NPIMap

Individual provider Active NPI

Ryan Dornbier

  • Urology Physician
  • Clive, IA
National Provider Identifier
1609294305
Registry record updated Jul 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
036147483 Issued in 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
Last updated
Jul 30, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 125.065964 IL
Urology Physician 208800000X 125.065964 IL
Urology Physician 208800000X 036147483 IL Primary

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 1

TypeEndpointUseAffiliation
Direct Messaging Address rdornbier58184@direct.luhs.org Health Information Exchange (HIE)

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
I20210731000247 IA Practitioner - Urology 2365743226 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
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 PLLCGroup PAC ID 1658701834, 32 clinicians
Broadlawns Medical CenterGroup PAC ID 3678466166, 302 clinicians
Pella Regional Health CenterGroup PAC ID 9931005873, shared by 10 NPIs, 96 clinicians

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

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection21
Melanoma (skin cancer) excision1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
125.065964ILMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Broadlawns Medical Center CurrentSince Mar 19, 2022 Accepting new patients
Cass County Memorial Hospital CurrentSince Jul 1, 2025 Accepting new patients
Pella Regional Health Center CurrentSince May 13, 2022 Accepting new patients
Pella Regional Health Center CurrentSince May 13, 2022 Accepting new patients
St Luke's Methodist Hospital Current Accepting new patients
Cass County Memorial Hospital Current Accepting new patients
Broadlawns Medical Center CurrentSince Mar 19, 2022 Accepting new patients
Pella Regional Health Center Current Accepting new patients
Urology Center of Iowa PLLC Urology CurrentSince Aug 1, 2021 Accepting new patients
Cass County Memorial Hospital CurrentSince Jul 1, 2025 Accepting new patients
Urology Partners of North Texas, PLLC Urology PastSince Aug 1, 2021 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
Des Moines, IA 50314
Phone (515) 282-2200

1801 Hickman Rd
Bldg First
Des Moines, IA 50314

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

Interoperability endpoints

  • Direct secure messaging: dornbier.ryan@cynchealthdsm.org
  • FHIR API: https://fhir-myrecord.cerner.com/r4/18f5d65c-83f0-435a-868c-70ce5a6de90a/
  • FHIR API: https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/10390883
  • Direct secure messaging: rdornbier58184@direct.luhs.org
  • Direct secure messaging: rdornbier840819@direct.unitypoint.org
  • Direct secure messaging: ryandornbier@uciwa.allscriptsdirect.net

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 9

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": "1396310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627603200000",
    "number": "1609294305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12129 UNIVERSITY AVE STE 200",
            "city": "CLIVE",
            "state": "IA",
            "postal_code": "503258287",
            "telephone_number": "515-400-3550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12129 UNIVERSITY AVE STE 100",
            "city": "CLIVE",
            "state": "IA",
            "postal_code": "503258287",
            "telephone_number": "515-400-3550",
            "fax_number": "515-400-3551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DORNBIER",
        "first_name": "RYAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-01",
        "last_updated": "2021-07-30",
        "certification_date": "2021-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IL",
            "license": "125.065964",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "IL",
            "license": "125.065964",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "IL",
            "license": "036147483",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rdornbier58184@direct.luhs.org",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "2160 S 1st Ave",
            "city": "Maywood",
            "state": "IL",
            "country_code": "US",
            "postal_code": "601533328",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Clive, IA

Sources for this page

Verify at the official NPI Registry.