Organization Active NPI

Mercy Clinics, Inc

Doing business as MercyOne Bone Density Testing

  • Multi-Specialty Clinic/Center
  • Clive, IA
National Provider Identifier
1063438729
Registry record updated Oct 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
MERCY CLINICS, INC
Doing business as
MercyOne Bone Density Testing
MercyOne Medical Group - Central Iowa
Practice address
1601 NW 114TH St
Clive, IA 50325-7007
Phone
(515) 222-7000
Fax
(515) 222-7037
NPI assigned
Jul 14, 2006
Last updated
Oct 10, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2024

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

Authorized official

Name
Bradley Whipple
Title
Coo
Phone
(515) 358-6956

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

1601 NW 114TH St
Clive, IA 50325-7007

Mailing address

PO Box 1475
Des Moines, IA 50305-1475
Phone (515) 358-7271

Other practice location 1

5900 E University Ave Ste 100
Pleasant Hill, IA 50327-8467
Phone (515) 643-2400

Other practice location 2

800 E 1st St Ste 1700
Ankeny, IA 50021-2100
Phone (515) 643-8100

Other practice location 3

1350 Des Moines St Ste 110
Des Moines, IA 50309-5507
Phone (515) 643-0833

Other identifiers 11

IdentifierTypeStateIssuer
0210005MedicaidIA
0235762MedicaidIA
0274811MedicaidIA
0427468MedicaidIA
0450908MedicaidIA
0451906MedicaidIA
0236174MedicaidIA
0273052MedicaidIA
1236174MedicaidIA
CD3776OtherIARAILROAD MEDICARE
0251983MedicaidIA

Other names 2

  • MercyOne Bone Density Testing Doing business as
  • MercyOne Medical Group - Central Iowa Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031112000238 IA Part B Supplier - Clinic/Group Practice 7911810882 Receives reassigned benefits from 558 practitioners
This NPI is an additional NPI on the enrollment

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1152835200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728518400000",
    "number": "1063438729",
    "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": "515-358-7271",
            "fax_number": "515-358-7294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 NW 114TH ST",
            "city": "CLIVE",
            "state": "IA",
            "postal_code": "503257007",
            "telephone_number": "515-222-7000",
            "fax_number": "515-222-7037"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5900 E University Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Pleasant Hill",
            "state": "IA",
            "postal_code": "503278467",
            "country_code": "US",
            "telephone_number": "515-643-2400",
            "fax_number": "515-643-4766",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "800 E 1st St Ste 1700",
            "address_purpose": "LOCATION",
            "city": "Ankeny",
            "state": "IA",
            "postal_code": "500212100",
            "country_code": "US",
            "telephone_number": "515-643-8100",
            "fax_number": "515-643-8139",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1350 Des Moines St Ste 110",
            "address_purpose": "LOCATION",
            "city": "Des Moines",
            "state": "IA",
            "postal_code": "503095507",
            "country_code": "US",
            "telephone_number": "515-643-0833",
            "fax_number": "515-643-0933",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MERCY CLINICS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-14",
        "last_updated": "2024-10-10",
        "certification_date": "2024-10-10",
        "status": "A",
        "authorized_official_last_name": "WHIPPLE",
        "authorized_official_first_name": "BRADLEY",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "515-358-6956"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0210005",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0235762",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0274811",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0427468",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0450908",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0451906",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0236174",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0273052",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1236174",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CD3776",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0251983",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MercyOne Bone Density Testing",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MercyOne Medical Group - Central Iowa",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Clive, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.