Allergy Institute, P.C.
Organization Active NPI Allergy & Immunology Physician · West Des Moines, IA
NPI 1285627430 · NPPES record last updated Nov 9, 2023
Key facts
- NPI
- 1285627430
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Allergy & Immunology Physician 207K00000X
- Legal business name
- ALLERGY INSTITUTE, P.C.
- Practice address
- 2001 Westown Pkwy Ste 107
West Des Moines, IA 50265-1540 - Phone
- (515) 223-8622
- Fax
- (515) 223-5324
- NPI assigned
- Aug 23, 2005
- Organization subpart
- No
Authorized official
- Name
- Fadi H Alkhatib, DO
- Title
- Owner
- Phone
- (515) 223-8622
Practitioners 21
-
Fadi H Alkhatib, DO
-
Jaime Rae Smolik, PA-C
-
Allison Shull, PA-C
-
Jenna M Bush, DPT
-
Ellen Majewski, PT, DPT
-
Robin Sue Mulvey, DPT
-
Alexandra Schmitt, DPT
-
Noel Turk, DPT
-
Jacqueline Beltrame, PT,DPT
-
Lindsay M Brown, PT MPT
-
Michael J Burggraaf, PT MS
-
Alicia J Fisher, PT DPT
-
Blake A Hardy, PT DPT OCS
-
Kerri L Hardy, PT DPT
-
Laura M Hejtmanek, PT DPT
-
Jodi Kay Hook, PT, MS
-
Kirsten R Radke, PT DPT
-
Justin Scherff, DPT
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 16D0383184 | Allergy Institute | Certificate of waiver | Jul 16, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040401001729 | IA | Part B Supplier - Clinic/Group Practice | 8325030901 |
Receives reassigned benefits from 4 practitioners Practice locations: West Des Moines, IA; Perry, IA; Newton, IA; Osceola, IA |
National Provider Directory
Locations
3720 N Ankeny Blvd
Unit 100
Ankeny, IA 50023
3720 N Ankeny Blvd
Ste 100
Ankeny, IA 50023
Phone (515) 223-8622
2001 Westown Pkwy
West Des Moines, IA 50265
Phone (515) 223-6620
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy & Immunology Physician |
207K00000X | Yes |
Addresses
Primary practice location
2001 Westown Pkwy Ste 107
West Des Moines, IA 50265-1540
Mailing address
2001 Westown Pkwy Ste 107
West Des Moines, IA 50265-1540
Phone (515) 223-8622
Other practice location 1
3720 N Ankeny Blvd Ste 100
Ankeny, IA 50023-4618
Phone (515) 223-8622
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 41071 | Other | IA | BLUE CROSS & BLUE SHIELD |
| 0141341 | Medicaid | IA | |
| CI3649 | Other | IA | RAILROAD MEDCAR GROUP NO |
Other providers in West Des Moines, IA
- Laura French Alison
- Steven A Aljets
- Fadi H Alkhatib
- Daniel P. Allen
- Allergy Asthma Sinus Center PC
- Alliance Mental Health Services, LLC
- Alliance Therapy and Counseling Services LLC
- Kyle J Alliman
- Ali Altaie
- Kimberly Alton
All providers in West Des Moines, IA · Allergy & Immunology 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 Nov 9, 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.
- 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.