Active NPI
Bernard Michael Feldman, D.O.
- Gastroenterology Physician
- Clive, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 01887
- Practice address
- 1601 NW 114TH St
Ste 342
Clive, IA 50325-7036 - Phone
- (515) 222-7600
- Fax
- (515) 222-7643
- NPI assigned
- Jun 10, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 01887 | IA | |
| Gastroenterology Physician | 207RG0100X | 01887 | IA | Primary |
Addresses
Primary practice location
1601 NW 114TH St
Ste 342
Clive, IA 50325-7036
Mailing address
PO Box 1475
Des Moines, IA 50305-1475
Phone (515) 222-7600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0002485 | Medicaid | IA |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080812000255 | IA | Practitioner - Gastroenterology | 4880769785 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- Education
- College of Osteopathic Physicians and Surgeons of Los Angeles, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Mercy Clinics IncSt Lukes Methodist Hospital
Practice addresses (Care Compare)
1111 6TH Ave
Des Moines, IA 50314-2613
Phone (515) 247-4240
1601 NW 114TH St
Clive, IA 50325-7036
1755 59TH PL
West Des Moines, IA 50266-7737
Phone (515) 247-4240
800 E 1St St
Ankeny, IA 50021-2077
931 8TH Ave SE
Unity Point Gastroenterology
Cedar Rapids, IA 52401-2121
Phone (319) 366-8695
Hospital & facility affiliations
- Mercyone Des Moines Medical Center
- St Lukes Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 81 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 137 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01887 | IA | MD | Physical Therapist |
| 1887 | IA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Luke'S Methodist Hospital | Current | Accepting new patients | |
| St. Luke'S Methodist Hospital | Current | Accepting new patients | |
| Mercy Clinics, Inc | Gastroenterology | Current | Accepting new patients |
| Mercy Clinics, Inc. | Current | Accepting new patients | |
| Mercy Clinics, Inc. | Current | Accepting new patients | |
| Trinity Regional Medical Center | Past | Accepting new patients |
Locations
931 8th Ave SE
Cedar Rapids, IA 52401
Phone (319) 366-8695
1026 A Ave NE
Cedar Rapids, IA 52402
Phone (319) 369-5970
1601 NW 114th St
Ste 342
Clive, IA 50325
Phone (515) 222-7600
330 Laurel St
Ste 1200
Des Moines, IA 50314
Phone (515) 643-5454
405 SW 5th St
Ste E
Des Moines, IA 50309
Phone (515) 358-7259
Interoperability endpoints
- bfeldman3944176@direct.trinity-health.org
- bfeldman1110491@direct.unitypoint.org
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.
-
- General Acute Care Hospital
- Cedar Rapids, IA
- NPI 1083708226
-
- Psychiatric Hospital Unit
- Cedar Rapids, IA
- NPI 1356433015
-
- Rehabilitation Hospital Unit
- Cedar Rapids, IA
- NPI 1558453217
-
- Obstetrics & Gynecology Physician
- Des Moines, IA
- NPI 1508741505
-
- Emergency Medicine Physician
- Fort Dodge, IA
- NPI 1073594156
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- West Des Moines, IA
- NPI 1538395975
Hospital
-
- Clinical Medical Laboratory
- Des Moines, IA
- NPI 1104982743
Hospital
-
- General Acute Care Hospital
- Des Moines, IA
- NPI 1508964883
Hospital
-
- Mammography Clinic/Center
- Des Moines, IA
- NPI 1477984367
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118361600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1351728000000",
"number": "1134123789",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1475",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503051475",
"telephone_number": "515-222-7600",
"fax_number": "515-222-7643"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1601 NW 114TH ST",
"address_2": "STE 342",
"city": "CLIVE",
"state": "IA",
"postal_code": "503257036",
"telephone_number": "515-222-7600",
"fax_number": "515-222-7643"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FELDMAN",
"first_name": "BERNARD",
"middle_name": "MICHAEL",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-10",
"last_updated": "2012-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IA",
"license": "01887",
"primary": false
},
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "IA",
"license": "01887",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0002485",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Clive, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.