Registry.