Charles W Love, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

25556 Issued in IA

Practice address

6000 University Ave
Suite 350
West Des Moines, IA 50266-8294

Phone

(515) 226-8484

Fax

(515) 226-8487

NPI assigned

Sep 5, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

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

Dermatology

Education

University of Iowa, RJ & L Carver College of Medicine, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Iowa Dermatology Clinic PLCGroup PAC ID 2961394713, 22 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as group

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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 Dermatology Clinic PLC

  • Dermatology Physician
  • West Des Moines, IA
  • NPI 1679687081
  Medicare reassignment Care Compare group NPD
• Radiant Complexions Dermatology Clinics

  • Clinic/Center
  • Surprise, AZ
  • NPI 1295989077
  NPD Authorized official
• RCDC of Surprise PLC

  • Dermatology Physician
  • Surprise, AZ
  • NPI 1679761720
  NPD Authorized official
• Iowa Dermatology Clinic, PLC

  • Nurse Practitioner
  • West Des Moines, IA
  • NPI 1487026266

  Dermatology

  NPD (past) Authorized official
• Radiant Complexions Dermatology Clinic of Council Bluffs, PLC

  • Dermatology Physician
  • Council Bluffs, IA
  • NPI 1942593264
  NPD (past) Authorized official
• Radiant Complexions of Chandler PLC

  • Dermatology Physician
  • Chandler, AZ
  • NPI 1841523420
  NPD (past) Authorized official
• Iowa Dermatology Clinic PLC

  • Clinical Medical Laboratory
  • West Des Moines, IA
  • NPI 1255679163
  NPD
• Iowa Dermatology Clinic PLC

  • Dermatology Physician
  • Marshalltown, IA
  • NPI 1982942702
  NPD (past)

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

{
    "created_epoch": "1157414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222214400000",
    "number": "1043312432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6000 UNIVERSITY AVE",
            "address_2": "SUITE 350",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502668294",
            "telephone_number": "515-226-8484",
            "fax_number": "515-226-8487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6000 UNIVERSITY AVE",
            "address_2": "SUITE 350",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502668294",
            "telephone_number": "515-226-8484",
            "fax_number": "515-226-8487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOVE",
        "first_name": "CHARLES",
        "middle_name": "W",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-05",
        "last_updated": "2008-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "IA",
            "license": "25556",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0055657",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "070011310",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MIDLANDS",
            "identifier": "2972",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dennis S Lonzarich, MD
• Gerald Dee Loos, MD
• Sommer Daniela Lortz, DDS
• Garrett Griffith Losh, M.D.
• Kayla Ann Loutsch
• Steven Leroy Loveland, A.R.N.P.
• James P Lovell, D.O.
• Rhonda Sue Lovell, PH.D.
• Jacob Scott Lowe, DPT
• Nadia Lowery

• Dermatology Physician in West Des Moines, IA
• Providers in West Des Moines, IA by specialty
• Dermatology Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2008; 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.