Individual provider Active NPI

Michael Blaess, DO

  • Family Medicine Physician
  • Des Moines, IA
National Provider Identifier
1730197476
Registry record updated Mar 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
DO-03085 Issued in IA
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, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
4155408MedicaidIA

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
I20040304000434 IA Practitioner - Family PracticePractitioner - Emergency Medicine 2264329002 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Emergency Medicine
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Clinics IncGroup PAC ID 7911810882, 441 clinicians

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

ProcedureNumber of procedures
Removal of skin lesions13

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DO-03085IAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Clinics, Inc. CurrentSince Aug 1, 2016 Accepting new patients
Mercy Clinics, Inc. Family Medicine Current Accepting new patients
Mercy Clinics, Inc. CurrentSince Aug 1, 2016 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 4

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": "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

Verify at the official NPI Registry.