Kimberley P Bauman, MD
Individual provider Active NPI Family Medicine Physician · Urbandale, IA
NPI 1194953844 · NPPES record last updated Jan 21, 2024
Key facts
- NPI
- 1194953844
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- MD-40178 (IA)
- Practice address
- 6200 Aurora Ave
Urbandale, IA 50322-2800 - Phone
- (515) 270-1177
- Fax
- (515) 643-9361
- NPI assigned
- Jul 1, 2009
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Hospital & facility affiliations 8
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- University of Nebraska College of Medicine, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Mercy Clinics Inc
Practice addresses (Care Compare)
250 SW Brookside Dr
Mercyone Grimes Family Medicine Clinic
Grimes, IA 50111-4900
Phone (515) 300-3900
Hospital & facility affiliations
- Mercyone Des Moines Home Care
- Mercyone Des Moines Medical Center
- Unitypoint Health - Des Moines Iowa Methodist Medi
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Removal or shaving of skin growth | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120824000085 | IA | Practitioner - Family Practice | 8224285309 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Clinics, Inc. | Current |
Accepting new patients | |
| Mercy Clinics, Inc. | Family Medicine | Current | Accepting new patients |
| Mercy Clinics, Inc | Current |
Accepting new patients |
Locations
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
250 SW Brookside Dr
Grimes, IA 50111
Phone (515) 300-3900
5615 NW 86th St
Johnston, IA 50131
Phone (515) 223-5466
6200 Aurora Ave
Ste 100W
Urbandale, IA 50322
Phone (515) 270-1177
Interoperability endpoints
- kbauman3939461@direct.trinity-health.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD-40178 | IA | Yes |
Addresses
Primary practice location
6200 Aurora Ave
Urbandale, IA 50322-2800
Mailing address
PO Box 1475
Des Moines, IA 50305-1475
Phone (515) 300-3900
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 470553011-00 | Medicaid | NE |
Other providers in Urbandale, IA
- James Robert Barnard
- Peyton Nicole Barnett
- Robin W Barnett
- Claire Noble Barr
- Kelly Scott Bast
- BDS Healthcare LLC
- Be Well Chiropractic, LLC
- Tracy Lynn Beck
- Livvy Grace Becker
- Hannah Dawn Beenken
All providers in Urbandale, IA · Family Medicine Physician in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 21, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.