Active NPI
Sarah Jayne Smith, DO
- Family Medicine Physician
- West Des Moines, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- DO-05528
- Practice address
- 5950 University Ave Ste 220
West Des Moines, IA 50266-8231 - Phone
- (515) 875-9410
- Fax
- (515) 875-9412
- NPI assigned
- Jun 18, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | R-11273 | IA | |
| Family Medicine Physician | 207Q00000X | DO-05528 | IA | Primary |
Addresses
Primary practice location
5950 University Ave Ste 220
West Des Moines, IA 50266-8231
Mailing address
PO Box 424
Des Moines, IA 50302-0424
Phone (515) 875-9255
Other practice location 1
1345 W Central Park Ave
Davenport, IA 52804-1844
Phone (563) 421-4400
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | sarahsmith@tic.allscriptsdirect.net |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
842 NE Alices Rd
Waukee, IA 50263-8857
Phone (515) 875-9610
Hospital & facility affiliations
- Unitypoint at Home
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R-11273 | IA | MD | Family Medicine Physician |
| R-11345 | IA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Iowa Clinic, PC | Current | Accepting new patients | |
| The Iowa Clinic PC | Family Medicine | Current | Accepting new patients |
Locations
1005 Pennsylvania Ave
Ste 102A
Ottumwa, IA 52501
Phone (641) 684-2589
842 NE Alices Rd
Waukee, IA 50263
Phone (515) 875-9610
7147 Vista Dr
Ste 150
West Des Moines, IA 50266
Phone (515) 875-9255
5950 University Ave
Ste 220
West Des Moines, IA 50266
Phone (515) 875-9410
Interoperability endpoints
- sarah.smith1@direct.genesishealth.com
- sarahsmith@tic.allscriptsdirect.net
Organizations & group practices 2
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.
-
- Family Medicine Physician
- West Des Moines, IA
- NPI 1346233178
-
- Durable Medical Equipment & Medical Supplies
- West Des Moines, IA
- NPI 1871451328
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- West Des Moines, IA
- NPI 1194753863
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1529280000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704931200000",
"number": "1336633031",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 424",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503020424",
"telephone_number": "515-875-9255",
"fax_number": "515-875-9223"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5950 UNIVERSITY AVE STE 220",
"city": "WEST DES MOINES",
"state": "IA",
"postal_code": "502668231",
"telephone_number": "515-875-9410",
"fax_number": "515-875-9412"
}
],
"practiceLocations": [
{
"address_1": "1345 W Central Park Ave",
"address_purpose": "LOCATION",
"city": "Davenport",
"state": "IA",
"postal_code": "528041844",
"country_code": "US",
"telephone_number": "563-421-4400",
"fax_number": "563-421-4449",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SMITH",
"first_name": "SARAH",
"middle_name": "JAYNE",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-06-18",
"last_updated": "2024-01-11",
"certification_date": "2024-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IA",
"license": "R-11273",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IA",
"license": "DO-05528",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "sarahsmith@tic.allscriptsdirect.net",
"affiliation": "N",
"address_1": "5950 University Ave Ste 220",
"city": "West Des Moines",
"state": "IA",
"country_code": "US",
"postal_code": "502668231",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in West Des Moines, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.