NPIMap

Individual provider Active NPI

Carla Rose Cloos, M.D.

  • Family Medicine Physician
  • Eldridge, IA
National Provider Identifier
1649439175
Registry record updated Apr 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD-R-8358 Issued in IA
Practice address
301 N 4TH Ave
Eldridge, IA 52748-1113
Phone
(563) 421-9900
Fax
(563) 421-9929
NPI assigned
Jun 9, 2008
Last updated
Apr 7, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD-R-8358 IA Primary

Addresses

Primary practice location

301 N 4TH Ave
Eldridge, IA 52748-1113

Mailing address

301 N 4TH Ave
Eldridge, IA 52748-1113
Phone (635) 421-9900

Other practice location 1

119 19th St
Suite: 106
West Des Moines, IA 50265-4226
Phone (515) 226-0112

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address carla.cloos@direct.genesishealth.com Direct

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
I20100908000405 IA Practitioner - Family PracticePractitioner - Emergency Medicine 6305960782 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Emergency Medicine
Education
University of Iowa, RJ & L Carver College of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dewitt Family Practice PLLCGroup PAC ID 1850738592, 5 clinicians

Practice addresses (Care Compare)

1415 11TH St
Suite C
De Witt, IA 52742-1292
Phone (563) 659-6090

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions45
Removal of nail tissue1-10
Skin biopsy11

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD-R-8358IAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Genesis Health System CurrentSince Dec 1, 2010 Accepting new patients
Genesis Health System Family Medicine Current Accepting new patients
Genesis Health System CurrentSince Dec 1, 2010 Accepting new patients
Dewitt Family Practice, PLLC Family Medicine CurrentSince Jan 28, 2025 Accepting new patients
Laboratory Corporation of America Holdings Past Accepting new patients
Genesis Health System Past Accepting new patients
Genesis Medical Education Foundation Inc Family Medicine Past Accepting new patients
Genesis Health System Family Medicine Past Accepting new patients

Locations

1345 W Central Park Ave
Davenport, IA 52804
Phone (563) 421-4400

1351 W Central Park Ave
Ste 340
Davenport, IA 52804
Phone (563) 421-1287

210 W 53rd St
Davenport, IA 52806
Phone (563) 386-3436

1118 11th St
De Witt, IA 52742
Phone (563) 242-7522

1415 11th St
Ste C
De Witt, IA 52742
Phone (563) 659-6090

2422 12th Street Ct
De Witt, IA 52742
Phone (563) 659-6090

619 5th St
Durant, IA 52747
Phone (563) 785-4487

301 N 4th Ave
Eldridge, IA 52748
Phone (563) 285-7232

Interoperability endpoints

  • Direct secure messaging: carla.cloos@direct.genesishealth.com

Organizations & group practices 9

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 4

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": "1212969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617753600000",
    "number": "1649439175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 N 4TH AVE",
            "city": "ELDRIDGE",
            "state": "IA",
            "postal_code": "527481113",
            "telephone_number": "635-421-9900",
            "fax_number": "563-421-9929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 N 4TH AVE",
            "city": "ELDRIDGE",
            "state": "IA",
            "postal_code": "527481113",
            "telephone_number": "563-421-9900",
            "fax_number": "563-421-9929"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "119 19th St",
            "address_2": "Suite: 106",
            "address_purpose": "LOCATION",
            "city": "West Des Moines",
            "state": "IA",
            "postal_code": "502654226",
            "country_code": "US",
            "telephone_number": "515-226-0112",
            "fax_number": "515-226-0208",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLOOS",
        "first_name": "CARLA",
        "middle_name": "ROSE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-09",
        "last_updated": "2021-04-07",
        "certification_date": "2021-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "MD-R-8358",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "carla.cloos@direct.genesishealth.com",
            "affiliation": "N",
            "endpointDescription": "Genesis Health System direct email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "301 N 4th Ave",
            "city": "Eldridge",
            "state": "IA",
            "country_code": "US",
            "postal_code": "527481113",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Eldridge, IA

Sources for this page

Verify at the official NPI Registry.