Organization Active NPI

Mercy Clinics Inc

Doing business as MercyOne Des Moines General Surgery Residency Program

  • Clinic/Center
  • Des Moines, IA
National Provider Identifier
1083894463
Registry record updated Dec 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
MERCY CLINICS INC
Doing business as
MercyOne Des Moines General Surgery Residency Program
MercyOne Des Moines Gynecological Oncology
MercyOne Des Moines Surgical Group1 more in Other names
Practice address
411 Laurel St Ste 2100
Des Moines, IA 50314-3026
Phone
(515) 247-3266
Fax
(515) 643-8688
NPI assigned
Nov 14, 2007
Last updated
Dec 30, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2025

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

411 Laurel St Ste 2100
Des Moines, IA 50314-3026

Mailing address

PO Box 674721
Dallas, TX 75267-4721
Phone (515) 643-2519

Other practice location 1

300 N 4th Ave E Ste 222
Newton, IA 50208-3155
Phone (641) 787-3161

Other practice location 2

411 Laurel St Ste 3300
Des Moines, IA 50314-3027
Phone (515) 643-6400

Other practice location 3

1601 NW 114th St Ste 151
Clive, IA 50325-7046
Phone (515) 222-7474

Other practice location 4

610 10th St
Perry, IA 50220-2221
Phone (515) 247-3266

Other practice location 5

640 S 19th St
Nevada, IA 50201-2902
Phone (515) 382-7738

Other practice location 6

300 W Hutchings St
Winterset, IA 50273-2109
Phone (515) 462-5207

Other identifiers 1

IdentifierTypeStateIssuer
0251983MedicaidIA

Other names 4

  • MercyOne Des Moines General Surgery Residency Program Doing business as
  • MercyOne Des Moines Gynecological Oncology Doing business as
  • MercyOne Des Moines Surgical Group Doing business as
  • MercyOne Katzmann Breast Care 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

Locations

204 N 4th Ave E
Newton, IA 50208
Phone (641) 791-4800

Practitioners & affiliated clinicians

Practitioners 20

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.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1194998400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1767052800000",
    "number": "1083894463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 674721",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752674721",
            "telephone_number": "515-643-2519",
            "fax_number": "641-787-3165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 LAUREL ST STE 2100",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503143026",
            "telephone_number": "515-247-3266",
            "fax_number": "515-643-8688"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 N 4th Ave E Ste 222",
            "address_purpose": "LOCATION",
            "city": "Newton",
            "state": "IA",
            "postal_code": "502083155",
            "country_code": "US",
            "telephone_number": "641-787-3161",
            "fax_number": "641-787-3165",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "411 Laurel St Ste 3300",
            "address_purpose": "LOCATION",
            "city": "Des Moines",
            "state": "IA",
            "postal_code": "503143027",
            "country_code": "US",
            "telephone_number": "515-643-6400",
            "fax_number": "515-643-5816",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1601 NW 114th St Ste 151",
            "address_purpose": "LOCATION",
            "city": "Clive",
            "state": "IA",
            "postal_code": "503257046",
            "country_code": "US",
            "telephone_number": "515-222-7474",
            "fax_number": "515-222-7491",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "610 10th St",
            "address_purpose": "LOCATION",
            "city": "Perry",
            "state": "IA",
            "postal_code": "502202221",
            "country_code": "US",
            "telephone_number": "515-247-3266",
            "fax_number": "515-643-8688",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "640 S 19th St",
            "address_purpose": "LOCATION",
            "city": "Nevada",
            "state": "IA",
            "postal_code": "502012902",
            "country_code": "US",
            "telephone_number": "515-382-7738",
            "fax_number": "515-382-7766",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 W Hutchings St",
            "address_purpose": "LOCATION",
            "city": "Winterset",
            "state": "IA",
            "postal_code": "502732109",
            "country_code": "US",
            "telephone_number": "515-462-5207",
            "fax_number": "515-462-5132",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "MERCY CLINICS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-14",
        "last_updated": "2025-12-30",
        "certification_date": "2025-12-30",
        "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": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0251983",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MercyOne Des Moines General Surgery Residency Program",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MercyOne Des Moines Gynecological Oncology",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MercyOne Des Moines Surgical Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MercyOne Des Moines Surgical Group",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MercyOne Katzmann Breast Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Dec 30, 2025; 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.