Active NPI
Kelly Schifsky, D.O.
- Developmental - Behavioral Pediatrics Physician
- West Des Moines, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmental - Behavioral Pediatrics Physician
- License
- DO-04829
- Practice address
- 4055 Westown Pkwy
West Des Moines, IA 50266-1033 - Phone
- (515) 224-3399
- NPI assigned
- Jun 11, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | R-9754 | IA | |
| Developmental - Behavioral Pediatrics Physician | 2080P0006X | 14830 | CA | |
| Developmental - Behavioral Pediatrics Physician | 2080P0006X | DO-04829 | IA | Primary |
Addresses
Primary practice location
4055 Westown Pkwy
West Des Moines, IA 50266-1033
Mailing address
4055 Westown Pkwy
West Des Moines, IA 50266-1033
Phone (515) 224-3399
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, IA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DO-04829 | IA | MD | Developmental - Behavioral Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Iowa Hospital Corporation | Current | Accepting new patients | |
| Central Iowa Hospital Corporation | Current | Accepting new patients | |
| Children'S Hospital Los Angeles Medical Group, Inc. | Pediatrics | Current | Accepting new patients |
| Central Iowa Hospital Corporation | Pediatrics | Current | Accepting new patients |
| St Luke'S Methodist Hospital | Current | Accepting new patients |
Locations
3701 Wilshire Blvd
Ste 600
Los Angeles, CA 90010
Phone (323) 361-3550
4650 W Sunset Blvd
Los Angeles, CA 90027
Phone (323) 361-2122
1200 Pleasant St
Des Moines, IA 50309
Phone (515) 241-5926
4055 Westown Pkwy
West Des Moines, IA 50266
Phone (515) 224-3399
Interoperability endpoints
- kschifsky34495@direct.unitypoint.org
Organizations & group practices 5
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.
-
- Family Medicine Physician
- Des Moines, IA
- NPI 1104879576
-
- Multi-Specialty Clinic/Center
- Los Angeles, CA
- NPI 1265530653
Pediatrics
-
- Pharmacy
- Des Moines, IA
- NPI 1003352949
-
- Pediatrics Physician
- Des Moines, IA
- NPI 1144309188
-
- General Acute Care Hospital
- Cedar Rapids, IA
- NPI 1083708226
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1370908800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1669593600000",
"number": "1215375308",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4055 WESTOWN PKWY",
"city": "WEST DES MOINES",
"state": "IA",
"postal_code": "502661033",
"telephone_number": "515-224-3399"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4055 WESTOWN PKWY",
"city": "WEST DES MOINES",
"state": "IA",
"postal_code": "502661033",
"telephone_number": "515-224-3399"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHIFSKY",
"first_name": "KELLY",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-06-11",
"last_updated": "2022-11-28",
"certification_date": "2022-11-28",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "IA",
"license": "R-9754",
"primary": false
},
{
"code": "2080P0006X",
"taxonomy_group": "",
"desc": "Pediatrics, Developmental - Behavioral Pediatrics",
"state": "CA",
"license": "14830",
"primary": false
},
{
"code": "2080P0006X",
"taxonomy_group": "",
"desc": "Pediatrics, Developmental - Behavioral Pediatrics",
"state": "IA",
"license": "DO-04829",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Des Moines, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.