Organization Active NPI

Associates in Kidney Care PLC

  • Nephrology Physician
  • Des Moines, IA
National Provider Identifier
1629021050
Registry record updated Nov 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
ASSOCIATES IN KIDNEY CARE PLC
Practice address
411 Laurel St
Suite 2350
Des Moines, IA 50314-3017
Phone
(515) 280-4700
Fax
(515) 280-4701
NPI assigned
May 18, 2006
Last updated
Nov 30, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2016

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

Authorized official

Name
Robert N Smith, D.O.NPI 1891746350
Title
Partner
Phone
(515) 280-4700

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X IA Primary

Addresses

Primary practice location

411 Laurel St
Suite 2350
Des Moines, IA 50314-3017

Mailing address

411 Laurel St Ste 2350
Des Moines, IA 50314-3026
Phone (515) 280-4700

Other identifiers 2

IdentifierTypeStateIssuer
0490417MedicaidIA
DE9803OtherIARAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060619000173 IA Part B Supplier - Clinic/Group Practice 2769494590 Receives reassigned benefits from 9 practitioners
Practice locations: Centerville, IA; West Des Moines, IA; Perry, IA; Pella, IA; Ottumwa, IA; Oskaloosa, IA; Newton, IA; Mount Ayr, IA…

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
16D0997542Associates in Kidney Care PLC411 Laurel Street, Suite 2350, Des Moines, IA 50314Provider-performed microscopyOct 19, 2026

National Provider Directory

National Provider Directory
Tax ID family
Associates in Kidney Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1500 E 10th St
Ste B
Atlantic, IA 50022
Phone (712) 243-7485

707 Gilbert St
Ste 1
Charles City, IA 50616
Phone (641) 228-3567

1700 W Townline St
Ste 2A
Creston, IA 50801
Phone (641) 782-3880

6651 SW 9th St
Des Moines, IA 50315
Phone (515) 285-3032

95 University Ave
Des Moines, IA 50314
Phone (515) 205-6132

112 E Linn St
Marshalltown, IA 50158
Phone (641) 323-2729

204 N 4th Ave E
Ste E
Newton, IA 50208
Phone (641) 221-2944

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480464000000",
    "number": "1629021050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 LAUREL ST STE 2350",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503143026",
            "telephone_number": "515-280-4700",
            "fax_number": "515-280-4701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 LAUREL ST",
            "address_2": "SUITE 2350",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503143017",
            "telephone_number": "515-280-4700",
            "fax_number": "515-280-4701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASSOCIATES IN KIDNEY CARE PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-18",
        "last_updated": "2016-11-30",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "515-280-4700",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "IA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0490417",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DE9803",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Moines, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.