Active NPI
Kenneth P Schultheis, DO
- Emergency Medicine Physician
- Ankeny, IA
National Provider Identifier
1609878206
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 1443
- Practice address
- 1609 N Ankeny Blvd
200
Ankeny, IA 50023-4165 - Phone
- (515) 964-2772
- NPI assigned
- Aug 12, 2005
- Last updated
- Jul 13, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 1443 | IA | Primary |
Addresses
Primary practice location
1609 N Ankeny Blvd
200
Ankeny, IA 50023-4165
Mailing address
3101 Fleur Dr
Des Moines, IA 50321-1709
Phone (515) 243-8628
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1443 | IA | MD | Emergency Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123804800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1609878206",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3101 FLEUR DR",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503211709",
"telephone_number": "515-243-8628"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1609 N ANKENY BLVD",
"address_2": "200",
"city": "ANKENY",
"state": "IA",
"postal_code": "500234165",
"telephone_number": "515-964-2772"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHULTHEIS",
"first_name": "KENNETH",
"middle_name": "P",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-12",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "IA",
"license": "1443",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ankeny, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.