NPIMap

Individual provider Active NPI

Seth Light

  • Physician Assistant
  • Des Moines, IA
National Provider Identifier
1194267575
Registry record updated Aug 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
127680 Issued in IA
Practice address
450 Laurel St Ste a
Des Moines, IA 50314-3045
Phone
(515) 247-8400
NPI assigned
Nov 16, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 19, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X 077999 IA
Physician Assistant 363A00000X 127680 IA Primary

Addresses

Primary practice location

450 Laurel St Ste a
Des Moines, IA 50314-3045

Mailing address

450 Laurel St Ste a
Des Moines, IA 50314-3045
Phone (515) 247-8400

Other practice location 1

605 Brookwood Dr
Indianola, IA 50125-3306
Phone (515) 720-1728

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
I20240828005176 IA Practitioner - Physician Assistant 0143769588 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Iowa Orthopaedic Center PCGroup PAC ID 5597679159, 69 clinicians

Practice addresses (Care Compare)

450 Laurel St
Des Moines, IA 50314-3045
Phone (515) 247-8400

5300 NW 86TH St
Suite 500
Johnston, IA 50131-3164
Phone (515) 247-8400

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
077999IAMDAthletic Trainer
127680IAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Iowa Orthopaedic Center, P.C. Physician Assistant CurrentSince Aug 19, 2024 Accepting new patients
Iowa Orthopaedic Center, P.C. CurrentSince Aug 19, 2024 Accepting new patients
Dallas County Hospital CurrentSince Oct 29, 2024 Accepting new patients
Dallas County Hospital Physician Assistant CurrentSince Oct 29, 2024 Accepting new patients
Iowa Orthopaedic Center, P.C. Past Accepting new patients

Locations

710 E 1st St
Ankeny, IA 50021
Phone (515) 963-8723

450 Laurel St
Ste C
Des Moines, IA 50314
Phone (515) 247-9590

450 Laurel St
Ste A
Des Moines, IA 50314
Phone 5152478400321

1601 NW 114th St
Ste 353
Des Moines, IA 50325

5300 NW 86th St
Ste 500
Johnston, IA 50131

610 10th St
Perry, IA 50220
Phone (515) 465-3547

5900 E University Ave
Ste 201
Pleasant Hill, IA 50327
Phone (515) 225-8180

1121 Jordan Creek Pkwy
Ste 180
West Des Moines, IA 50266

Interoperability endpoints

  • Direct secure messaging: seth.light.p1@direct.iowaortho.nextgenshare.com
  • Direct secure messaging: slight3950391@direct.trinity-health.org

Organizations & group practices 6

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.

Hospital & facility affiliations 5

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": "1479254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724025600000",
    "number": "1194267575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 LAUREL ST STE A",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503143045",
            "telephone_number": "515-247-8400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 LAUREL ST STE A",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503143045",
            "telephone_number": "515-247-8400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "605 Brookwood Dr",
            "address_purpose": "LOCATION",
            "city": "Indianola",
            "state": "IA",
            "postal_code": "501253306",
            "country_code": "US",
            "telephone_number": "515-720-1728",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LIGHT",
        "first_name": "SETH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-11-16",
        "last_updated": "2024-08-19",
        "certification_date": "2024-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "IA",
            "license": "077999",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IA",
            "license": "127680",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Moines, IA

Sources for this page

Verify at the official NPI Registry.