Individual provider Active NPI

Elizabeth Broghammer Takacs, MD

  • Urology Physician
  • Mason City, IA
National Provider Identifier
1447229901
Registry record updated May 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
36562 Issued in IA
Practice address
250 S Crescent Dr
Mason City, IA 50401-2926
Phone
(641) 494-5280
NPI assigned
Mar 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 36562 IA Primary

Addresses

Primary practice location

250 S Crescent Dr
Mason City, IA 50401-2926

Mailing address

250 S Crescent Dr
Mason City, IA 50401-2926
Phone (641) 494-5280

Other identifiers 3

IdentifierTypeStateIssuer
0499848MedicaidIA
158388201MedicaidTX
24320OtherIAWELLMARK BCBS

Other names 1

  • Elizabeth Lucille Broghammer Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address urologynurse@1245.direct.myezyaccess.com Direct

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
I20060803000038 IA Practitioner - Urology 4587600754 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
University of Iowa, RJ & L Carver College of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Urology Center of Iowa PLLCGroup PAC ID 1658701834, 32 clinicians
Broadlawns Medical CenterGroup PAC ID 3678466166, 302 clinicians

Practice addresses (Care Compare)

111 NW 9TH St
Ankeny, IA 50023-1754
Phone (515) 400-3550

12129 University Ave
Clive, IA 50325-8287
Phone (515) 400-3550

1660 60TH St
West Des Moines, IA 50266-7700
Phone (515) 343-1000

1755 59TH PL
West Des Moines, IA 50266-7737
Phone (515) 358-8000

1801 Hickman Rd
Des Moines, IA 50314-1548
Phone (515) 282-2200

700 E Uinversity Ave
Des Moines, IA 50316-2302
Phone (515) 263-5612

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
North Iowa Mercy Clinics CurrentSince Feb 1, 2024 Accepting new patients
Cass County Memorial Hospital Current Accepting new patients
Cass County Memorial Hospital CurrentSince Jul 1, 2025 Accepting new patients
Pella Regional Health Center CurrentSince Jun 2, 2025 Accepting new patients
North Iowa Mercy Clinics Current Accepting new patients
North Iowa Mercy Clinics Current Accepting new patients
Broadlawns Medical Center CurrentSince Jun 1, 2025 Accepting new patients
North Iowa Mercy Clinics Current Accepting new patients
North Iowa Mercy Clinics CurrentSince Feb 1, 2024 Accepting new patients
Broadlawns Medical Center CurrentSince Jun 1, 2025 Accepting new patients
Urology Center of Iowa PLLC Urology CurrentSince Jul 14, 2025 Accepting new patients
Pella Regional Health Center CurrentSince Jun 2, 2025 Accepting new patients
Pella Regional Health Center Current Accepting new patients
Cass County Memorial Hospital CurrentSince Jul 1, 2025 Accepting new patients
Floyd County Memorial Hospital Commission Past Accepting new patients
Boone County Hospital Past Accepting new patients
Southeast Iowa Regional Medical Center, Inc. Past Accepting new patients
Urology Partners of North Texas, PLLC Urology Past Accepting new patients

Locations

1501 E 10th St
Ste 120
Atlantic, IA 50022
Phone (712) 243-2850

1501 E 10th St
Atlantic, IA 50022
Phone (712) 243-2850

403 1st St SE
Belmond, IA 50421
Phone (641) 444-3223

1316 S Main St
Clarion, IA 50525
Phone (515) 532-2811

215 13th Ave SW
Clarion, IA 50525
Phone (515) 532-2836

12129 University Ave
Ste 200
Clive, IA 50325

12129 University Ave
Ste 100
Clive, IA 50325
Phone (515) 400-3550

1801 Hickman Rd
Des Moines, IA 50314
Phone (515) 282-2200

2508 E University Ave
Des Moines, IA 50317
Phone (515) 282-2362

580 SW 9th St
Ste 100
Des Moines, IA 50309
Phone (515) 282-2362

2970 University Ave
Des Moines, IA 50311
Phone (515) 216-5100

250 S Crescent Dr
Mason City, IA 50401
Phone (541) 422-6588

1000 4th St SW
Mason City, IA 50401
Phone (641) 424-6704

405 Monroe St
Pella, IA 50219
Phone (641) 621-2200

404 Jefferson St
Pella, IA 50219
Phone (641) 628-3150

Interoperability endpoints

  • FHIR API: https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/10390883
  • FHIR API: https://fhir-myrecord.cerner.com/r4/18f5d65c-83f0-435a-868c-70ce5a6de90a/
  • Direct secure messaging: etakacs18350@uihcdirect.org
  • Direct secure messaging: etakacs3958967@direct.trinity-health.org
  • Direct secure messaging: elizabethtakacs@uciwa.allscriptsdirect.net

Organizations & group practices 18

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.

View all 18

Hospital & facility affiliations 9

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": "1142467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746489600000",
    "number": "1447229901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 S CRESCENT DR",
            "city": "MASON CITY",
            "state": "IA",
            "postal_code": "504012926",
            "telephone_number": "641-494-5280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 S CRESCENT DR",
            "city": "MASON CITY",
            "state": "IA",
            "postal_code": "504012926",
            "telephone_number": "641-494-5280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAKACS",
        "first_name": "ELIZABETH",
        "middle_name": "BROGHAMMER",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-16",
        "last_updated": "2025-05-06",
        "certification_date": "2025-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "IA",
            "license": "36562",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0499848",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "158388201",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK BCBS",
            "identifier": "24320",
            "state": "IA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "urologynurse@1245.direct.myezyaccess.com",
            "affiliation": "N",
            "endpointDescription": "Mason City Clinic Direct Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "250 S Crescent Dr",
            "city": "Mason City",
            "state": "IA",
            "country_code": "US",
            "postal_code": "504012926",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "BROGHAMMER",
            "middle_name": "LUCILLE",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Mason City, IA

Sources for this page

Verify at the official NPI Registry.