Individual provider Active NPI

Andrew E Tigges, PA-C

  • Physician Assistant
  • Ankeny, IA
National Provider Identifier
1790018471
Registry record updated Jan 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
1410 SW Tradition Dr Ste 110
Ankeny, IA 50023
Phone
(515) 875-9696
Fax
(515) 875-9697
NPI assigned
Sep 11, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

1410 SW Tradition Dr Ste 110
Ankeny, IA 50023

Mailing address

PO Box 424
Des Moines, IA 50302-0424
Phone (515) 875-9255

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address andrewtigges@tic.allscriptsdirect.net

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091222000525 IA Practitioner - Physician Assistant 9638219660 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Iowa Clinic PCGroup PAC ID 4082513742, 307 clinicians

Practice addresses (Care Compare)

1005 Pennsylvania Ave
Suite 102a
Ottumwa, IA 52501-6408
Phone (641) 684-2589

1410 SW Tradition Dr
Ankeny, IA 50023-9188

5950 University Ave
West Des Moines, IA 50266-8231
Phone (515) 875-9100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
The Iowa Clinic PC CurrentSince Oct 6, 2014 Accepting new patients
The Iowa Clinic, PC CurrentSince Oct 6, 2014 Accepting new patients

Locations

1410 SW Tradition Dr
Ste 110
Ankeny, IA 50023
Phone (515) 875-9696

509 N Madison St
Bloomfield, IA 52537
Phone (641) 664-2145

700 E University Ave
Des Moines, IA 50316
Phone (515) 263-5120

1200 Pleasant St
Des Moines, IA 50309
Phone (515) 241-5926

1005 Pennsylvania Ave
Ste 102A
Ottumwa, IA 52501
Phone (641) 684-2589

7147 Vista Dr
Ste 150
West Des Moines, IA 50266
Phone (515) 875-9255

5950 University Ave
Ste 175
West Des Moines, IA 50266
Phone (515) 875-9908

6800 Lake Dr
Ste 250
West Des Moines, IA 50266

5950 University Ave
Ste 105
West Des Moines, IA 50266
Phone (515) 875-9070

1660 60th St
West Des Moines, IA 50266
Phone (515) 241-2250

Organizations & group practices 2

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": "1252627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704931200000",
    "number": "1790018471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 424",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503020424",
            "telephone_number": "515-875-9255",
            "fax_number": "515-875-9223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1410 SW TRADITION DR STE 110",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "50023",
            "telephone_number": "515-875-9696",
            "fax_number": "515-875-9697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIGGES",
        "first_name": "ANDREW",
        "middle_name": "E",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-09-11",
        "last_updated": "2024-01-11",
        "certification_date": "2024-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "andrewtigges@tic.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "1410 SW Tradition Dr Ste 110",
            "city": "Ankeny",
            "state": "IA",
            "country_code": "US",
            "postal_code": "50023",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Ankeny, IA

Sources for this page

Verify at the official NPI Registry.