Individual provider Active NPI

Wesley Ryan Smidt, MD

  • Orthopaedic Surgery Physician
  • Des Moines, IA
National Provider Identifier
1275593824
Registry record updated Dec 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
30403 Issued in IA
Practice address
1301 Pennsylvania Ave Ste 213
Des Moines, IA 50316-2365
Phone
(515) 224-1414
Fax
(515) 224-5140
NPI assigned
Mar 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 30403 IA Primary

Addresses

Primary practice location

1301 Pennsylvania Ave Ste 213
Des Moines, IA 50316-2365

Mailing address

1301 Pennsylvania Ave Ste 213
Des Moines, IA 50316-2365
Phone (515) 224-1414

Other identifiers 1

IdentifierTypeStateIssuer
496090007OtherIAMEDICARE PTAN

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100222000367 IA Practitioner - Orthopedic Surgery 9931144961 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
72.25 of 100Reported as group
Quality
80.42
Promoting interoperability
39
Improvement activities
40
Cost
77.9

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
30403IAMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
St Luke'S Methodist Hospital Current Accepting new patients
Des Moines Orthopaedic Surgeons PC Orthopaedic Surgery CurrentSince Feb 1, 2010 Accepting new patients
Des Moines Orthopaedic Surgeons PC CurrentSince Feb 1, 2010 Accepting new patients

Locations

1301 Pennsylvania Ave
Ste 213
Des Moines, IA 50316
Phone (515) 224-1414

6001 Westown Pkwy
West Des Moines, IA 50266
Phone (515) 224-1414

Interoperability endpoints

  • Direct secure messaging: wsmidt12575@direct.unitypoint.org

Organizations & group practices 3

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": "1143417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672272000000",
    "number": "1275593824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 PENNSYLVANIA AVE STE 213",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503162365",
            "telephone_number": "515-224-1414",
            "fax_number": "515-224-5140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 PENNSYLVANIA AVE STE 213",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503162365",
            "telephone_number": "515-224-1414",
            "fax_number": "515-224-5140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMIDT",
        "first_name": "WESLEY",
        "middle_name": "RYAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-27",
        "last_updated": "2022-12-29",
        "certification_date": "2022-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "IA",
            "license": "30403",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "496090007",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Moines, IA

Sources for this page

Verify at the official NPI Registry.