Ryan Dornbier
Individual provider Active NPI Urology Physician · Clive, IA
NPI 1609294305 · NPPES record last updated Jul 30, 2021
Key facts
- NPI
- 1609294305
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Urology Physician 208800000X
- License
- 036147483 (IL)
- Practice address
- 12129 University Ave Ste 100
Clive, IA 50325-8287 - Phone
- (515) 400-3550
- Fax
- (515) 400-3551
- NPI assigned
- Apr 1, 2014
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 19
Hospital & facility affiliations 9
Medicare Care Compare profile
- Specialty
- Urology
- Education
- Saint Louis University School of Medicine, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Urology Center of Iowa PLLC
Broadlawns Medical Center
Pella Regional Health Center
Practice addresses (Care Compare)
111 NW 9TH St
Ankeny, IA 50023-1754
Phone (515) 400-3550
12129 University Ave
Clive, IA 50325-8287
Phone (515) 400-3550
13375 University Ave
Suite 100
Clive, IA 50325-8262
Phone (515) 400-3550
1660 60TH St
West Des Moines, IA 50266-7700
Phone (515) 343-1000
1755 59TH PL
West Des Moines, IA 50266-7737
Phone (515) 358-8000
1801 Hickman Rd
Des Moines, IA 50314-1548
Phone (515) 282-2200
1801 Hickman Rd
Des Moines, IA 50314-1597
204 N 4TH Ave E
Newton, IA 50208-3135
Phone (641) 792-1273
405 Monroe St
Pella, IA 50219-1189
Phone (641) 628-3832
700 E Uinversity Ave
Des Moines, IA 50316-2302
Phone (515) 263-5612
Hospital & facility affiliations
- Broadlawns Medical Center
- Mercyone Des Moines Medical Center
- Pella Regional Health Center
- Unitypoint Health - Des Moines Iowa Methodist Medi
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Prostate resection | 21 |
| Melanoma (skin cancer) excision | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20210731000247 | IA | Practitioner - Urology | 2365743226 | Reassigns benefits to 6 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 125.065964 | IL | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cass County Memorial Hospital | Current |
Accepting new patients | |
| Urology Center of Iowa PLLC | Urology | Current |
Accepting new patients |
| Broadlawns Medical Center | Current |
Accepting new patients | |
| Pella Regional Health Center | Current |
Accepting new patients | |
| Pella Regional Health Center | Current | Accepting new patients | |
| Broadlawns Medical Center | Current |
Accepting new patients | |
| Pella Regional Health Center | Current |
Accepting new patients | |
| Cass County Memorial Hospital | Current |
Accepting new patients | |
| Cass County Memorial Hospital | Current | Accepting new patients | |
| St Luke'S Methodist Hospital | Current | Accepting new patients | |
| Urology Partners of North Texas, PLLC | Urology | Past |
Accepting new patients |
Locations
1501 E 10th St
Atlantic, IA 50022
Phone (712) 243-2850
12129 University Ave
Ste 100
Clive, IA 50325
Phone (515) 400-3550
12129 University Ave
Ste 200
Clive, IA 50325
1801 Hickman Rd
Bldg First
Des Moines, IA 50314
1801 Hickman Rd
Des Moines, IA 50314
Phone (515) 282-2200
405 Monroe St
Pella, IA 50219
Phone (641) 621-2200
Interoperability endpoints
- dornbier.ryan@cynchealthdsm.org
- ryandornbier@uciwa.allscriptsdirect.net
- https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/10390883
- https://fhir-myrecord.cerner.com/r4/18f5d65c-83f0-435a-868c-70ce5a6de90a/
- rdornbier840819@direct.unitypoint.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 125.065964 | IL | |
| Urology Physician | 208800000X | 125.065964 | IL | |
| Urology Physician | 208800000X | 036147483 | IL | Yes |
Addresses
Primary practice location
12129 University Ave Ste 100
Clive, IA 50325-8287
Mailing address
12129 University Ave Ste 200
Clive, IA 50325-8287
Phone (515) 400-3550
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | rdornbier58184@direct.luhs.org | Health Information Exchange (HIE) |
Other providers in Clive, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 30, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.