NPIMap

Organization Active NPI

Central Iowa Hospital Corporation

Doing business as Ingersoll Family Physicians

  • Family Medicine Physician
  • Des Moines, IA
National Provider Identifier
1477504371
Registry record updated May 22, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
CENTRAL IOWA HOSPITAL CORPORATION
Doing business as
Ingersoll Family Physicians
Practice address
2103 Ingersoll Ave
Des Moines, IA 50312-5262
Phone
(515) 279-6424
Fax
(515) 279-3237
NPI assigned
May 15, 2006
Last updated
May 22, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
CENTRAL IOWA HOSPITAL CORPORATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 22, 2008

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

Authorized official

Name
Mr. Joseph F. Corfits Jr.
Title
Cfo
Phone
(515) 241-6507

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary
Family Nurse Practitioner 363LF0000X

Addresses

Primary practice location

2103 Ingersoll Ave
Des Moines, IA 50312-5262

Mailing address

5409 NW 88TH St
Suite 200
Johnston, IA 50131-2949
Phone (515) 362-5980

Other identifiers 2

IdentifierTypeStateIssuer
CG3646OtherIARAILROAD MEDICARE GROUP
0262113MedicaidIA

Other names 1

  • Ingersoll Family Physicians Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040128001102 IA Part B Supplier - Clinic/Group Practice 1052229275 Receives reassigned benefits from 561 practitioners
20 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment

Other NPIs on the same Medicare enrollment 20

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 20

National Provider Directory

National Provider Directory
Part of
Unity Point Health Blank Childrens Hospital

NPI Registry JSON

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

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1211414400000",
    "number": "1477504371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5409 NW 88TH ST",
            "address_2": "SUITE 200",
            "city": "JOHNSTON",
            "state": "IA",
            "postal_code": "501312949",
            "telephone_number": "515-362-5980",
            "fax_number": "515-362-5985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2103 INGERSOLL AVE",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503125262",
            "telephone_number": "515-279-6424",
            "fax_number": "515-279-3237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL IOWA HOSPITAL CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CENTRAL IOWA HOSPITAL CORPORATION",
        "enumeration_date": "2006-05-15",
        "last_updated": "2008-05-22",
        "status": "A",
        "authorized_official_last_name": "CORFITS",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "515-241-6507",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE GROUP",
            "identifier": "CG3646",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0262113",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ingersoll Family Physicians",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Des Moines, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.