NPIMap

Individual provider Active NPI

Heidi Joy Klingelhofer, DO

  • Family Medicine Physician
  • Des Moines, IA
National Provider Identifier
1508424615
Registry record updated Jun 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
R-11593 Issued in IA
Practice address
840 E University Ave
Des Moines, IA 50316-2304
Phone
(515) 265-4211
NPI assigned
Jun 4, 2019
Last updated
Jun 4, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X R-11593 IA Primary

Addresses

Primary practice location

840 E University Ave
Des Moines, IA 50316-2304

Mailing address

840 E University Ave
Des Moines, IA 50316-2304
Phone (515) 265-4211

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
I20220728000587 IA Practitioner - Family Practice 2365824018 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Grinnell Regional Medical CenterGroup PAC ID 0446153662, 98 clinicians

Practice addresses (Care Compare)

202 4TH Ave
FL 2
Grinnell, IA 50112-1898
Phone (641) 236-2925

210 4TH Ave
Grinnell, IA 50112-1898
Phone (641) 236-7511

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R-11593IAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Luke's Methodist Hospital Current Accepting new patients
Iowa Physicians Clinic Medical Foundation Family Medicine CurrentSince Jun 20, 2023 Accepting new patients
Grinnell Regional Medical Center Family Medicine CurrentSince Sep 11, 2022 Accepting new patients
Grinnell Regional Medical Center Past Accepting new patients
Grinnell Regional Medical Center Family Medicine Past Accepting new patients

Locations

4480 Utica Ridge Rd
Ste 160
Bettendorf, IA 52722
Phone (563) 742-5950

4480 Utica Ridge Rd
Ste 2230
Bettendorf, IA 52722
Phone (563) 742-5150

840 E University Ave
Des Moines, IA 50316
Phone (515) 265-4211

202 4th Ave
Ste 300
Grinnell, IA 50112
Phone (641) 236-2323

210 4th Ave
Grinnell, IA 50112
Phone (641) 236-2055

101 W Washington St
Ste 100
Montezuma, IA 50171
Phone (641) 623-5690

1776 Westlakes Pkwy
Ste 400
West Des Moines, IA 50266
Phone (515) 241-6161

Interoperability endpoints

  • Direct secure messaging: hklingelhofer613714@direct.unitypoint.org

Ownership & related parties

All facility ownership & control disclosures 1

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

FacilityTypeRoleSince
Unitypoint Health - GrinnellGrinnell, IA, CCN 168647 Rural health clinic Contracted Managing Employee
Operational/Managerial Control		 Feb 13, 2023
Feb 13, 2023

Owned or controlled facilities with NPI records 1

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

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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": "1559606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559606400000",
    "number": "1508424615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 E UNIVERSITY AVE",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503162304",
            "telephone_number": "515-265-4211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "840 E UNIVERSITY AVE",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503162304",
            "telephone_number": "515-265-4211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KLINGELHOFER",
        "first_name": "HEIDI",
        "middle_name": "JOY",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-04",
        "last_updated": "2019-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "R-11593",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Moines, IA

Sources for this page

Verify at the official NPI Registry.