Individual provider Active NPI

Sara Lynn Uthe, M.D.

  • Pediatrics Physician
  • Des Moines, IA
National Provider Identifier
1407836588
Registry record updated Nov 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
36162 Issued in IA
Practice address
1221 Pleasant St Ste 170
Des Moines, IA 50309-1424
Phone
(515) 241-4300
Fax
(515) 241-4359
NPI assigned
Jan 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 36162 IA Primary

Addresses

Primary practice location

1221 Pleasant St Ste 170
Des Moines, IA 50309-1424

Mailing address

1221 Pleasant St
Suite 170
Des Moines, IA 50309-1423
Phone (515) 241-4300

Other identifiers 2

IdentifierTypeStateIssuer
2485342MedicaidIA
1407836588MedicaidIA

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
I20061025000128 IA Practitioner - Pediatric Medicine 0840297495 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
36162IAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Luke'S Methodist Hospital Current Accepting new patients
Iowa Physicians Clinic Medical Foundation Pediatrics CurrentSince Aug 19, 2022 Accepting new patients
Iowa Physicians Clinic Medical Foundation PastSince Aug 19, 2022 Accepting new patients

Locations

4480 Utica Ridge Rd
Ste 2230
Bettendorf, IA 52722
Phone (563) 742-5150

1250 E 9th St
Ste 200
Des Moines, IA 50316
Phone (515) 263-2632

1250 E 9th St
Des Moines, IA 50316
Phone (515) 241-4300

1221 Pleasant St
Ste 170
Des Moines, IA 50309
Phone (515) 241-4300

8101 Birchwood Ct
Unit R
Urbandale, IA 50131
Phone (515) 471-9363

1271 8th St
Ste 100
West Des Moines, IA 50265
Phone (515) 224-4993

Interoperability endpoints

  • Direct secure messaging: suthe10001@direct.unitypoint.org

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.

NPI Registry JSON

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

{
    "created_epoch": "1137456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351728000000",
    "number": "1407836588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1221 PLEASANT ST",
            "address_2": "SUITE 170",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503091423",
            "telephone_number": "515-241-4300",
            "fax_number": "515-241-4359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 PLEASANT ST STE 170",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503091424",
            "telephone_number": "515-241-4300",
            "fax_number": "515-241-4359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UTHE",
        "first_name": "SARA",
        "middle_name": "LYNN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-17",
        "last_updated": "2012-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IA",
            "license": "36162",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2485342",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1407836588",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Moines, IA

Sources for this page

Verify at the official NPI Registry.