Individual provider Active NPI

Stephen Ambrose Barnes, D.O.

  • Emergency Medicine Physician
  • Pella, IA
National Provider Identifier
1609197573
Registry record updated Jun 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
4225 Issued in IA
Practice address
405 Monroe St
Pella, IA 50219-1189
Phone
(641) 628-3832
Fax
(641) 621-2335
NPI assigned
Jun 15, 2010
Last updated
Jun 30, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 4225 IA
Emergency Medicine Physician 207P00000X 4225 IA Primary

Addresses

Primary practice location

405 Monroe St
Pella, IA 50219-1189

Mailing address

405 Monroe St
Pella, IA 50219-1189
Phone (641) 628-3832

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address prhc@direct.pellahealth.kobledirect.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20111216000067 IA Practitioner - Emergency MedicinePractitioner - Family Practice 1850566092 Reassigns benefits to 5 organizations
I20221208001105 IA Practitioner - Family Practice 1850566092 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency MedicineAlso: Family Practice
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pella Regional Health CenterGroup PAC ID 9931005873, shared by 10 NPIs, 96 clinicians

Practice addresses (Care Compare)

405 Monroe St
Pella, IA 50219-1189
Phone (641) 628-3832

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.84 of 100Reported as group
Quality
91.13
Promoting interoperability
100
Improvement activities
40
Cost
81.67

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4225IAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Broadlawns Medical Center CurrentSince Feb 3, 2013 Accepting new patients
Pella Regional Health Center CurrentSince Jun 5, 2013 Accepting new patients
Pella Regional Health Center Family Medicine CurrentSince Jun 5, 2013 Accepting new patients
Keokuk County Health Center CurrentSince Jul 30, 2015 Accepting new patients
Salahuddin Syed MD PC Current Accepting new patients
St Luke's Methodist Hospital Current Accepting new patients
Unitypoint Health - Marshalltown CurrentSince Dec 19, 2022 Accepting new patients
Decatur County Hospital CurrentSince Apr 14, 2020 Accepting new patients
Unitypoint Health - Marshalltown Emergency Medicine CurrentSince Dec 19, 2022 Accepting new patients
Allen Memorial Hospital Corporation Emergency Medicine CurrentSince Dec 19, 2022 Accepting new patients
Keokuk County Health Center Current Accepting new patients
Broadlawns Medical Center Current Accepting new patients
Pella Regional Health Center Current Accepting new patients
Keokuk County Health Center CurrentSince Jul 30, 2015 Accepting new patients
Allen Memorial Hospital Corporation Current Accepting new patients
Broadlawns Medical Center CurrentSince Feb 3, 2013 Accepting new patients
Clarke County Public Hospital Emergency Medicine Past Accepting new patients

Locations

1801 Hickman Rd
Des Moines, IA 50314
Phone (515) 282-2200

1405 NW Church St
Leon, IA 50144
Phone (641) 446-2340

300 W May St
Marengo, IA 52301
Phone (319) 462-8011

55 Unitypoint Way
Marshalltown, IA 50158
Phone (641) 754-5145

800 S Fillmore St
Osceola, IA 50213
Phone (641) 342-2184

800 S Fillmore St
Rm D120
Osceola, IA 50213
Phone (641) 342-5000

404 Jefferson St
Pella, IA 50219
Phone (641) 628-3150

405 Monroe St
Pella, IA 50219
Phone (641) 621-2200

23019 Highway 149
Sigourney, IA 52591
Phone (641) 622-2720

1825 Logan Ave
Waterloo, IA 50703
Phone (319) 235-3886

Interoperability endpoints

  • FHIR API: https://fhir-usa.unify.chbase.com/org/keocohc-1efc0458
  • Direct secure messaging: sbarnes26799@direct.unitypoint.org
  • Direct secure messaging: stephen.barnes@3082410065924.direct.elationemr.com

Ownership & related parties

All facility ownership & control disclosures 7

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

FacilityTypeRoleSince
Pella Regional Health CenterPella, IA, CCN 161367 Hospital Corporate Director (9.1%) Jan 1, 2020
Pella Regional Health CenterPella, IA, CCN 16Z367 Hospital Corporate Director (9.1%) Jan 1, 2020
Pella Regional Home Health AgencyPella, IA, CCN 167220 Home health agency Corporate Director (9.1%) Jan 1, 2020
Hospice of Pella, the Comfort HousePella, IA, CCN 161538 Hospice Corporate Director (9.1%) Jan 1, 2020
Sully Family Health CenterSully, IA, CCN 163455 Rural health clinic Corporate Director (9.1%) Jan 1, 2020
Ottumwa Medical ClinicOttumwa, IA, CCN 168562 Rural health clinic Corporate Director (9.1%) Jan 1, 2020
Prairie City Medical ClinicPrairie City, IA, CCN 168660 Rural health clinic Corporate Director (9.1%) Jan 1, 2020

Owned or controlled facilities with NPI records 7

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

Organizations & group practices 17

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.

View all 17

Hospital & facility affiliations 1

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": "1276560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625011200000",
    "number": "1609197573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 MONROE ST",
            "city": "PELLA",
            "state": "IA",
            "postal_code": "502191189",
            "telephone_number": "641-628-3832",
            "fax_number": "641-621-2335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 MONROE ST",
            "city": "PELLA",
            "state": "IA",
            "postal_code": "502191189",
            "telephone_number": "641-628-3832",
            "fax_number": "641-621-2335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARNES",
        "first_name": "STEPHEN",
        "middle_name": "AMBROSE",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-15",
        "last_updated": "2021-06-30",
        "certification_date": "2021-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "4225",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IA",
            "license": "4225",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "prhc@direct.pellahealth.kobledirect.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "405 Monroe St",
            "city": "Pella",
            "state": "IA",
            "country_code": "US",
            "postal_code": "502191189",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pella, IA

Sources for this page

Verify at the official NPI Registry.