Individual provider Active NPI

Kaaren R Olesen, DO

  • Obstetrics & Gynecology Physician
  • Urbandale, IA
National Provider Identifier
1013983881
Registry record updated Nov 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
3263 Issued in IA
Practice address
2540 106TH St
Ste 101
Urbandale, IA 50322-3736
Phone
(515) 276-5543
Fax
(515) 276-2682
NPI assigned
Feb 23, 2006
Last updated
Nov 12, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 3263 IA Primary

Addresses

Primary practice location

2540 106TH St
Ste 101
Urbandale, IA 50322-3736

Mailing address

2540 106TH St
Ste 101
Urbandale, IA 50322-3736
Phone (515) 276-5543

Other identifiers 2

IdentifierTypeStateIssuer
0262949MedicaidIA
49932OtherIAWELLMARK BCBS

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
I20100810000926 IA Practitioner - Obstetrics/Gynecology 9830235183 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Broadlawns Medical CenterGroup PAC ID 3678466166, 302 clinicians

Practice addresses (Care Compare)

1801 Hickman Rd
Des Moines, IA 50314-1548
Phone (515) 282-2200

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.61 of 100Reported as group
Quality
75.16
Promoting interoperability
100
Improvement activities
40
Cost
76.87

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3263IAMDObstetrics & Gynecology Physician
3236IAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Broadlawns Medical Center CurrentSince Sep 30, 2019 Accepting new patients
Broadlawns Medical Center CurrentSince Sep 30, 2019 Accepting new patients

Locations

1801 Hickman Rd
Des Moines, IA 50314
Phone (515) 282-2200

1801 Hickman Rd
Bldg First
Des Moines, IA 50314

1801 Hickman Rd
Ofc
Des Moines, IA 50314

2508 E University Ave
Des Moines, IA 50317
Phone (515) 282-2362

Interoperability endpoints

  • Direct secure messaging: olesen.kaaren@cynchealthdsm.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1140652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1447286400000",
    "number": "1013983881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2540 106TH ST",
            "address_2": "STE 101",
            "city": "URBANDALE",
            "state": "IA",
            "postal_code": "503223736",
            "telephone_number": "515-276-5543",
            "fax_number": "515-276-2682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2540 106TH ST",
            "address_2": "STE 101",
            "city": "URBANDALE",
            "state": "IA",
            "postal_code": "503223736",
            "telephone_number": "515-276-5543",
            "fax_number": "515-276-2682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLESEN",
        "first_name": "KAAREN",
        "middle_name": "R",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-23",
        "last_updated": "2015-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IA",
            "license": "3263",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0262949",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK BCBS",
            "identifier": "49932",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Urbandale, IA

Sources for this page

Verify at the official NPI Registry.