NPIMap

Organization Active NPI

Justin J Raatz, DPM PLLC

  • Foot & Ankle Surgery Podiatrist
  • Des Moines, IA
National Provider Identifier
1174976948
Registry record updated Dec 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
082885 Issued in IA
Legal business name
JUSTIN J RAATZ, DPM PLLC
Practice address
500 E Court Ave
Suite 314
Des Moines, IA 50309-2057
Phone
(308) 660-5407
Fax
(515) 883-2692
NPI assigned
Jul 18, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2018

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

Authorized official

Name
Justin J. Raatz, DPMNPI 1306175104
Title
Owner
Phone
(515) 282-6067

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X 082885 IA Primary

Addresses

Primary practice location

500 E Court Ave
Suite 314
Des Moines, IA 50309-2057

Mailing address

500 E Court Ave Ste 314
Des Moines, IA 50309-2057
Phone (515) 282-6067

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20160913000769 IA Part B Supplier - Clinic/Group Practice 6002102365 Receives reassigned benefits from 5 practitioners
Practice locations: West Des Moines, IA; Pella, IA; Norwalk, IA; Des Moines, IA; Mason City, IA
O20170418000480 IA DME Supplier - Physician - General Practice 6002102365 Practice locations: Des Moines, IA

National Provider Directory

National Provider Directory

Locations

411 Laurel St
Ste 1100
Des Moines, IA 50314
Phone (515) 247-3121

1010 4th St SW
Ste 300
Mason City, IA 50401
Phone (641) 424-0301

715 Main St
Pella, IA 50219
Phone (515) 282-6067

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1468800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1543795200000",
    "number": "1174976948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 E COURT AVE STE 314",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503092057",
            "telephone_number": "515-282-6067",
            "fax_number": "515-244-1722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 E COURT AVE",
            "address_2": "SUITE 314",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503092057",
            "telephone_number": "308-660-5407",
            "fax_number": "515-883-2692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JUSTIN J RAATZ, DPM PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-18",
        "last_updated": "2018-12-03",
        "status": "A",
        "authorized_official_last_name": "RAATZ",
        "authorized_official_first_name": "JUSTIN",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "515-282-6067",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IA",
            "license": "082885",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Moines, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.