NPIMap

Individual provider Active NPI

Timothy C Simplot, MD

  • Otolaryngology Physician
  • West Des Moines, IA
National Provider Identifier
1275591273
Registry record updated May 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
32861 Issued in IA
Practice address
105 Valley West Dr
Ste 100
West Des Moines, IA 50265-3902
Phone
(515) 223-4368
Fax
(515) 453-2368
NPI assigned
May 2, 2006
Last updated
May 7, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 32861 IA Primary

Addresses

Primary practice location

105 Valley West Dr
Ste 100
West Des Moines, IA 50265-3902

Mailing address

105 Valley West Dr
Ste 100
West Des Moines, IA 50265-3902
Phone (515) 223-4368

Other identifiers 1

IdentifierTypeStateIssuer
0190975MedicaidIA

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
I20091021000556 IA Practitioner - Otolaryngology 3476647835 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
University of Iowa, RJ & L Carver College of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Iowa ENT Center PLLCGroup PAC ID 6406007608, 13 clinicians

Practice addresses (Care Compare)

105 Valley W Dr
Suite 100
West Des Moines, IA 50265-3902
Phone (515) 223-4368

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
50 of 100Reported as individual
Quality
0
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Iowa ENT Center PLLC Otolaryngology CurrentSince Sep 1, 2012 Accepting new patients
Knoxville Community Hospital Inc CurrentSince Nov 15, 2018 Accepting new patients
Knoxville Community Hospital Inc Current Accepting new patients
Knoxville Community Hospital Inc Current Accepting new patients
Central Iowa Hospital Corporation Past Accepting new patients
ENT Clinic of Iowa, PC Otolaryngology PastSince Jul 1, 1999 Accepting new patients

Locations

319 N Ankeny Blvd
Ankeny, IA 50023
Phone (515) 223-4368

403 1st St SE
Belmond, IA 50421
Phone (641) 444-3223

417 S East St
Corydon, IA 50060
Phone (641) 872-2260

1002 S Lincoln St
Knoxville, IA 50138
Phone (641) 842-1464

1202 W Howard St
Knoxville, IA 50138
Phone (641) 828-7144

405 Monroe St
Ste A
Pella, IA 50219
Phone (641) 628-2837

105 Valley West Dr
West Des Moines, IA 50265
Phone (515) 223-4368

105 Valley West Dr
Ste 100
West Des Moines, IA 50265
Phone (515) 223-4368

Interoperability endpoints

  • Direct secure messaging: tsimplot@826.securemail.prognocis.com
  • Direct secure messaging: tsimplot3957803@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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1146528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430956800000",
    "number": "1275591273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 VALLEY WEST DR",
            "address_2": "STE 100",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502653902",
            "telephone_number": "515-223-4368",
            "fax_number": "515-453-2368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 VALLEY WEST DR",
            "address_2": "STE 100",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502653902",
            "telephone_number": "515-223-4368",
            "fax_number": "515-453-2368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMPLOT",
        "first_name": "TIMOTHY",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-02",
        "last_updated": "2015-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "IA",
            "license": "32861",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0190975",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Des Moines, IA

Sources for this page

Verify at the official NPI Registry.