Individual provider Active NPI

Jared J Abbott, M.D.

  • Anatomic Pathology Physician
  • Urbandale, IA
National Provider Identifier
1073598512
Registry record updated Nov 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology PhysicianTaxonomy code 207ZP0101X
License
MD-37037 Issued in IA
Practice address
4637 121St St
Urbandale, IA 50323-2311
Phone
(515) 655-7080
Fax
(515) 655-7090
NPI assigned
Dec 7, 2005
Last updated
Nov 20, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatopathology (Pathology) Physician 207ZD0900X MD-37037 IA
Anatomic Pathology Physician 207ZP0101X MD-37037 IA Primary

Addresses

Primary practice location

4637 121St St
Urbandale, IA 50323-2311

Mailing address

4637 121St St
Urbandale, IA 50323-2311
Phone (515) 655-7080

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20070904000534 IA Practitioner - Pathology 6507837150 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
University of Texas Southwestern Medical School at Dallas, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Urology Center of Iowa PLLCGroup PAC ID 1658701834, 32 clinicians
Iowa Digestive Disease Center PCGroup PAC ID 4183522188, 24 clinicians
Goldfinch Laboratory PCGroup PAC ID 8123497211, 5 clinicians

Practice addresses (Care Compare)

12129 University Ave
Clive, IA 50325-8287
Phone (515) 400-3550

1378 NW 124TH St
Suite 200
Clive, IA 50325-8151
Phone (515) 288-6097

4637 121St St
Urbandale, IA 50323-2311
Phone (515) 655-7080

Merit-based Incentive Payment System (MIPS)

Final score
79.67 of 100Reported as group
Quality
59.33
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD-37037IAMDAnatomic Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Broadlawns Medical Center CurrentSince Jun 23, 2012 Accepting new patients
Iowa Digestive Disease Center P.C. CurrentSince Nov 1, 2024 Accepting new patients
Broadlawns Medical Center CurrentSince Jun 23, 2012 Accepting new patients
Goldfinch Laboratory, P.C. Dermatopathology CurrentSince Jan 1, 2023 Accepting new patients
Urology Center of Iowa PLLC CurrentSince Nov 1, 2025 Accepting new patients
Regional Laboratory Consultants PC Dermatopathology CurrentSince Jul 1, 2007 Accepting new patients

Locations

12129 University Ave
Ste 100
Clive, IA 50325
Phone (515) 400-3550

12129 University Ave
Ste 200
Clive, IA 50325

1378 NW 124th St
Ste 200
Clive, IA 50325
Phone (515) 288-6097

1200 Pleasant St
Des Moines, IA 50309
Phone (515) 241-5926

1212 Pleasant St
Ste LL3
Des Moines, IA 50309
Phone (515) 241-8861

1801 Hickman Rd
Des Moines, IA 50314
Phone (515) 282-2200

700 E University Ave
Des Moines, IA 50316
Phone (515) 263-5120

4637 121st St
Urbandale, IA 50323
Phone (515) 655-7080

1660 60th St
West Des Moines, IA 50266
Phone (515) 241-2250

5700 Southwyck Blvd
Toledo, OH 43614

Interoperability endpoints

  • FHIR API: https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/10390883

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.

NPI Registry JSON

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

{
    "created_epoch": "1133913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700438400000",
    "number": "1073598512",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4637 121ST ST",
            "city": "URBANDALE",
            "state": "IA",
            "postal_code": "503232311",
            "telephone_number": "515-655-7080",
            "fax_number": "515-655-7090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4637 121ST ST",
            "city": "URBANDALE",
            "state": "IA",
            "postal_code": "503232311",
            "telephone_number": "515-655-7080",
            "fax_number": "515-655-7090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABBOTT",
        "first_name": "JARED",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-07",
        "last_updated": "2023-11-20",
        "certification_date": "2023-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZD0900X",
            "taxonomy_group": "",
            "desc": "Pathology, Dermatopathology",
            "state": "IA",
            "license": "MD-37037",
            "primary": false
        },
        {
            "code": "207ZP0101X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology",
            "state": "IA",
            "license": "MD-37037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Urbandale, IA

Sources for this page

Verify at the official NPI Registry.