NPIMap

Individual provider Active NPI

Dennis L Bussey, DO

  • Family Medicine Physician
  • Grimes, IA
National Provider Identifier
1063471399
Registry record updated Aug 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
3318 Issued in IA
Practice address
101 SE Destination Drive
Grimes, IA 50111-6608
Phone
(515) 986-4524
Fax
(515) 986-4531
NPI assigned
Mar 23, 2006
Last updated
Aug 9, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 3318 IA Primary

Addresses

Primary practice location

101 SE Destination Drive
Grimes, IA 50111-6608

Mailing address

101 SE Destination Dr
Grimes, IA 50111-6608
Phone (515) 986-4524

Other identifiers 2

IdentifierTypeStateIssuer
3188193MedicaidIA
1063471399MedicaidIA

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
I20090225000541 IA Practitioner - Family Practice 9537225669 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

101 SE Destination Dr
Family Med Grimes
Grimes, IA 50111-6608
Phone (515) 986-4524

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions12
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3318IAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Luke's Methodist Hospital Current Accepting new patients
Iowa Physicians Clinic Medical Foundation Family Medicine CurrentSince Jan 1, 2012 Accepting new patients
Central Iowa Hospital Corporation Past Accepting new patients
Madison County Memorial Hospital Past Accepting new patients
Trinity Medical Center Family Medicine Past Accepting new patients
Central Iowa Hospital Corporation Family Medicine Past Accepting new patients

Locations

410 NW Ash Dr
Ankeny, IA 50023
Phone (515) 964-1101

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

2001 Kennedy St
Granger, IA 50109
Phone (515) 999-2588

101 SE Destination Dr
Grimes, IA 50111
Phone (515) 986-4524

305 S US Highway 69
Huxley, IA 50124
Phone (515) 597-2600

640 S 19th St
Nevada, IA 50201
Phone (515) 382-2111

610 10th St
Perry, IA 50220
Phone (515) 465-3547

2901 86th St
Urbandale, IA 50322
Phone (515) 276-3406

Interoperability endpoints

  • Direct secure messaging: dbussey12700@direct.unitypoint.org

Organizations & group practices 6

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 4

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": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344470400000",
    "number": "1063471399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 SE DESTINATION DR",
            "city": "GRIMES",
            "state": "IA",
            "postal_code": "501116608",
            "telephone_number": "515-986-4524",
            "fax_number": "515-986-4531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 SE DESTINATION DRIVE",
            "city": "GRIMES",
            "state": "IA",
            "postal_code": "501116608",
            "telephone_number": "515-986-4524",
            "fax_number": "515-986-4531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUSSEY",
        "first_name": "DENNIS",
        "middle_name": "L",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-23",
        "last_updated": "2012-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "3318",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3188193",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1063471399",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grimes, IA

Sources for this page

Verify at the official NPI Registry.