Individual provider Active NPI

Katherine Anne Dvorak, DO

  • Family Medicine Physician
  • Knoxville, IA
National Provider Identifier
1750904686
Registry record updated May 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
DO-06234 Issued in IA
Practice address
1202 W Howard St
Knoxville, IA 50138-3103
Phone
(641) 842-7006
Fax
(641) 842-7030
NPI assigned
May 27, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X DO-06234 IA Primary

Addresses

Primary practice location

1202 W Howard St
Knoxville, IA 50138-3103

Mailing address

1801 Hickman Rd
Des Moines, IA 50314-1597
Phone (515) 282-8551

Other practice location 1

1801 Hickman Rd
Des Moines, IA 50314-1597
Phone (515) 282-8551

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
I20230928000556 IA Practitioner - Family Practice 4183047822 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Knoxville Community Hospital IncGroup PAC ID 6608787056, 34 clinicians
Broadlawns Medical CenterGroup PAC ID 3678466166, 302 clinicians

Practice addresses (Care Compare)

1202 W Howard St
Knoxville, IA 50138-3103
Phone (641) 828-7211

1801 Hickman Rd
Des Moines, IA 50314-1548
Phone (515) 282-2200

Hospital & facility affiliations

  • Suncrest Hospice, LLC Hospice, West Des Moines, IA, CCN 161608
  • Knoxville Hospital & Clinics Hospital, Knoxville, IA, CCN 161355
  • Broadlawns Medical Center Hospital, Des Moines, IA, CCN 160101
  • Mercyone Des Moines Medical Center Hospital, Des Moines, IA, CCN 160083
  • Knoxville Hospital & Clinics Nursing home, CCN 16Z355

Merit-based Incentive Payment System (MIPS)

Final score
90.61 of 100Reported as group
Quality
75.16
Promoting interoperability
100
Improvement activities
40
Cost
76.87

Merit-based Incentive Payment System (MIPS)

Final score
93.78 of 100Reported as apm
Quality
80.38
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Knoxville Community Hospital Inc Family Medicine CurrentSince Sep 1, 2023 Accepting new patients
Knoxville Community Hospital Inc Current Accepting new patients
Broadlawns Medical Center CurrentSince Nov 5, 2023 Accepting new patients
Knoxville Community Hospital Inc Current Accepting new patients
Broadlawns Medical Center CurrentSince Nov 5, 2023 Accepting new patients

Locations

1801 Hickman Rd
Des Moines, IA 50314
Phone (515) 282-2200

2970 University Ave
Des Moines, IA 50311
Phone (515) 216-5100

2508 E University Ave
Des Moines, IA 50317
Phone (515) 282-2362

580 SW 9th St
Ste 100
Des Moines, IA 50309
Phone (515) 282-2362

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

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

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 8

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": "1590537600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779235200000",
    "number": "1750904686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 HICKMAN RD",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503141597",
            "telephone_number": "515-282-8551",
            "fax_number": "515-282-2332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1202 W HOWARD ST",
            "city": "KNOXVILLE",
            "state": "IA",
            "postal_code": "501383103",
            "telephone_number": "641-842-7006",
            "fax_number": "641-842-7030"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1801 Hickman Rd",
            "address_purpose": "LOCATION",
            "city": "Des Moines",
            "state": "IA",
            "postal_code": "503141597",
            "country_code": "US",
            "telephone_number": "515-282-8551",
            "fax_number": "515-282-2332",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DVORAK",
        "first_name": "KATHERINE",
        "middle_name": "ANNE",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-27",
        "last_updated": "2026-05-20",
        "certification_date": "2026-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "DO-06234",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Knoxville, IA

Sources for this page

Verify at the official NPI Registry.