Organization Active NPI

Obria Medical Clinic of Ames

  • Family Medicine Physician
  • Ames, IA
National Provider Identifier
1497366231
Registry record updated May 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
OBRIA MEDICAL CLINIC OF AMES
Practice address
1615 Golden Aspen Dr Ste 101
Ames, IA 50010-8098
Phone
(515) 620-5892
Fax
(515) 620-5893
NPI assigned
Aug 14, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2026

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

Authorized official

Name
Pamela J Adams
Title
Billing Supervisor
Phone
(319) 850-2123

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary
Obstetrics & Gynecology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207V00000X
Diagnostic Radiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0202X
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X

Addresses

Primary practice location

1615 Golden Aspen Dr Ste 101
Ames, IA 50010-8098

Mailing address

1615 Golden Aspen Dr Ste 101
Ames, IA 50010-8098
Phone (515) 620-5892

Other identifiers 1

IdentifierTypeStateIssuer
1497366231MedicaidIA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201209000408 IA Part B Supplier - Clinic/Group Practice 2466864889 Receives reassigned benefits from 4 practitioners
Practice locations: Ames, IA

National Provider Directory

National Provider Directory

Locations

1606 Golden Aspen Dr
Ste 105
Ames, IA 50010
Phone (515) 232-8000

1615 Golden Aspen Dr
Ste 101
Ames, IA 50010
Phone (515) 620-5892

1606 Golden Aspen Dr
Ste 195
Ames, IA 50010

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/22186/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1597363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778630400000",
    "number": "1497366231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1615 GOLDEN ASPEN DR STE 101",
            "city": "AMES",
            "state": "IA",
            "postal_code": "500108098",
            "telephone_number": "515-620-5892",
            "fax_number": "515-620-5893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1615 GOLDEN ASPEN DR STE 101",
            "city": "AMES",
            "state": "IA",
            "postal_code": "500108098",
            "telephone_number": "515-620-5892",
            "fax_number": "515-620-5893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OBRIA MEDICAL CLINIC OF AMES",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-14",
        "last_updated": "2026-05-13",
        "certification_date": "2026-05-13",
        "status": "A",
        "authorized_official_last_name": "ADAMS",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "BILLING SUPERVISOR",
        "authorized_official_telephone_number": "319-850-2123"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1497366231",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ames, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2026; 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.