Individual provider Active NPI

Sarah Jayne Smith, DO

  • Family Medicine Physician
  • West Des Moines, IA
National Provider Identifier
1336633031
Registry record updated Jan 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
DO-05528 Issued in IA
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

Updated by the provider on Jan 11, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210713003270 IA Practitioner - Family Practice 4981951464 Reassigns benefits to 1 organization

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
The Iowa Clinic PCGroup PAC ID 4082513742, 307 clinicians

Practice addresses (Care Compare)

842 NE Alices Rd
Waukee, IA 50263-8857
Phone (515) 875-9610

Hospital & facility affiliations

  • Unitypoint at Home Home health agency, Urbandale, IA, CCN 167148

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R-11273IAMDFamily Medicine Physician
R-11345IAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Iowa Clinic, PC CurrentSince Aug 23, 2021 Accepting new patients
The Iowa Clinic PC Family Medicine CurrentSince Aug 23, 2021 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

  • Direct secure messaging: sarah.smith1@direct.genesishealth.com
  • Direct secure messaging: 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.

Hospital & facility affiliations 1

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": "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

Verify at the official NPI Registry.