Individual provider Active NPI

Jesse David Westrum, O.D.

  • Optometrist
  • Des Moines, IA
National Provider Identifier
1093001091
Registry record updated Dec 9, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
002522 Issued in IA
Practice address
315E 5TH St
Des Moines, IA 50309-1916
Phone
(515) 282-5005
Fax
(515) 282-2010
NPI assigned
Jun 28, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 9, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 002522 IA Primary

Addresses

Primary practice location

315E 5TH St
Des Moines, IA 50309-1916

Mailing address

315E 5TH St
Des Moines, IA 50309-1916
Phone (515) 282-5005

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111013000161 IA Practitioner - Optometry 9133391261 Reassigns benefits to 2 organizations
Practice locations: Des Moines, IA; Windsor Heights, IA

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Broadlawns Medical CenterGroup PAC ID 3678466166, 302 clinicians

Practice addresses (Care Compare)

1801 Hickman Rd
Des Moines, IA 50314-1548
Phone (515) 282-2200

Merit-based Incentive Payment System (MIPS)

Final score
90.61 of 100Reported as group
Quality
75.16
Promoting interoperability
100
Improvement activities
40
Cost
76.87

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Broadlawns Medical Center CurrentSince Oct 9, 2017 Accepting new patients
Westrum Optometry PLC Optometrist CurrentSince Dec 1, 2015 Accepting new patients
Broadlawns Medical Center CurrentSince Oct 9, 2017 Accepting new patients
Modern Optical Past Accepting new patients
Elite Eye Care PC Optometrist PastSince Nov 1, 2022 Accepting new patients

Locations

315 E 5th St
Des Moines, IA 50309
Phone (515) 282-5005

2508 E University Ave
Des Moines, IA 50317
Phone (515) 282-2362

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

1801 Hickman Rd
Bldg First
Des Moines, IA 50314

1001 73rd St
Windsor Hts, IA 50324
Phone (515) 274-6359

Interoperability endpoints

  • Direct secure messaging: westrum.jesse@cynchealthdsm.org

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1309219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1449619200000",
    "number": "1093001091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "315E 5TH ST",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503091916",
            "telephone_number": "515-282-5005",
            "fax_number": "515-282-2010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315E 5TH ST",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503091916",
            "telephone_number": "515-282-5005",
            "fax_number": "515-282-2010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WESTRUM",
        "first_name": "JESSE",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "O.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-06-28",
        "last_updated": "2015-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IA",
            "license": "002522",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Moines, IA

Sources for this page

Verify at the official NPI Registry.