Individual provider Active NPI

Timothy L Evert, DO

  • Family Medicine Physician
  • Des Moines, IA
National Provider Identifier
1699785477
Registry record updated Jan 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
03025 Issued in IA
Practice address
6601 SW 9TH St
Des Moines, IA 50315-6138
Phone
(515) 643-9400
Fax
(515) 643-9405
NPI assigned
Aug 8, 2006
Last updated
Jan 29, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2010

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 03025 IA Primary

Addresses

Primary practice location

6601 SW 9TH St
Des Moines, IA 50315-6138

Mailing address

PO Box 1475
Des Moines, IA 50305-1475
Phone (515) 643-9400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100122000773 IA Practitioner - Emergency MedicinePractitioner - Family Practice 4385786789 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Boone County Hospital Current Accepting new patients
Boone County Hospital Current Accepting new patients
Boone County Hospital CurrentSince Dec 30, 2012 Accepting new patients
Boone County Hospital CurrentSince Dec 30, 2012 Accepting new patients

Locations

2605 SW White Birch Dr
Ankeny, IA 50023
Phone (515) 643-7100

1015 Union St
Boone, IA 50036
Phone (515) 432-3140

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264723200000",
    "number": "1699785477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1475",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503051475",
            "telephone_number": "515-643-9400",
            "fax_number": "515-643-9405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6601 SW 9TH ST",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503156138",
            "telephone_number": "515-643-9400",
            "fax_number": "515-643-9405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EVERT",
        "first_name": "TIMOTHY",
        "middle_name": "L",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-08",
        "last_updated": "2010-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "03025",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Moines, IA

Sources for this page

Verify at the official NPI Registry.