NPIMap

Individual provider Active NPI

Samuel M Maurice, M.D.

  • Plastic and Reconstructive Surgery Physician
  • Waukee, IA
National Provider Identifier
1033328109
Registry record updated Dec 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
MD-39356 Issued in IA
Practice address
2515 Grand Prairie Pkwy
Waukee, IA 50263-8979
Phone
(515) 644-9033
NPI assigned
May 22, 2007
Last updated
Dec 30, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 39356 IA
Surgery Physician 208600000X 036.119290 IL
Plastic and Reconstructive Surgery Physician 2086S0122X 036.119290 IL
Plastic and Reconstructive Surgery Physician 2086S0122X 39356 IA
Plastic and Reconstructive Surgery Physician 2086S0122X MD-39356 IA Primary

Addresses

Primary practice location

2515 Grand Prairie Pkwy
Waukee, IA 50263-8979

Mailing address

2515 Grand Prairie Pkwy
Waukee, IA 50263-8979

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110725000761 IA Practitioner - Plastic and Reconstructive SurgeryPractitioner - General Surgery 6608044227 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive SurgeryAlso: General Surgery
Education
Northwestern University Feinberg Medical School, 2003
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)

1111 6TH Ave
Des Moines, IA 50314-2613
Phone (515) 247-4240

1601 NW 114TH St
Clive, IA 50325-7046

1755 59TH PL
West Des Moines, IA 50266-7737
Phone (515) 247-4240

2515 Grand Prairie Pkwy
Waukee, IA 50263-8966
Phone (515) 644-9000

411 Laurel St
Des Moines, IA 50314-3026

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy14
Melanoma (skin cancer) excision1-10
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036.119290ILMDSurgery Physician
MD-39356IAMDPlastic and Reconstructive Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Central Iowa Hospital Corporation CurrentSince Feb 11, 2026 Accepting new patients
Central Iowa Hospital Corporation CurrentSince Feb 11, 2026 Accepting new patients
Iowa Physicians Clinic Medical Foundation Surgery CurrentSince Jan 26, 2026 Accepting new patients
Mercy Clinics, Inc. Current Accepting new patients
Mercy Clinics, Inc. CurrentSince Jul 18, 2011 Accepting new patients
Mercy Clinics, Inc Plastic and Reconstructive Surgery CurrentSince Jul 18, 2011 Accepting new patients
Central Iowa Hospital Corporation Past Accepting new patients
Boone County Hospital Past Accepting new patients

Locations

4480 Utica Ridge Rd
Ste 160
Bettendorf, IA 52722
Phone (563) 742-5950

4480 Utica Ridge Rd
Ste 2230
Bettendorf, IA 52722
Phone (563) 742-5150

1200 Pleasant St
Des Moines, IA 50309
Phone (515) 241-5926

1601 NW 114th St
Ste 151
Des Moines, IA 50325
Phone (515) 222-7474

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

411 Laurel St
Ste 2100
Des Moines, IA 50314

411 Laurel St
Ste 2225
Des Moines, IA 50314
Phone (515) 282-4393

105 Valley West Dr
West Des Moines, IA 50265
Phone (515) 223-4368

6000 University Ave
Ste A10
West Des Moines, IA 50266
Phone (515) 265-1300

Interoperability endpoints

  • Direct secure messaging: smaurice3951396@direct.trinity-health.org

Organizations & group practices 8

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 7

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": "1179792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1767052800000",
    "number": "1033328109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2515 GRAND PRAIRIE PKWY",
            "city": "WAUKEE",
            "state": "IA",
            "postal_code": "502638979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2515 GRAND PRAIRIE PKWY",
            "city": "WAUKEE",
            "state": "IA",
            "postal_code": "502638979",
            "telephone_number": "515-644-9033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAURICE",
        "first_name": "SAMUEL",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-22",
        "last_updated": "2025-12-30",
        "certification_date": "2025-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IA",
            "license": "39356",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IL",
            "license": "036.119290",
            "primary": false
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "IL",
            "license": "036.119290",
            "primary": false
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "IA",
            "license": "39356",
            "primary": false
        },
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "IA",
            "license": "MD-39356",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waukee, IA

Sources for this page

Verify at the official NPI Registry.