Individual provider Active NPI

Kelsi Sawatzky, OD

  • Optometrist
  • West Des Moines, IA
National Provider Identifier
1245768076
Registry record updated May 24, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
087536 Issued in IA
Practice address
9250 University Ave Unit 110
West Des Moines, IA 50266-1963
Phone
(515) 987-3937
NPI assigned
May 24, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 087536 IA Primary

Addresses

Primary practice location

9250 University Ave Unit 110
West Des Moines, IA 50266-1963

Mailing address

4956 NE Bellagio Dr
Ankeny, IA 50021-6877
Phone (515) 250-0144

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170906001538 IA Practitioner - Optometry 4880967223 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Indiana University - School of Optometry, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elite Eye Care PCGroup PAC ID 0446383327, 10 clinicians

Practice addresses (Care Compare)

1350 SE University Ave
Waukee, IA 50263-8933
Phone (515) 987-3937

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery18

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
KNJ Optometry PLC Optometrist CurrentSince Jul 30, 2017 Accepting new patients

Locations

1620 N Ankeny Blvd
Ste 106
Ankeny, IA 50023
Phone (515) 201-0176

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1495584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1495584000000",
    "number": "1245768076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4956 NE BELLAGIO DR",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "500216877",
            "telephone_number": "515-250-0144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9250 UNIVERSITY AVE UNIT 110",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502661963",
            "telephone_number": "515-987-3937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAWATZKY",
        "first_name": "KELSI",
        "credential": "OD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-05-24",
        "last_updated": "2017-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IA",
            "license": "087536",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Des Moines, IA

Sources for this page

Verify at the official NPI Registry.