NPIMap

Individual provider Active NPI

Daniel Lee Dodge, DO

  • Pulmonary Disease Physician
  • West Des Moines, IA
National Provider Identifier
1124466032
Registry record updated Dec 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
DO-04622 Issued in IA
Practice address
5950 University Ave Ste 131
West Des Moines, IA 50266-8232
Phone
(515) 875-9550
Fax
(515) 875-9551
NPI assigned
Jun 13, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X DO-04622 IA
Pulmonary Disease Physician 207RP1001X DO-04622 IA Primary

Addresses

Primary practice location

5950 University Ave Ste 131
West Des Moines, IA 50266-8232

Mailing address

PO Box 424
Des Moines, IA 50302-0424
Phone (515) 875-9925

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address danieldodge@tic.allscriptsdirect.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160212001700 IA Practitioner - Pulmonary DiseasePractitioner - Internal MedicinePractitioner - Hospitalist 2163666355 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary Disease
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pella Regional Health CenterGroup PAC ID 9931005873, shared by 10 NPIs, 96 clinicians
The Iowa Clinic PCGroup PAC ID 4082513742, 307 clinicians

Practice addresses (Care Compare)

405 Monroe St
Pella, IA 50219-1189
Phone (641) 628-3832

5950 University Ave
Suite 131
West Des Moines, IA 50266-8232
Phone (515) 875-9100

Hospital & facility affiliations

  • Unitypoint Health - Des Moines Iowa Methodist Medi Hospital, Des Moines, IA, CCN 160082
  • Lucas County Health Center Hospital, Chariton, IA, CCN 161341
  • Pella Regional Health Center Hospital, Pella, IA, CCN 161367
  • Decatur County Hospital Hospital, Leon, IA, CCN 161340
  • Grinnell Regional Medical Center Hospital, Grinnell, IA, CCN 160147

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DO-04622IAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Luke'S Methodist Hospital Current Accepting new patients
The Iowa Clinic PC Internal Medicine CurrentSince Jul 29, 2019 Accepting new patients
Pella Regional Health Center CurrentSince Jun 2, 2025 Accepting new patients
The Iowa Clinic, PC CurrentSince Jul 29, 2019 Accepting new patients
Pella Regional Health Center Current Accepting new patients
Decatur County Hospital CurrentSince Jun 22, 2023 Accepting new patients
Pella Regional Health Center Internal Medicine CurrentSince Jun 2, 2025 Accepting new patients
Central Iowa Hospital Corporation Past Accepting new patients

Locations

1700 W Townline St
Creston, IA 50801
Phone (641) 782-7091

1405 NW Church St
Leon, IA 50144
Phone (641) 446-2340

1005 Pennsylvania Ave
Ste 102A
Ottumwa, IA 52501
Phone (641) 684-2589

405 Monroe St
Pella, IA 50219
Phone (641) 621-2200

5950 University Ave
Ste 321
West Des Moines, IA 50266
Phone (515) 875-9178

5950 University Ave
Ste 131
West Des Moines, IA 50266
Phone (515) 875-9550

7147 Vista Dr
Ste 150
West Des Moines, IA 50266
Phone (515) 875-9255

Interoperability endpoints

  • Direct secure messaging: ddodge124351@direct.unitypoint.org
  • Direct secure messaging: danieldodge@tic.allscriptsdirect.net

Organizations & group practices 8

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1371081600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703030400000",
    "number": "1124466032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 424",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503020424",
            "telephone_number": "515-875-9925",
            "fax_number": "515-875-9923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5950 UNIVERSITY AVE STE 131",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502668232",
            "telephone_number": "515-875-9550",
            "fax_number": "515-875-9551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DODGE",
        "first_name": "DANIEL",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-13",
        "last_updated": "2023-12-20",
        "certification_date": "2023-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IA",
            "license": "DO-04622",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "IA",
            "license": "DO-04622",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "danieldodge@tic.allscriptsdirect.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "5950 University Ave Ste 131",
            "city": "West Des Moines",
            "state": "IA",
            "country_code": "US",
            "postal_code": "50266",
            "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.