Individual provider Active NPI

Laura Marie Myers, M.D.

  • Dermatology Physician
  • Ankeny, IA
National Provider Identifier
1336130392
Registry record updated May 25, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
33994 Issued in IA
Practice address
2675 N Ankeny Blvd Ste 101
Ankeny, IA 50023-4719
Phone
(515) 217-4807
NPI assigned
Oct 31, 2005
Last updated
May 25, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 25, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 33994 IA Primary

Addresses

Primary practice location

2675 N Ankeny Blvd Ste 101
Ankeny, IA 50023-4719

Mailing address

2675 N Ankeny Blvd Ste 101
Ankeny, IA 50023-4719
Phone (515) 217-4807

Other identifiers 1

IdentifierTypeStateIssuer
1425157MedicaidIA

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
I20031230000578 IA Practitioner - Dermatology 8729986559 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Geisel School of Medicine at Dartmouth, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Iowa Dermatology Consultants PLLCGroup PAC ID 0941624340, 3 clinicians

Practice addresses (Care Compare)

2675 N Ankeny Blvd
Suite 101And103
Ankeny, IA 50023-4719
Phone (833) 432-3376

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision12
Removal of skin lesions1272
Removal or shaving of skin growth1-10
Skin biopsy312

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
33994IAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Iowa Dermatology Consultants, PLLC Dermatology CurrentSince Jun 1, 2020 Accepting new patients

Locations

1429 Boston Ave
Ames, IA 50010
Phone (515) 217-4807

2675 N Ankeny Blvd
Ste 101
Ankeny, IA 50023
Phone (515) 217-4807

2675 N Ankeny Blvd
Ste 101103
Ankeny, IA 50023
Phone (833) 432-3376

974 73rd St
Unit 3940
West Des Moines, IA 50265
Phone (833) 432-3376

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/ez_00169

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1130716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621900800000",
    "number": "1336130392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2675 N ANKENY BLVD STE 101",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "500234719",
            "telephone_number": "515-217-4807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2675 N ANKENY BLVD STE 101",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "500234719",
            "telephone_number": "515-217-4807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MYERS",
        "first_name": "LAURA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-31",
        "last_updated": "2021-05-25",
        "certification_date": "2021-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "IA",
            "license": "33994",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1425157",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ankeny, IA

Sources for this page

Verify at the official NPI Registry.