NPIMap

Individual provider Active NPI

Lynn K Struck, MD

  • Neurology Physician
  • Des Moines, IA
National Provider Identifier
1750369344
Registry record updated May 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
27605 Issued in IA
Practice address
1221 Pleasant St
Suite 300
Des Moines, IA 50309-1423
Phone
(515) 241-4200
Fax
(515) 241-4083
NPI assigned
Jan 4, 2006
Last updated
May 22, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 27605 IA Primary

Addresses

Primary practice location

1221 Pleasant St
Suite 300
Des Moines, IA 50309-1423

Mailing address

1221 Pleasant St
Suite 300
Des Moines, IA 50309-1423
Phone (515) 241-4200

Other identifiers 4

IdentifierTypeStateIssuer
130008768OtherIARR MEDICARE
0077461MedicaidIA
1750369344MedicaidIA
1077461MedicaidIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100429000964 IA Practitioner - Neurology 3870620404 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
University of Iowa, RJ & L Carver College of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Central Iowa Hospital CorporationGroup PAC ID 1052229275, 233 clinicians

Practice addresses (Care Compare)

410 NW Ash Dr
Ankeny, IA 50023-1552
Phone (515) 964-1101

4480 Utica Ridge Rd
Bettendorf, IA 52722-1644

5900 NW 86TH St
Suite 100
Johnston, IA 50131-2284
Phone (515) 276-6133

6000 University Ave
West Des Moines, IA 50266-8201

840 E University Ave
FM East Des Moines
Des Moines, IA 50316-2304
Phone (515) 265-4211

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
27605IAMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Central Iowa Hospital Corporation CurrentSince Dec 21, 2020 Accepting new patients
St Luke's Methodist Hospital Current Accepting new patients
Central Iowa Hospital Corporation CurrentSince Dec 21, 2020 Accepting new patients
Iowa Physicians Clinic Medical Foundation Neurology CurrentSince Aug 15, 1997 Accepting new patients
Boone County Hospital Past Accepting new patients

Locations

410 NW Ash Dr
Ankeny, IA 50023
Phone (515) 964-1101

515 Pacific Ave
Audubon, IA 50025
Phone (712) 563-2611

4480 Utica Ridge Rd
Ste 160
Bettendorf, IA 52722
Phone (563) 742-5950

4480 Utica Ridge Rd
Ste 2230
Bettendorf, IA 52722
Phone (563) 742-5150

1200 Pleasant St
Ste S228
Des Moines, IA 50309

1221 Pleasant St
Ste 300
Des Moines, IA 50309
Phone (515) 241-4200

6000 University Ave
Ste 210
West Des Moines, IA 50266
Phone (515) 222-1180

Interoperability endpoints

  • Direct secure messaging: lstruck13965@direct.unitypoint.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 11

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": "1136332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337644800000",
    "number": "1750369344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1221 PLEASANT ST",
            "address_2": "SUITE 300",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503091423",
            "telephone_number": "515-241-4200",
            "fax_number": "515-241-4083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 PLEASANT ST",
            "address_2": "SUITE 300",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503091423",
            "telephone_number": "515-241-4200",
            "fax_number": "515-241-4083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRUCK",
        "first_name": "LYNN",
        "middle_name": "K",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-04",
        "last_updated": "2012-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "IA",
            "license": "27605",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "130008768",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0077461",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1750369344",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1077461",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Moines, IA

Sources for this page

Verify at the official NPI Registry.