Ross G Doehrmann, DO
Individual provider Active NPI Orthopaedic Surgery Physician · Clive, IA
NPI 1255869103 · NPPES record last updated Jul 27, 2023
Key facts
- NPI
- 1255869103
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Orthopaedic Surgery Physician 207X00000X
- License
- DO-06383 (IA)
- Practice address
- 12499 University Ave Ste 210
Clive, IA 50325-8288 - Phone
- (515) 440-2676
- Fax
- (515) 440-2677
- NPI assigned
- May 23, 2017
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 13
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Orthopedic Surgery
- Education
- Des Moines University of Osteopathic Medicine and Health Sciences, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Marengo Memorial Hospital
Practice addresses (Care Compare)
300 W May St
Marengo, IA 52301-1261
Phone 31964255438068
Hospital & facility affiliations
- Compass Memorial Healthcare
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hip replacement | 1-10 |
| Knee replacement | 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 |
|---|---|---|---|---|
| I20230807000817 | IA | Practitioner - Orthopedic Surgery | 6305225772 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DO-06383 | IA | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Knoxville Community Hospital Inc | Current |
Accepting new patients | |
| Broadlawns Medical Center | Current |
Accepting new patients | |
| Broadlawns Medical Center | Current |
Accepting new patients | |
| Marengo Memorial Hospital | Current | Accepting new patients | |
| St Luke'S Methodist Hospital | Current | Accepting new patients | |
| Marengo Memorial Hospital | Current |
Accepting new patients | |
| Knoxville Community Hospital Inc | Current | Accepting new patients | |
| Marengo Memorial Hospital | Current |
Accepting new patients |
Locations
1801 Hickman Rd
Des Moines, IA 50314
Phone (515) 282-2200
1202 W Howard St
Knoxville, IA 50138
Phone (641) 828-7144
1002 S Lincoln St
Knoxville, IA 50138
Phone (641) 842-1464
300 W May St
Ste A
Marengo, IA 52301
Phone (319) 642-5543
300 W May St
Marengo, IA 52301
Phone (319) 462-8011
Interoperability endpoints
- rdoehrmann258886@direct.unitypoint.org
- ross.doehrmann.1@19659.direct.athenahealth.com
- rdoehrmann3943304@direct.trinity-health.org
- rdoehrmann625465@direct.hfhs.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | DO-06383 | IA | Yes |
Addresses
Primary practice location
12499 University Ave Ste 210
Clive, IA 50325-8288
Mailing address
12499 University Ave Ste 210
Clive, IA 50325-8288
Phone (515) 440-2676
Other providers in Clive, IA
- Hugh Charles Dick
- Kirsten Dickinson
- Emmaleigh Katelynn Aviana Dieguez
- Meredith Dierks
- Digestive and Liver Disease Consultants, P.C.
- Ryan Donahue
- Elise Dornbier
- Ryan Dornbier
- Douglas R. Pick PLC
- Gryphan Anthony Alexander Douglas
All providers in Clive, IA · Orthopaedic Surgery 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 Jul 27, 2023. 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.