NPIMap

Individual provider Active NPI

Jason B Wittmer, MD

  • Pulmonary Disease Physician
  • Des Moines, IA
National Provider Identifier
1487630489
Registry record updated Jul 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
36343 Issued in IA
Practice address
1601 NW 114TH St
Suite 347
Des Moines, IA 50325-7007
Phone
(515) 224-1777
Fax
(515) 222-0226
NPI assigned
Dec 21, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 36343 IA
Pulmonary Disease Physician 207RP1001X 36343 IA Primary

Addresses

Primary practice location

1601 NW 114TH St
Suite 347
Des Moines, IA 50325-7007

Mailing address

1601 NW 114TH St
Suite 347
Des Moines, IA 50325-7007
Phone (515) 224-1777

Other identifiers 4

IdentifierTypeStateIssuer
0469304MedicaidIA
02019OtherIAWELLMARK
266915OtherIACOVENTRY
IA0143OtherIAUHC OF THE RIVER VALLEY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051012000798 IA Practitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists)Practitioner - Sleep Medicine 7517982176 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists), Sleep Medicine
Education
University of Kansas School of Med (KC/Wich/Sal), 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Broadlawns Medical CenterGroup PAC ID 3678466166, 302 clinicians

Practice addresses (Care Compare)

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

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.71 of 100Reported as apm
Quality
89.85
Promoting interoperability
94.05
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
90.61 of 100Reported as group
Quality
75.16
Promoting interoperability
100
Improvement activities
40
Cost
76.87

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
36343IAMDCritical Care Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pella Regional Health Center CurrentSince Jan 1, 2019 Accepting new patients
Pella Regional Health Center CurrentSince Jan 1, 2019 Accepting new patients
Broadlawns Medical Center CurrentSince Mar 1, 2019 Accepting new patients
Broadlawns Medical Center CurrentSince Mar 1, 2019 Accepting new patients

Locations

1801 Hickman Rd
Bldg First
Des Moines, IA 50314

1111 6th Ave
#4S
Des Moines, IA 50314
Phone (515) 247-4240

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

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

Interoperability endpoints

  • Direct secure messaging: jasonwittmer@cicapc.allscriptsdirect.net
  • Direct secure messaging: wittmer.jason@cynchealthdsm.org

Organizations & group practices 4

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 6

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": "1135123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405382400000",
    "number": "1487630489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 NW 114TH ST",
            "address_2": "SUITE 347",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503257007",
            "telephone_number": "515-224-1777",
            "fax_number": "515-222-0226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 NW 114TH ST",
            "address_2": "SUITE 347",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503257007",
            "telephone_number": "515-224-1777",
            "fax_number": "515-222-0226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WITTMER",
        "first_name": "JASON",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-21",
        "last_updated": "2014-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "IA",
            "license": "36343",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "IA",
            "license": "36343",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0469304",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK",
            "identifier": "02019",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COVENTRY",
            "identifier": "266915",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC OF THE RIVER VALLEY",
            "identifier": "IA0143",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Moines, IA

Sources for this page

Verify at the official NPI Registry.