Active NPI
Michael Blaess, DO
- Family Medicine Physician
- Des Moines, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- DO-03085
- Practice address
- 1350 Des Moines St Ste 110
Des Moines, IA 50309-5507 - Phone
- (515) 643-0833
- Fax
- (515) 643-0933
- NPI assigned
- Aug 4, 2006
- Last updated
- Mar 29, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 03085 | IA | |
| Family Medicine Physician | 207Q00000X | DO-03085 | IA | Primary |
Addresses
Primary practice location
1350 Des Moines St Ste 110
Des Moines, IA 50309-5507
Mailing address
PO Box 1475
Des Moines, IA 50305-1475
Phone (515) 643-0833
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4155408 | Medicaid | IA |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Des Moines University of Osteopathic Medicine and Health Sciences, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
411 Laurel St
Suite A120
Des Moines, IA 50314-3027
Phone (515) 643-7900
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 13 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DO-03085 | IA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Clinics, Inc. | Current | Accepting new patients | |
| Mercy Clinics, Inc. | Family Medicine | Current | Accepting new patients |
| Mercy Clinics, Inc. | Current | Accepting new patients | |
| Mercy Clinics, Inc. | Past | Accepting new patients | |
| Mercy Clinics Inc | Past | Accepting new patients |
Locations
1350 Des Moines St
Ste 100
Des Moines, IA 50309
Phone (515) 643-0400
1350 Des Moines St
Ste 110
Des Moines, IA 50309
Phone (515) 358-6500
1601 NW 114th St
Ste 230
Des Moines, IA 50325
Phone (515) 222-7728
330 Laurel St
Ste 1200
Des Moines, IA 50314
Phone (515) 643-5454
405 SW 5th St
Ste E
Des Moines, IA 50309
Phone (515) 358-7259
411 Laurel St
Ste 2310
Des Moines, IA 50314
Phone (515) 247-4261
411 Laurel St
Ste A120
Des Moines, IA 50314
Phone (515) 247-3970
623 E 12th St
Des Moines, IA 50309
Phone (515) 265-5355
Interoperability endpoints
- mblaess3940107@direct.trinity-health.org
Organizations & group practices 5
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.
-
dba MercyOne Clive Family Medicine Clinic
- Primary Care Clinic/Center
- Clive, IA
- NPI 1487670923
Family Medicine
-
dba MercyOne East Village Family Medicine Clinic
- Primary Care Clinic/Center
- Des Moines, IA
- NPI 1194745752
-
dba MercyOne Des Moines OB Hospitalists
- Obstetrics & Gynecology Physician
- Des Moines, IA
- NPI 1508741505
-
dba MercyOne Clive Infectious Disease Care Clinic
- Endocrinology, Diabetes & Metabolism Physician
- Des Moines, IA
- NPI 1457691941
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba MercyOne West Des Moines Medical Center
- General Acute Care Hospital
- West Des Moines, IA
- NPI 1538395975
-
dba MercyOne Des Moines Laboratory
- Clinical Medical Laboratory
- Des Moines, IA
- NPI 1104982743
Hospital
-
dba MercyOne Des Moines Medical Center
- General Acute Care Hospital
- Des Moines, IA
- NPI 1508964883
-
dba Mercy Medical Mammography Center
- Mammography Clinic/Center
- Des Moines, IA
- NPI 1477984367
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154649600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1648512000000",
"number": "1730197476",
"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": "515-643-0833",
"fax_number": "515-643-0933"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1350 DES MOINES ST STE 110",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503095507",
"telephone_number": "515-643-0833",
"fax_number": "515-643-0933"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLAESS",
"first_name": "MICHAEL",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-04",
"last_updated": "2022-03-29",
"certification_date": "2022-03-29",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IA",
"license": "03085",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IA",
"license": "DO-03085",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4155408",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Des Moines, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.