Active NPI
Central Iowa Neurology, PC
- Neurology Physician
- Des Moines, IA
National Provider Identifier
1063545390
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 02257
- 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
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.
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 130015512 | Other | IA | RR MEDICARE |
| 2258913 | Medicaid | IA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 DirectoryLocations
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
- Central Iowa Hospital Corporation
- Central Iowa Hospital Corporation
- Central Iowa Hospital Corporation
- Central Iowa Hospital Corporation
- Central Iowa Mental Health Organization
- Central Iowa Orthopaedics Group LLP
- Central Iowa Surgery PC
- Central Iowa Trauma and Recovery Center
- Centric,P.C.
- Cep America - Anesthesia PC
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.