NPIMap

Individual provider Active NPI

Carly M. Quam, DO

  • Family Medicine Physician
  • Carroll, IA
National Provider Identifier
1508127705
Registry record updated Nov 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
04481 Issued in IA
Practice address
1241 S Grant Road
Carroll, IA 51401
Phone
(712) 792-1500
Fax
(712) 792-7597
NPI assigned
Jun 4, 2012
Sex
Female
Sole proprietor
No

Organizations & group practices 11

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 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Owned or controlled facilities with NPI records 7

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
McFarland Clinic PC 353 clinicians

Practice addresses (Care Compare)

1214 S Grant Rd
Carroll, IA 51401-3102
Phone (712) 792-1500

Hospital & facility affiliations

  • Carroll Area Nursing Services Home health agency, Carroll, IA, CCN 167213
  • St Anthony Regional Hospital and Nursing Home Home health agency, Carroll, IA, CCN 167207
  • St. Anthony Regional Hospital and Nursing Home Hospice, Carroll, IA, CCN 161546
  • Hospice of the Midwest, LLC Hospice, Johnston, IA, CCN 161609
  • St Anthony Regional Hospital & Nursing Home Hospital, Carroll, IA, CCN 161382
  • Mary Greeley Medical Center Hospital, Ames, IA, CCN 160030
  • Regency Park Nursing & Rehab Center of Carroll Nursing home, Carroll, IA, CCN 165231
  • St Anthony Senior Services Nursing home, Carroll, IA, CCN 165796

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10
Skin biopsy11

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.

All facility ownership & control disclosures 7

Medicare enrollment files

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
St Anthony Regional Hospital and Nursing HomeCarroll, IA, CCN 161382 Hospital Corporate Director Jan 1, 2025
St Anthony Regional Hospital and Nursing HomeCarroll, IA, CCN 16Z382 Hospital Corporate Director Jan 1, 2025
St Anthony Regional Hospital and Nursing HomeCarroll, IA, CCN 16M382 Hospital Corporate Director Jan 1, 2025
BCG Data ServicesCarroll, IA, CCN 165796 Skilled nursing facility Managing Control - Governing Body Jul 1, 2025
St Anthony Regional Hospital & Nursing HomeCarroll, IA, CCN 167207 Home health agency Corporate Director Jan 1, 2025
St Anthony Regional Hospital and Nursing HomeCarroll, IA, CCN 161546 Hospice Corporate Director Jan 1, 2025
St Anthony Regional Hospital and Nursing HomeCarroll, IA, CCN 163400 Rural health clinic Corporate Director Jan 1, 2025

Medicare enrollment records 1

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20131231001877 IA Practitioner - Family Practice 2668600370 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
04481IAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
McFarland Clinic PC CurrentSince Aug 1, 2015 Accepting new patients
McFarland Clinic, PC Past Accepting new patients
St Anthony Regional Hospital and Nursing Home Past Accepting new patients

Locations

1215 Duff Ave
Ames, IA 50010
Phone (515) 239-4400

1214 S Grant Rd
Carroll, IA 51401
Phone (712) 792-1500

Interoperability endpoints

  • Direct secure messaging: cquam76096@directmcfarlandclinic.com

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 04481 IA Primary

Addresses

NPPES NPI Registry

Primary practice location

1241 S Grant Road
Carroll, IA 51401

Mailing address

1241 S Grant Road
Carroll, IA 51401
Phone (712) 792-1500

Other names 1

NPPES NPI Registry
  • Carly M. Utesh Former name

Electronic endpoints 1

NPPES NPI Registry
TypeEndpointUseAffiliation
Direct Messaging Address cquam76096@directmcfarlandclinic.com Health Information Exchange (HIE)

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 19, 2020.

{
    "created_epoch": "1338768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605744000000",
    "number": "1508127705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1241 S GRANT ROAD",
            "city": "CARROLL",
            "state": "IA",
            "postal_code": "51401",
            "telephone_number": "712-792-1500",
            "fax_number": "712-792-7597"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1241 S GRANT ROAD",
            "city": "CARROLL",
            "state": "IA",
            "postal_code": "51401",
            "telephone_number": "712-792-1500",
            "fax_number": "712-792-7597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "QUAM",
        "first_name": "CARLY",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-04",
        "last_updated": "2020-11-19",
        "certification_date": "2020-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "04481",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cquam76096@directmcfarlandclinic.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "1241 S Grant Road",
            "city": "Carroll",
            "state": "IA",
            "country_code": "US",
            "postal_code": "51401",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "CARLY",
            "last_name": "UTESH",
            "middle_name": "M.",
            "credential": "DO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Carroll, IA

Sources for this page

Verify at the official NPI Registry.