Individual provider Active NPI

James A Schroder, O.D.

  • Optometrist
  • Ankeny, IA
National Provider Identifier
1770529976
Registry record updated Dec 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
02298 Issued in IA
Practice address
111 NW 9TH St
Ankeny, IA 50023-1754
Phone
(515) 964-7355
Fax
(515) 964-8413
NPI assigned
Jun 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 02298 IA Primary

Addresses

Primary practice location

111 NW 9TH St
Ankeny, IA 50023-1754

Mailing address

111 NW 9TH St
Ankeny, IA 50023-1754
Phone (515) 964-7355

Other identifiers 1

IdentifierTypeStateIssuer
2450247MedicaidIA

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040902000340 IA Practitioner - Optometry 2062488950 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Optometry
Education
Pacific University - College of Optometry, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eyecare of AnkenyGroup PAC ID 3476924010, 2 clinicians

Practice addresses (Care Compare)

111 NW 9TH St
Ankeny, IA 50023-1754
Phone (515) 964-7355

Merit-based Incentive Payment System (MIPS)

Final score
89.3 of 100Reported as group
Quality
78.6
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery174

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
02298IAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eyecare of Ankeny Optometrist CurrentSince Nov 1, 2022 Accepting new patients
John E Kruger, O.D., P.C. Optometrist PastSince Oct 1, 2013 Accepting new patients
Central Iowa Eye Associates, P.C. Optometrist PastSince Jul 12, 2004 Accepting new patients

Locations

111 NW 9th St
Ankeny, IA 50023
Phone (515) 964-7355

Interoperability endpoints

  • Direct secure messaging: james.schroder@direct.revolutionehr.com

Organizations & group practices 3

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323043200000",
    "number": "1770529976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 NW 9TH ST",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "500231754",
            "telephone_number": "515-964-7355",
            "fax_number": "515-964-8413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 NW 9TH ST",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "500231754",
            "telephone_number": "515-964-7355",
            "fax_number": "515-964-8413"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHRODER",
        "first_name": "JAMES",
        "middle_name": "A",
        "credential": "O.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-22",
        "last_updated": "2011-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "IA",
            "license": "02298",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2450247",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ankeny, IA

Sources for this page

Verify at the official NPI Registry.