Active NPI
Jeffrey Claude Neitzel, DO
- Surgical Critical Care Physician
- Des Moines, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Critical Care Physician
- License
- DO-05371
- Practice address
- 411 Laurel St Ste 3250
Des Moines, IA 50314-3026 - Phone
- (515) 643-6400
- Fax
- (515) 643-5816
- NPI assigned
- Mar 12, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | DO-05371 | IA | |
| Surgical Critical Care Physician | 2086S0102X | 288058 | NY | |
| Trauma Surgery Physician | 2086S0127X | 288058 | NY | |
| Surgical Critical Care Physician | 2086S0102X | DO-05371 | IA | Primary |
Addresses
Primary practice location
411 Laurel St Ste 3250
Des Moines, IA 50314-3026
Mailing address
PO Box 1475
Des Moines, IA 50305-1475
Phone (515) 643-6400
Other practice location 1
1 Atwell Rd
Cooperstown, NY 13326-1301
Phone (607) 547-3456
Other practice location 2
128 Willow Run Rd
Mount Orab, OH 45154-8001
Phone (937) 515-4859
Other practice location 3
1 Atwell Rd
Cooperstown, NY 13326-1301
Phone (607) 547-3456
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1111 6TH Ave
Des Moines, IA 50314-2613
Phone (515) 247-4240
204 N 4TH Ave E
Newton, IA 50208-3135
330 Laurel St
Suite 1200
Des Moines, IA 50314-3044
Phone (515) 643-6290
411 Laurel St
Des Moines, IA 50314-3027
800 E 1St St
Ankeny, IA 50021-2077
Hospital & facility affiliations
- Mercyone Des Moines Medical Center
- Mercyone Newton Medical Center
- Mary Greeley Medical Center
- Guthrie County Hospital
- Greater Regional Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 11 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DO-05371 | IA | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Clinics, Inc. | Current | Accepting new patients | |
| Mercy Clinics, Inc | Surgery | Current | Accepting new patients |
| Mercy Clinics, Inc. | Current | Accepting new patients | |
| Catholic Health Initiatives-Iowa Corp | Past | Accepting new patients |
Locations
330 Laurel St
Ste 1200
Des Moines, IA 50314
Phone (515) 643-5454
1111 6th Ave
Des Moines, IA 50314
Phone (515) 247-3121
405 SW 5th St
Ste E
Des Moines, IA 50309
Phone (515) 358-7259
411 Laurel St
Ste 3250
Des Moines, IA 50314
Phone (515) 643-6400
300 N 4th Ave E
Ste 222
Newton, IA 50208
Phone (515) 358-0011
Interoperability endpoints
- jneitzel3953150@direct.trinity-health.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.
-
- Primary Care Clinic/Center
- Clive, IA
- NPI 1487670923
-
- Surgery Physician
- Des Moines, IA
- NPI 1063752459
-
- Obstetrics & Gynecology Physician
- Des Moines, IA
- NPI 1508741505
-
- General Acute Care Hospital
- Des Moines, IA
- NPI 1508964883
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- West Des Moines, IA
- NPI 1538395975
-
- Clinical Medical Laboratory
- Des Moines, IA
- NPI 1104982743
Hospital
-
- General Acute Care Hospital
- Des Moines, IA
- NPI 1508964883
-
- Mammography Clinic/Center
- Des Moines, IA
- NPI 1477984367
Hospital
-
- Critical Access Hospital
- Creston, IA
- NPI 1902805062
-
- Critical Access Hospital
- Guthrie Center, IA
- NPI 1366414534
-
- General Acute Care Hospital
- Ames, IA
- NPI 1477539492
-
- General Acute Care Hospital
- Newton, IA
- NPI 1003296179
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1299888000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709596800000",
"number": "1487952628",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1475",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503051475",
"telephone_number": "515-643-6400",
"fax_number": "515-643-5816"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "411 LAUREL ST STE 3250",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503143026",
"telephone_number": "515-643-6400",
"fax_number": "515-643-5816"
}
],
"practiceLocations": [
{
"address_1": "1 Atwell Rd",
"address_purpose": "LOCATION",
"city": "Cooperstown",
"state": "NY",
"postal_code": "133261301",
"country_code": "US",
"telephone_number": "607-547-3456",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "128 Willow Run Rd",
"address_purpose": "LOCATION",
"city": "Mount Orab",
"state": "OH",
"postal_code": "451548001",
"country_code": "US",
"telephone_number": "937-515-4859",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1 Atwell Rd",
"address_purpose": "LOCATION",
"city": "Cooperstown",
"state": "NY",
"postal_code": "133261301",
"country_code": "US",
"telephone_number": "607-547-3456",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NEITZEL",
"first_name": "JEFFREY",
"middle_name": "CLAUDE",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-03-12",
"last_updated": "2024-03-05",
"certification_date": "2024-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "IA",
"license": "DO-05371",
"primary": false
},
{
"code": "2086S0102X",
"taxonomy_group": "",
"desc": "Surgery, Surgical Critical Care",
"state": "NY",
"license": "288058",
"primary": false
},
{
"code": "2086S0127X",
"taxonomy_group": "",
"desc": "Surgery, Trauma Surgery",
"state": "NY",
"license": "288058",
"primary": false
},
{
"code": "2086S0102X",
"taxonomy_group": "",
"desc": "Surgery, Surgical Critical Care",
"state": "IA",
"license": "DO-05371",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Mar 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.