Individual provider Active NPI

Carlos Alarcon-Schroder, MD

  • Family Medicine Physician
  • Johnston, IA
National Provider Identifier
1013986751
Registry record updated Jan 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD-36432 Issued in IA
Practice address
5615 NW 86TH St
Johnston, IA 50131-1738
Phone
(515) 643-6000
Fax
(515) 643-6001
NPI assigned
Mar 15, 2006
Last updated
Jan 21, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 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 36432 IA
Family Medicine Physician 207Q00000X MD-36432 IA Primary

Addresses

Primary practice location

5615 NW 86TH St
Johnston, IA 50131-1738

Mailing address

PO Box 1475
Des Moines, IA 50305-1475
Phone (515) 643-6000

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
I20060807000327 IA Practitioner - Family Practice 5092718346 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Clinics IncGroup PAC ID 7911810882, 441 clinicians

Practice addresses (Care Compare)

5615 NW 86TH St
Mercyone Johnston Family Medicine Clinic
Johnston, IA 50131-1738
Phone (515) 643-6000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
36432IAMDFamily Medicine Physician
MD-36432IAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Clinics, Inc CurrentSince Jul 1, 2010 Accepting new patients
Mercy Clinics, Inc. Family Medicine Current Accepting new patients
Mercy Clinics, Inc. CurrentSince Jul 1, 2010 Accepting new patients
Polk County CurrentSince Jul 13, 2011 Accepting new patients
Polk County CurrentSince Jul 13, 2011 Accepting new patients

Locations

1907 Carpenter Ave
Des Moines, IA 50314
Phone (515) 286-3798

330 Laurel St
Ste 1200
Des Moines, IA 50314
Phone (515) 643-5454

405 SW 5th St
Ste E
Des Moines, IA 50309
Phone (515) 358-7259

5615 NW 86th St
Johnston, IA 50131
Phone (515) 223-5466

6200 Aurora Ave
Ste 100W
Urbandale, IA 50322
Phone (515) 270-1177

Interoperability endpoints

  • Direct secure messaging: calarconschroder3938826@direct.trinity-health.org

Organizations & group practices 5

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 5

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": "1142380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705795200000",
    "number": "1013986751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1475",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503051475",
            "telephone_number": "515-643-6000",
            "fax_number": "515-643-6001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5615 NW 86TH ST",
            "city": "JOHNSTON",
            "state": "IA",
            "postal_code": "501311738",
            "telephone_number": "515-643-6000",
            "fax_number": "515-643-6001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALARCON-SCHRODER",
        "first_name": "CARLOS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-15",
        "last_updated": "2024-01-21",
        "certification_date": "2024-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "36432",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "MD-36432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnston, IA

Sources for this page

Verify at the official NPI Registry.