Kelli A Roenfanz, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

DO-04109 Issued in IA

Practice address

840 East University Avenue
Des Moines, IA 50316-2304

Phone

(515) 265-4211

Fax

(515) 309-5993

NPI assigned

Jul 31, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

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

Specialty

Family Practice

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Iowa Physicians Clinic Medical FoundationGroup PAC ID 8729992318, 1,254 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Unitypoint Health - Des Moines Iowa Methodist Medi Hospital, Des Moines, IA, CCN 160082

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kroenfanz15569@direct.unitypoint.org

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.

• Iowa Physicians Clinic Medical Foundation

  • General Practice Physician
  • West Des Moines, IA
  • NPI 1366425274

  Family Medicine

  Medicare reassignment Care Compare group NPD
• Lakes Regional Healthcare

  • Emergency Medicine Physician
  • Spirit Lake, IA
  • NPI 1336291160
  Medicare reassignment NPD
• Lakes Regional Healthcare

  • Clinic/Center
  • Spirit Lake, IA
  • NPI 1558904417
  NPD
• Lakes Regional Healthcare

  • Certified Registered Nurse Anesthetist
  • Spirit Lake, IA
  • NPI 1801292685
  NPD
• St Luke'S Methodist Hospital

  • General Acute Care Hospital
  • Cedar Rapids, IA
  • NPI 1083708226
  NPD
• Central Iowa Hospital Corporation

  • General Acute Care Hospital
  • Des Moines, IA
  • NPI 1356433049
  NPD (past)
• Central Iowa Hospital Corporation

  • General Acute Care Hospital
  • Des Moines, IA
  • NPI 1396837951
  NPD (past)

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

• Central Iowa Hospital Corporation

  • General Acute Care Hospital
  • Des Moines, IA
  • NPI 1356433049
  Care Compare affiliation
• Central Iowa Hospital Corporation

  • General Acute Care Hospital
  • Des Moines, IA
  • NPI 1396837951
  Care Compare affiliation
• Central Iowa Hospital Corporation

  • General Acute Care Hospital
  • West Des Moines, IA
  • NPI 1598905762
  Care Compare affiliation

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

{
    "created_epoch": "1248998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589155200000",
    "number": "1033340567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 E UNIVERSITY AVE",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503162304",
            "telephone_number": "515-265-4211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 EAST UNIVERSITY AVENUE",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503162304",
            "telephone_number": "515-265-4211",
            "fax_number": "515-309-5993"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15111 Twelve Oaks Center Dr",
            "address_purpose": "LOCATION",
            "city": "Minnetonka",
            "state": "MN",
            "postal_code": "553055201",
            "country_code": "US",
            "telephone_number": "952-993-4500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROENFANZ",
        "first_name": "KELLI",
        "middle_name": "A",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-31",
        "last_updated": "2020-05-11",
        "certification_date": "2020-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MN",
            "license": "62118",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "R-8696",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "DO-04109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mariah Roe, OTD
• Ryan Roe, DO
• Joshua Roehrick
• David Roemer, PHARMD
• Ben Roemmich
• Beth Lauren Roerig, LMSW
• Nicole Roetman, ARNP
• David Rogan, MD
• Caitlin Rogers
• Emily Rogers, PHARMD

• Family Medicine Physician in Des Moines, IA
• Providers in Des Moines, IA by specialty
• Family Medicine Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2020; 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.

Verify at the official NPI Registry.