Debra J Bixler, DO
Individual provider Active NPI Pediatrics Physician · Des Moines, IA
NPI 1720073083 · NPPES record last updated Oct 19, 2011
Key facts
- NPI
- 1720073083
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- 02095 (IA)
- Practice address
- 1212 Pleasant St
Suite 300
Des Moines, IA 50309-1414 - Phone
- (515) 241-8923
- Fax
- (515) 241-8728
- NPI assigned
- Sep 13, 2005
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090612000436 | IA | Practitioner - Pediatric Medicine | 5193875185 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Iowa Hospital Corporation | Current |
Accepting new patients | |
| Central Iowa Hospital Corporation | Current | Accepting new patients | |
| Central Iowa Hospital Corporation | Current |
Accepting new patients |
Locations
1212 Pleasant St
Ste 300
Des Moines, IA 50309
Phone (515) 241-6000
1212 Pleasant St
Des Moines, IA 50309
Phone (515) 241-5926
1200 Pleasant St
Des Moines, IA 50309
Phone (515) 241-5926
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 02095 | IA | Yes |
Addresses
Primary practice location
1212 Pleasant St
Suite 300
Des Moines, IA 50309-1414
Mailing address
1212 Pleasant St
Suite 300
Des Moines, IA 50309-1414
Phone (515) 241-8923
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 42068045213 | Medicaid | NE | |
| 1720073083 | Medicaid | IA | |
| 175150053 | Other | MEDICARE | |
| 03833761 | Medicaid | MS | |
| 1720073083 | Medicaid | MO |
Other providers in Des Moines, IA
- Larissa A Biscoe
- Ellie Lynn Bishop
- James Bisogo
- Seema Bista
- Samantha Lee Bittner
- Bizimana Siblings LLC
- Adam Bjornson
- Messan Blabuh
- Chelsea Black
- Rodney Black
All providers in Des Moines, IA · Pediatrics Physician in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 19, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.