Organization Active NPI

Central Iowa Neurology, PC

  • Neurology Physician
  • Des Moines, IA
National Provider Identifier
1063545390
Registry record updated May 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
02257 Issued in IA
Legal business name
CENTRAL IOWA NEUROLOGY, PC
Practice address
2600 Grand Ave Ste 102
Des Moines, IA 50312-5300
Phone
(515) 255-7414
Fax
(515) 274-6916
NPI assigned
Mar 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2026

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

Authorized official

Name
Dr. Irving L Wolfe, D.O.NPI 1740250489
Title
President
Phone
(515) 255-7414

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084N0400X 02257 IA Primary

Addresses

Primary practice location

2600 Grand Ave Ste 102
Des Moines, IA 50312-5300

Mailing address

1501 42ND St Ste 440 Unit 413
West Des Moines, IA 50266-1055
Phone (515) 255-7414

Other identifiers 2

IdentifierTypeStateIssuer
130015512OtherIARR MEDICARE
2258913MedicaidIA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040330001798 IA Part B Supplier - Clinic/Group Practice 9739171802 Receives reassigned benefits from 1 practitioner
Practice locations: Des Moines, IA

National Provider Directory

National Provider Directory

Locations

2600 Grand Ave
Ste 102
Des Moines, IA 50312
Phone (515) 255-7414

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778716800000",
    "number": "1063545390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 42ND ST STE 440 UNIT 413",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502661055",
            "telephone_number": "515-255-7414",
            "fax_number": "888-503-7693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 GRAND AVE STE 102",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503125300",
            "telephone_number": "515-255-7414",
            "fax_number": "515-274-6916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL IOWA NEUROLOGY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-14",
        "last_updated": "2026-05-14",
        "certification_date": "2026-05-14",
        "status": "A",
        "authorized_official_last_name": "WOLFE",
        "authorized_official_first_name": "IRVING",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "515-255-7414",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "IA",
            "license": "02257",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "130015512",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2258913",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Moines, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2026; 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.