Active NPI
Derek P Bitner, M.D.
- Ophthalmology Physician
- West Des Moines, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- MD-43354
- Practice address
- 6200 Westown Pkwy
West Des Moines, IA 50266-7705 - Phone
- (515) 223-8685
- Fax
- (515) 223-5468
- NPI assigned
- Jun 12, 2011
- 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 |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | MD-43354 | IA | Primary |
| Pediatric Ophthalmology and Strabismus Specialist Physician | 207WX0110X | MD-43354 | IA |
Addresses
Primary practice location
6200 Westown Pkwy
West Des Moines, IA 50266-7705
Mailing address
309 E Church St
Marshalltown, IA 50158-2946
Phone (641) 754-6200
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134414709 | Other | IA | WELLMARK |
| 1134414709 | 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 |
|---|---|---|---|---|
| I20160531000465 | IA | Practitioner - Ophthalmology | 1850609538 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- Baylor College of Medicine, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Wolfe Clinic Inc
Practice addresses (Care Compare)
6200 Westown Pkwy
Wolfe Eye Clinic
West Des Moines, IA 50266-7755
Phone (515) 223-8685
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD-43354 | IA | MD | Pediatric Ophthalmology and Strabismus Specialist Physician Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Luke'S Methodist Hospital | Current | Accepting new patients | |
| Wolfe Clinic Inc | Ophthalmology | Current | Accepting new patients |
| Wolfe Surgery Center, LLC | Past | Accepting new patients |
Locations
2020 Philadelphia St
Ames, IA 50010
Phone (515) 232-2450
309 E Church St
Marshalltown, IA 50158
Phone (515) 754-6200
6200 Westown Pkwy
West Des Moines, IA 50266
Phone (515) 222-9880
6100 Westown Pkwy
Ste 200
West Des Moines, IA 50266
Phone (515) 223-8685
Interoperability endpoints
- dbitner@wolfe.intellechartdirect.net
- dbitner3939870@direct.trinity-health.org
- dbitner422503@direct.unitypoint.org
Organizations & group practices 3
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
-
- Ambulatory Surgical Clinic/Center
- West Des Moines, IA
- NPI 1063733095
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1307836800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1518652800000",
"number": "1134414709",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "309 E CHURCH ST",
"city": "MARSHALLTOWN",
"state": "IA",
"postal_code": "501582946",
"telephone_number": "641-754-6200",
"fax_number": "641-754-6245"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6200 WESTOWN PKWY",
"city": "WEST DES MOINES",
"state": "IA",
"postal_code": "502667705",
"telephone_number": "515-223-8685",
"fax_number": "515-223-5468"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BITNER",
"first_name": "DEREK",
"middle_name": "P",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-06-12",
"last_updated": "2018-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "IA",
"license": "MD-43354",
"primary": true
},
{
"code": "207WX0110X",
"taxonomy_group": "",
"desc": "Ophthalmology, Pediatric Ophthalmology and Strabismus Specialist",
"state": "IA",
"license": "MD-43354",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLMARK",
"identifier": "1134414709",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1134414709",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in West Des Moines, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2018; 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.