Individual provider Active NPI

Jasmina Sabic, DO

  • Family Medicine Physician
  • Des Moines, IA
National Provider Identifier
1376995852
Registry record updated Feb 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
DO-05150 Issued in IA
Practice address
4326 Hickman Rd
Ste. 100
Des Moines, IA 50310-3333
Phone
(515) 271-6333
Fax
(515) 271-6175
NPI assigned
Jul 7, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2020

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 R10706 IA
Family Medicine Physician 207Q00000X DO-05150 IA Primary

Addresses

Primary practice location

4326 Hickman Rd
Ste. 100
Des Moines, IA 50310-3333

Mailing address

PO Box 1475
Des Moines, IA 50305-1475
Phone (515) 271-6333

Other practice location 1

1111 6th Ave
Des Moines, IA 50314-2613
Phone (515) 643-4610

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
I20180719001750 IA Practitioner - Family Practice 0749574762 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Monroe County HospitalGroup PAC ID 1759299217, shared by 4 NPIs, 26 clinicians

Practice addresses (Care Compare)

6580 165TH St
Albia, IA 52531-8793
Phone (641) 932-2134

6582 165TH St
Albia, IA 52531-8793

Hospital & facility affiliations

  • Elara Caring Home health agency, Chariton, IA, CCN 167293
  • Monroe County Hospital Hospital, Albia, IA, CCN 161342

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DO-05150IAMDFamily Medicine Physician
R10706IAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Monroe County Hospital Current Accepting new patients
Monroe County Hospital Family Medicine CurrentSince Oct 1, 2024 Accepting new patients
Monroe County Hospital Family Medicine Current Accepting new patients

Locations

6582 165th St
Albia, IA 52531
Phone (641) 932-7172

6580 165th St
Albia, IA 52531
Phone (641) 932-1756

Organizations & group practices 3

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 2

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": "1467849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581465600000",
    "number": "1376995852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1475",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503051475",
            "telephone_number": "515-271-6333",
            "fax_number": "515-271-6175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4326 HICKMAN RD",
            "address_2": "STE. 100",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503103333",
            "telephone_number": "515-271-6333",
            "fax_number": "515-271-6175"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1111 6th Ave",
            "address_purpose": "LOCATION",
            "city": "Des Moines",
            "state": "IA",
            "postal_code": "503142613",
            "country_code": "US",
            "telephone_number": "515-643-4610",
            "fax_number": "515-643-4662",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SABIC",
        "first_name": "JASMINA",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-07",
        "last_updated": "2020-02-12",
        "certification_date": "2020-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "R10706",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "DO-05150",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Moines, IA

Sources for this page

Verify at the official NPI Registry.