Active NPI
William H Schupp, MD
- Family Medicine Physician
- Waukee, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD-43548
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
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
Practice addresses (Care Compare)
842 NE Alices Rd
Waukee, IA 50263-8857
Phone (515) 875-9610
Hospital & facility affiliations
- Unitypoint at Home
- Wesley Life Home Health
- Wesleylife Hospice
- Dallas County Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 35 |
| Removal or shaving of skin growth | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Iowa Clinic PC | Family Medicine | Current | Accepting new patients |
| The Iowa Clinic, PC | Current | 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
- https://fhir-myrecord.cerner.com/r4/639e10d5-cd9b-4520-ac16-cab58cec3fc7/
- 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.
-
- Family Medicine Physician
- West Des Moines, IA
- NPI 1346233178
-
- Durable Medical Equipment & Medical Supplies
- West Des Moines, IA
- NPI 1871451328
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- West Des Moines, IA
- NPI 1194753863
-
- Critical Access Hospital
- Perry, IA
- NPI 1669477089
-
- Home Health Agency
- Des Moines, IA
- NPI 1801080643
-
- Community Based Hospice Care Agency
- Johnston, IA
- NPI 1730380361
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2024; 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.