Chad P Enich, PA C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

001165 Issued in IA

Practice address

2901 86TH St
Urbandale, IA 50322-4201

Phone

(515) 276-3406

Fax

(515) 276-5141

NPI assigned

Sep 29, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 5

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Iowa Physicians Clinic Medical FoundationGroup PAC ID 8729992318, 1,254 clinicians

Grinnell Regional Medical CenterGroup PAC ID 0446153662, 98 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Unitypoint Health - Des Moines Iowa Methodist Medi Hospital, Des Moines, IA, CCN 160082
• Grinnell Regional Medical Center Hospital, Grinnell, IA, CCN 160147

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: cenich12982@direct.unitypoint.org

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.

• Grinnell Regional Medical Center

  • Family Medicine Physician
  • Grinnell, IA
  • NPI 1437663242
  Medicare reassignment Care Compare group NPD
• Iowa Physicians Clinic Medical Foundation

  • General Practice Physician
  • West Des Moines, IA
  • NPI 1366425274

  Family Medicine

  Medicare reassignment Care Compare group NPD
• Knoxville Community Hospital Inc

  • Emergency Medicine Physician
  • Knoxville, IA
  • NPI 1770591661
  Medicare reassignment NPD
• Knoxville Community Hospital Inc

  • Critical Access Hospital
  • Knoxville, IA
  • NPI 1922087915
  Medicare reassignment NPD
• Lucas County Health Center

  • Critical Access Hospital
  • Chariton, IA
  • NPI 1588636351
  Medicare reassignment NPD
• Iowa Physicians Clinic Medical Foundation

  • Rural Health Clinic/Center
  • Anthon, IA
  • NPI 1053203927

  Family Medicine

  NPD
• Lucas County Heatlh Center

  • Surgery Physician
  • Chariton, IA
  • NPI 1003210824
  NPD
• St Luke'S Methodist Hospital

  • General Acute Care Hospital
  • Cedar Rapids, IA
  • NPI 1083708226
  NPD

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

• Central Iowa Hospital Corporation

  • General Acute Care Hospital
  • Des Moines, IA
  • NPI 1356433049
  Care Compare affiliation
• Central Iowa Hospital Corporation

  • General Acute Care Hospital
  • Des Moines, IA
  • NPI 1396837951
  Care Compare affiliation
• Central Iowa Hospital Corporation

  • General Acute Care Hospital
  • West Des Moines, IA
  • NPI 1598905762
  Care Compare affiliation
• Grinnell Regional Medical Center

  • General Acute Care Hospital
  • Grinnell, IA
  • NPI 1669420501
  Care Compare affiliation

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

{
    "created_epoch": "1127952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653350400000",
    "number": "1174510879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2901 86TH ST",
            "city": "URBANDALE",
            "state": "IA",
            "postal_code": "503224201",
            "telephone_number": "515-276-3406",
            "fax_number": "515-276-5141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 86TH ST",
            "city": "URBANDALE",
            "state": "IA",
            "postal_code": "503224201",
            "telephone_number": "515-276-3406",
            "fax_number": "515-276-5141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENICH",
        "first_name": "CHAD",
        "middle_name": "P",
        "name_prefix": "Mr.",
        "credential": "PA C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-29",
        "last_updated": "2022-05-24",
        "certification_date": "2022-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "146N00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medical Technician, Basic",
            "state": "IA",
            "license": "001165",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "01165",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IA",
            "license": "001165",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1174510879",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "44593",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P01396066",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "970009403",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2133348",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Renee R Ellerbroek, MD
• Clinton Ellis
• Emeritus Corporation
• Jody Lynn England, D.C.
• Shad B England, D.C.
• Entera Pelvic Health
• Stephanie L Erdmann, NP-C
• Erickson Dental Group
• Bradley Scott Erickson, DDS
• Roxi J Evans-Guilloz, PT

• Physician Assistant in Urbandale, IA
• Providers in Urbandale, IA by specialty
• Physician Assistant in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2022; 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.

Verify at the official NPI Registry.