Individual provider Active NPI

Darryl C Johnson, DO

  • Obstetrics & Gynecology Physician
  • Ames, IA
National Provider Identifier
1720084916
Registry record updated May 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
02790 Issued in IA
Practice address
1015 Duff Ave
Ames, IA 50010-5733
Phone
(515) 239-4414
NPI assigned
Jun 22, 2005
Last updated
May 16, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 16, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 02790 IA Primary

Addresses

Primary practice location

1015 Duff Ave
Ames, IA 50010-5733

Mailing address

1215 Duff Ave
Ames, IA 50010-5400
Phone (515) 239-4400

Other identifiers 6

IdentifierTypeStateIssuer
3097246MedicaidIA
IA0139OtherJOHN DEERE HEALTH PLAN
19834OtherIOWA HEALTH SOLUTIONS
035513OtherHEALTH ALLIANCE
40048OtherWELLMARK BC/BS
4796890002OtherDMERC

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address djohnson113530@directmcfarlandclinic.com

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
I20061003000720 IA Practitioner - Obstetrics/Gynecology 8325043987 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
McFarland Clinic PCGroup PAC ID 1254244239, 353 clinicians

Practice addresses (Care Compare)

1015 Duff Ave
Ames, IA 50010-5733
Phone (515) 239-4400

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
02790IAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Knoxville Community Hospital Inc Obstetrics & Gynecology CurrentSince Feb 1, 2019 Accepting new patients
McFarland Clinic PC CurrentSince Apr 1, 2023 Accepting new patients
Knoxville Community Hospital Inc Current Accepting new patients
Genesis Health System Obstetrics & Gynecology Past Accepting new patients
Mary Greeley Medical Center Past Accepting new patients
McFarland Clinic, PC Past Accepting new patients

Locations

1015 Duff Ave
Ames, IA 50010
Phone (515) 239-4414

1215 Duff Ave
Ames, IA 50010
Phone (515) 239-4400

1002 S Lincoln St
Knoxville, IA 50138
Phone (641) 842-1464

1202 W Howard St
Knoxville, IA 50138
Phone (641) 828-7144

Interoperability endpoints

  • Direct secure messaging: djohnson113530@directmcfarlandclinic.com

Organizations & group practices 6

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 1

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": "1119398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684195200000",
    "number": "1720084916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1215 DUFF AVE",
            "city": "AMES",
            "state": "IA",
            "postal_code": "500105400",
            "telephone_number": "515-239-4400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 DUFF AVE",
            "city": "AMES",
            "state": "IA",
            "postal_code": "500105733",
            "telephone_number": "515-239-4414"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "DARRYL",
        "middle_name": "C",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-22",
        "last_updated": "2023-05-16",
        "certification_date": "2023-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IA",
            "license": "02790",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3097246",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JOHN DEERE HEALTH PLAN",
            "identifier": "IA0139",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IOWA HEALTH SOLUTIONS",
            "identifier": "19834",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH ALLIANCE",
            "identifier": "035513",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK BC/BS",
            "identifier": "40048",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC",
            "identifier": "4796890002",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "djohnson113530@directmcfarlandclinic.com",
            "affiliation": "N",
            "address_1": "1015 Duff Ave",
            "city": "Ames",
            "state": "IA",
            "country_code": "US",
            "postal_code": "500105733",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Ames, IA

Sources for this page

Verify at the official NPI Registry.