Caleb Holder
Individual provider Active NPI Family Medicine Physician · West Des Moines, IA
NPI 1336700830 · NPPES record last updated Dec 29, 2023
Key facts
- NPI
- 1336700830
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- DO-06358 (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 25, 2019
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 9
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Alabama College of Osteopathic Medicine, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- The Iowa Clinic PC
Practice addresses (Care Compare)
5950 University Ave
Suite 220
West Des Moines, IA 50266-8231
Phone (515) 875-9100
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230725000428 | IA | Practitioner - Family Practice | 3072849728 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Iowa Clinic PC | Family Medicine | Current |
Accepting new patients |
| The Iowa Clinic, PC | Current |
Accepting new patients |
Locations
1005 Pennsylvania Ave
Ste 102A
Ottumwa, IA 52501
Phone (641) 684-2589
5950 University Ave
Ste 220
West Des Moines, IA 50266
Phone (515) 875-9410
Interoperability endpoints
- calebholder@tic.allscriptsdirect.net
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 94-10060 | KS | |
| Family Medicine Physician | 207Q00000X | DO-06358 | IA | Yes |
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
1010 N Kansas St
Wichita, KS 67214-3124
Phone (316) 858-3460
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | calebholder@tic.allscriptsdirect.net | Direct |
Other providers in West Des Moines, IA
- Lori Diane Hofmeyer
- Katelyn Lee Hogle
- Emily Anne Hohbach
- Douglas R Hoisington
- Leona N Holcomb
- Hunter Holeman
- Holistic Apogee Systems LLC.
- Zachary Adam Rutherford Hollingsworth
- Holly a Conlee LMHC PLLC
- Alisa Holmbeck
All providers in West Des Moines, IA · Family Medicine 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 Dec 29, 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.
- Order and Referring (CMS).
- 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.