Olaf Peter Kaufman, MD
Individual provider Active NPI Vascular & Interventional Radiology Physician · Clive, IA
NPI 1720145634 · NPPES record last updated Nov 22, 2023
Key facts
- NPI
- 1720145634
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Vascular & Interventional Radiology Physician 2085R0204X
- License
- MD-34964 (IA)
- Practice address
- 12368 Stratford Dr
Suite 300
Clive, IA 50325-8162 - Phone
- (515) 226-9810
- Fax
- (515) 226-8408
- NPI assigned
- Jan 2, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 11
Hospital & facility affiliations 7
Medicare Care Compare profile
- Specialty
- Diagnostic Radiology
- Education
- University of Iowa, RJ & L Carver College of Medicine, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Central Iowa Hospital Corporation
Iowa Radiology P C
Iowa Diagnostic Imaging and Procedure Center, L C
Practice addresses (Care Compare)
1200 Pleasant St
Des Moines, IA 50309-1406
Phone (515) 241-6212
1221 Pleasant St
Suite 350
Des Moines, IA 50309-1420
Phone (515) 226-9810
12368 Stratford Dr
Suite 300
Clive, IA 50325-8149
Phone (515) 228-9810
700 E University Ave
Unity Point Hosp
Des Moines, IA 50316-2302
Phone (515) 263-5612
Hospital & facility affiliations
- Unitypoint Health - Des Moines Iowa Methodist Medi
- Trinity Regional Medical Center
- Grinnell Regional Medical Center
- Loring Hospital
- Cherokee Regional Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 71.72 of 100
- Quality
- 71.18
- Improvement activities
- 40
- Cost
- 58.57
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.64 of 100
- Quality
- 78.11
- Improvement activities
- 40
- Cost
- 78.95
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 |
|---|---|---|---|---|
| I20050614000683 | IA | Practitioner - Diagnostic Radiology |
9234173949 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34964 | IA | MD | Diagnostic Radiology Physician |
| 52264 | MN | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Iowa Diagnostic Imaging & Procedure Center, L C | Diagnostic Radiology | Current |
Accepting new patients |
| Iowa Radiology, P C | Diagnostic Radiology | Current |
Accepting new patients |
| BTX Iowa Inc | Current |
Accepting new patients | |
| Creighton University | Past | Accepting new patients | |
| Creighton University | Past | Accepting new patients |
Locations
515 Pacific Ave
Audubon, IA 50025
Phone (712) 563-2611
311 S Clark St
Carroll, IA 51401
Phone (712) 792-3581
1221 Pleasant St
Ste 350
Des Moines, IA 50309
1200 Pleasant St
Des Moines, IA 50309
Phone (515) 241-5926
12368 Stratford Dr
Ste 300
Des Moines, IA 50325
Phone (515) 228-9810
700 E University Ave
Des Moines, IA 50316
Phone (515) 263-5120
802 Kenyon Rd
Fort Dodge, IA 50501
Phone (515) 574-6565
625 L St
Fort Dodge, IA 50501
Phone (515) 574-3015
210 4th Ave
Grinnell, IA 50112
Phone (641) 236-2055
710 N 12th St
Guthrie Ctr, IA 50115
Phone (641) 332-2201
1000 15th St N
Humboldt, IA 50548
Phone (515) 332-4200
701 E 2nd St
Ida Grove, IA 51445
Phone (712) 364-3311
1000 W Lincoln Way
Jefferson, IA 50129
Phone (515) 386-2114
1301 W Main St
Lake City, IA 51449
Phone (712) 464-3171
640 S 19th St
Nevada, IA 50201
Phone (515) 382-2111
800 S Fillmore St
Osceola, IA 50213
Phone (641) 342-2184
606 NW 7th St
Pocahontas, IA 50574
Phone (712) 335-3501
211 Highland Ave
Sac City, IA 50583
Phone (712) 662-7105
2720 Stone Park Blvd
Sioux City, IA 51104
Phone (712) 259-3000
1525 W 5th St
Storm Lake, IA 50588
Phone (712) 732-4030
1660 60th St
West Des Moines, IA 50266
Phone (515) 241-2250
4200 University Ave
Ste 104
West Des Moines, IA 50266
Phone (515) 961-0453
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 34964 | IA | |
| Diagnostic Radiology Physician | 2085R0202X | 23324 | NE | |
| Diagnostic Radiology Physician | 2085R0202X | 104349 | MN | |
| Diagnostic Radiology Physician | 2085R0202X | 52264 | MN | |
| Vascular & Interventional Radiology Physician | 2085R0204X | MD-34964 | IA | Yes |
Addresses
Primary practice location
12368 Stratford Dr
Suite 300
Clive, IA 50325-8162
Mailing address
4200 University Ave
Suite 104
West Des Moines, IA 50266-5945
Phone (515) 961-0453
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ENROLLED | Medicaid | IA | |
| ENROLLED | Medicaid | MN |
Other providers in Clive, IA
- Kara Lynne Jorgensen
- Tracey Jurgensmeier
- Andrew Kafeero
- Rory Ryan Karibo
- Allen R Kaufman
- Victor Harry Kaylarian
- Kylee Kayser
- Nathan David Keck
- Paul Leroy Keller
- Mark Alvin Kellerman
All providers in Clive, IA · Vascular & Interventional Radiology 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 Nov 22, 2023. 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).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.