Active NPI
Obria Medical Clinic of Ames
- Family Medicine Physician
- Ames, IA
National Provider Identifier
1497366231
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary | ||
| Obstetrics & Gynecology Physician | 207V00000X | |||
| Diagnostic Radiology Physician | 2085R0202X | |||
| Nurse Practitioner | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497366231 | Medicaid | IA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20201209000408 | IA | Part B Supplier - Clinic/Group Practice | 2466864889 |
Receives reassigned benefits from 4 practitioners Practice locations: Ames, IA |
National Provider Directory
National Provider DirectoryLocations
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
- 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.
-
- Diagnostic Radiology Physician
- Clarion, IA
- NPI 1649257635
Diagnostic Radiology, IA
-
- Obstetrics & Gynecology Physician
- Nevada, IA
- NPI 1386644227
IA, Obstetrics & Gynecology
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.