NPIMap

Individual provider Active NPI

Robert Ivey

  • Foot & Ankle Surgery Podiatrist
  • Storm Lake, IA
National Provider Identifier
1669055182
Registry record updated Sep 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
124068 Issued in IA
Practice address
620 Northwestern Dr Pod 4
Storm Lake, IA 50588-2935
Phone
(712) 213-8050
Fax
(712) 213-8015
NPI assigned
May 3, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 124068 IA Primary

Addresses

Primary practice location

620 Northwestern Dr Pod 4
Storm Lake, IA 50588-2935

Mailing address

1200 1St Ave E Ste C
Spencer, IA 51301-4342
Phone (712) 262-7511

Other practice location 1

1200 1st Ave E Ste C
Spencer, IA 51301-4342
Phone (712) 262-7511

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
I20240622000236 IA Practitioner - Podiatry 9537602214 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2021
Medicare assignment
May accept Medicare assignment
Group practices
Spencer Municipal HospitalGroup PAC ID 4183533060, 95 clinicians
Buena Vista Regional Medical CenterGroup PAC ID 3476464421, shared by 4 NPIs, 25 clinicians
Sports Rehab and Professional Therapy Associates IncGroup PAC ID 1658289608, 124 clinicians

Practice addresses (Care Compare)

1200 1St Ave E
Spencer, IA 51301-4330

1200 1St Ave E
Spencer, IA 51301-4342
Phone (712) 264-6198

1200 1St Ave E C
Nwia Bone Joint and Sports Surgeons
Spencer, IA 51301-4342
Phone (712) 262-7511

1525 W 5TH St
Storm Lake, IA 50588-3027
Phone (712) 732-4030

315 W 5TH St
Storm Lake, IA 50588-1743
Phone (712) 732-7724

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of nail tissue22

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
124068IAMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Spencer Municipal Hospital Current Accepting new patients
Buena Vista Regional Medical Center CurrentSince Aug 1, 2024 Accepting new patients
Spencer Municipal Hospital Foot & Ankle Surgery CurrentSince Aug 1, 2024 Accepting new patients
Spencer Municipal Hospital Current Accepting new patients
Buena Vista Regional Medical Center CurrentSince Aug 1, 2024 Accepting new patients
Lakes Regional Healthcare Current Accepting new patients
Lakes Regional Healthcare CurrentSince Aug 1, 2024 Accepting new patients
Spencer Municipal Hospital CurrentSince Aug 1, 2024 Accepting new patients
St Luke'S Methodist Hospital Current Accepting new patients
Buena Vista Regional Medical Center Current Accepting new patients
Buena Vista Regional Medical Center Past Accepting new patients
Spencer Municipal Hospital Past Accepting new patients

Locations

1200 1st Ave E
Ste C
Spencer, IA 51301
Phone (712) 262-7511

1200 1st Ave E
Spencer, IA 51301
Phone (712) 264-6164

1525 W 5th St
Storm Lake, IA 50588
Phone (712) 732-4030

620 Northwestern Dr
#4
Storm Lake, IA 50588
Phone (712) 213-8050

620 Northwestern Dr
Storm Lake, IA 50588
Phone (712) 213-8065

Interoperability endpoints

  • Direct secure messaging: rivey410186@direct.unitypoint.org

Organizations & group practices 13

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 13

Hospital & facility affiliations 6

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": "1620000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726012800000",
    "number": "1669055182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 1ST AVE E STE C",
            "city": "SPENCER",
            "state": "IA",
            "postal_code": "513014342",
            "telephone_number": "712-262-7511",
            "fax_number": "712-262-3658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 NORTHWESTERN DR POD 4",
            "city": "STORM LAKE",
            "state": "IA",
            "postal_code": "505882935",
            "telephone_number": "712-213-8050",
            "fax_number": "712-213-8015"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1200 1st Ave E Ste C",
            "address_purpose": "LOCATION",
            "city": "Spencer",
            "state": "IA",
            "postal_code": "513014342",
            "country_code": "US",
            "telephone_number": "712-262-7511",
            "fax_number": "712-262-3658",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "IVEY",
        "first_name": "ROBERT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-05-03",
        "last_updated": "2024-09-11",
        "certification_date": "2024-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IA",
            "license": "124068",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Storm Lake, IA

Sources for this page

Verify at the official NPI Registry.