NPIMap

Organization Active NPI

Select Specialty Hospital - Des Moines, Inc.

Doing business as Select Specialty Hospital - Des Moines

  • Long Term Care Hospital
  • Des Moines, IA
National Provider Identifier
1477976991
Registry record updated Sep 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Long Term Care HospitalTaxonomy code 282E00000X
Legal business name
SELECT SPECIALTY HOSPITAL - DES MOINES, INC.
Doing business as
Select Specialty Hospital - Des Moines
Practice address
1111 6TH Ave
4TH Floor
Des Moines, IA 50314-2613
Phone
(515) 247-4400
NPI assigned
Feb 4, 2014
Last updated
Sep 10, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2025

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

Authorized official

Name
John Duggan
Title
Vice President
Phone
(717) 972-1100

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Long Term Care Hospital 282E00000X NU Primary

Addresses

Primary practice location

1111 6TH Ave
4TH Floor
Des Moines, IA 50314-2613

Mailing address

4714 Gettysburg Rd
Legal Dept
Mechanicsburg, PA 17055-4325
Phone (717) 972-1100

Other names 1

  • Select Specialty Hospital - Des Moines Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140314000304 IA Part A Provider - Hospital 4981835972 Practice locations: Des Moines, IA

NPI to CCN mapping 2

The Medicare certification numbers (CCNs) connected to NPI 1477976991. Details of each certification follow.

Hospital certification: CCN 162003

Legal name
SELECT SPECIALTY HOSPITAL - DES MOINES, INC.
Doing business as
SELECT SPECIALTY HOSPITAL- DES MOINES
Certification status
Active
Provider type (POS)
Hospital – Long-term
Participating since
Jan 1, 2015
Last certification
Jan 1, 2015
Beds
30
Ownership / control type
Private (for profit)
Organization structure
CorporationProprietary
Incorporated
Feb 2, 2000 in DE
Enrollment address
1111 6TH Ave
4TH Floor
Des Moines, IA 50314-2610
Main/Primary Hospital Location
Hospital subgroups
Long-term

Hospital certification: CCN 160157

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
SELECT SPECIALTY HOSPITAL- DES MOINES
Certification status
Terminated Voluntary: merger or closure, Dec 31, 2014
Provider type (POS)
Hospital – Short-term
Participating since
May 30, 2014
Last certification
May 30, 2014
Beds
21
Ownership / control type
Private (for profit)
Facility address
1111 6TH Avenue 4TH Floor Main South
Des Moines, IA 50314

Care Compare: Long-term care hospital

Medicare Care Compare
Listed as
Select Specialty Hospital - Des MoinesCCN 162003 · All quality measures
Ownership
For profit
Certified
Jan 1, 2015
Medicare certification status
ActiveFrom the Provider of Services file
Beds
30

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
16D2072996Select Specialty Hospital - Des Moines Inc1111 6TH Avenue, 4TH Floor Main, Des Moines, IA 50314Certificate of waiverFeb 9, 2028

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 9

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Select Medical Corporation Organization, Mechanicsburg, PA For-profit 5% Or Greater Indirect Ownership Interest Mar 26, 2014 100%
Operational/Managerial Control Mar 26, 2014 100%
Thomas Mullin Individual Corporate Officer Sep 4, 2025
John Saich Individual Corporate Officer Sep 4, 2025
Sam Gene Ayres Individual Corporate OfficerCeo Jun 12, 2023
W-2 Managing EmployeeCeo Jun 12, 2023
Operational/Managerial ControlCeo Jun 12, 2023
Robert Breighner Individual W-2 Managing EmployeeCompliane Officer Sep 4, 2025
Select Specialty Hospitals Inc Organization, Mechanicsburg, PA For-profit 5% Or Greater Direct Ownership Interest Mar 26, 2014 100%
Michael Malatesta Individual Corporate Officer Sep 4, 2025
Robert Kido Individual Corporate Officer Sep 4, 2025
John Duggan Individual Corporate Officer Mar 26, 2014
Corporate Director Sep 4, 2025

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 129

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 129

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 11

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1391472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757462400000",
    "number": "1477976991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4714 GETTYSBURG RD",
            "address_2": "LEGAL DEPT",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170554325",
            "telephone_number": "717-972-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 6TH AVE",
            "address_2": "4TH FLOOR",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503142613",
            "telephone_number": "515-247-4400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SELECT SPECIALTY HOSPITAL - DES MOINES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-02-04",
        "last_updated": "2025-09-10",
        "certification_date": "2025-09-10",
        "status": "A",
        "authorized_official_last_name": "DUGGAN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "717-972-1100"
    },
    "taxonomies": [
        {
            "code": "282E00000X",
            "taxonomy_group": "",
            "desc": "Long Term Care Hospital",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Select Specialty Hospital - Des Moines",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Des Moines, IA

Sources for this page

Verify at the official NPI Registry.