Individual provider Active NPI

Frederick Royce Blodi, D.O.

  • Ophthalmology Physician
  • West Des Moines, IA
National Provider Identifier
1104357912
Registry record updated Sep 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
DO-05787 Issued in IA
Practice address
5901 Westown Pkwy Ste 200
West Des Moines, IA 50266-8222
Phone
(515) 225-3546
Fax
(515) 224-5946
NPI assigned
Mar 23, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 13, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X DO-05787 IA Primary

Addresses

Primary practice location

5901 Westown Pkwy Ste 200
West Des Moines, IA 50266-8222

Mailing address

5901 Westown Pkwy
Ste 200
West Des Moines, IA 50266-8207
Phone (515) 988-4223

Other practice location 1

550 S Jackson St
3rd Floor, Ste. A3K00
Louisville, KY 40202-1622
Phone (502) 852-5666

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address fblodi@dmeyesurgeons.intellechartdirect.net DES MOINES EYE SURGEONS, LLP

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
I20210506002627 IA Practitioner - Ophthalmology 8820349038 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Des Moines Eye Surgeons, LLPGroup PAC ID 1658262944, 6 clinicians

Practice addresses (Care Compare)

5901 Westown Pkwy
West Des Moines, IA 50266-8207
Phone (515) 225-3546

Merit-based Incentive Payment System (MIPS)

Final score
89.21 of 100Reported as group
Quality
94.7
Promoting interoperability
95
Improvement activities
40
Cost
73.49

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery282

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DO-05787IAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Des Moines Eye Surgeons, LLP Single Specialty CurrentSince Jul 1, 2021 Accepting new patients
Eye Designs PastSince May 16, 2021 Accepting new patients

Locations

5901 Westown Pkwy
Ste 200
West Des Moines, IA 50266
Phone (515) 225-3546

Organizations & group practices 2

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": "1490227200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631491200000",
    "number": "1104357912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5901 WESTOWN PKWY",
            "address_2": "STE 200",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502668207",
            "telephone_number": "515-988-4223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5901 WESTOWN PKWY STE 200",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502668222",
            "telephone_number": "515-225-3546",
            "fax_number": "515-224-5946"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "550 S Jackson St",
            "address_2": "3rd Floor, Ste. A3K00",
            "address_purpose": "LOCATION",
            "city": "Louisville",
            "state": "KY",
            "postal_code": "402021622",
            "country_code": "US",
            "telephone_number": "502-852-5666",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BLODI",
        "first_name": "FREDERICK",
        "middle_name": "ROYCE",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-03-23",
        "last_updated": "2021-09-13",
        "certification_date": "2021-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "IA",
            "license": "DO-05787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "fblodi@dmeyesurgeons.intellechartdirect.net",
            "affiliation": "Y",
            "affiliationName": "DES MOINES EYE SURGEONS, LLP",
            "address_1": "5901 Westown Pkwy Ste 200",
            "city": "West Des Moines",
            "state": "IA",
            "country_code": "US",
            "postal_code": "502668222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in West Des Moines, IA

Sources for this page

Verify at the official NPI Registry.