NPIMap

Individual provider Active NPI

Robert Callahan, MD

  • Family Medicine Physician
  • Des Moines, IA
National Provider Identifier
1174532865
Registry record updated Feb 6, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
32742 Issued in IA
Practice address
4326 Hickman Rd
Suite 100
Des Moines, IA 50310
Phone
(515) 271-6333
Fax
(515) 271-6175
NPI assigned
Aug 5, 2006
Last updated
Feb 6, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 32742 IA Primary

Addresses

Primary practice location

4326 Hickman Rd
Suite 100
Des Moines, IA 50310

Mailing address

PO Box 1475
Des Moines, IA 50305-1475
Phone (515) 271-6333

Other identifiers 1

IdentifierTypeStateIssuer
2209643MedicaidIA

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
I20040422001129 IA Practitioner - Family Practice 8820084098 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Iowa, RJ & L Carver College of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Clinics IncGroup PAC ID 7911810882, 441 clinicians

Practice addresses (Care Compare)

330 Laurel St
Suite 1200
Des Moines, IA 50314-3044
Phone (515) 643-6290

4326 Hickman Rd
Suite 100
Des Moines, IA 50310-3302
Phone (515) 271-6333

800 E 1St St
Ankeny, IA 50021-2077

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
32742IAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Clinics, Inc. Family Medicine Current Accepting new patients
Mercy Clinics, Inc. CurrentSince Jun 1, 2022 Accepting new patients
Mercy Clinics, Inc CurrentSince Jun 1, 2022 Accepting new patients
Mercy Clinics, Inc. Past Accepting new patients

Locations

1601 NW 114th St
Ste 247
Des Moines, IA 50325
Phone (515) 222-7000

1750 48th St
Ste 100A
Des Moines, IA 50310
Phone (515) 271-6333

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

4326 Hickman Rd
Ste 100
Des Moines, IA 50310
Phone (515) 271-6333

5900 E University Ave
Ste 100
Pleasant Hill, IA 50327
Phone (515) 643-2400

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

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": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580947200000",
    "number": "1174532865",
    "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": "515-271-6333",
            "fax_number": "515-271-6175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4326 HICKMAN RD",
            "address_2": "SUITE 100",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "50310",
            "telephone_number": "515-271-6333",
            "fax_number": "515-271-6175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CALLAHAN",
        "first_name": "ROBERT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-05",
        "last_updated": "2020-02-06",
        "certification_date": "2020-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "32742",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2209643",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Moines, IA

Sources for this page

Verify at the official NPI Registry.