Individual provider Active NPI

Stephen Richard Griffith, M.D.

  • Otolaryngology Physician
  • West Des Moines, IA
National Provider Identifier
1790773679
Registry record updated May 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
35480 Issued in IA
Practice address
105 Valley West Dr
Suite 100
West Des Moines, IA 50265-3902
Phone
(515) 223-4368
Fax
(515) 453-2368
NPI assigned
Oct 13, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 35480 IA Primary

Addresses

Primary practice location

105 Valley West Dr
Suite 100
West Des Moines, IA 50265-3902

Mailing address

105 Valley West Dr
Suite 100
West Des Moines, IA 50265-3902
Phone (515) 223-4368

Other identifiers 2

IdentifierTypeStateIssuer
1790773679MedicaidIA
0426205MedicaidIA

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
I20040420000053 IA Practitioner - Otolaryngology 1254326085 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Ohio State University College of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Iowa ENT Center PLLCGroup PAC ID 6406007608, 13 clinicians

Practice addresses (Care Compare)

105 Valley W Dr
West Des Moines, IA 50265-3902
Phone (515) 223-4368

105 Valley W Dr
West Des Moines, IA 50265-3939

319 N Ankeny Blvd
Ankeny, IA 50023-1711
Phone (515) 223-4368

405 Monroe St
Suite a
Pella, IA 50219-1189
Phone (515) 223-4368

Hospital & facility affiliations

  • Knoxville Hospital & Clinics Hospital, Knoxville, IA, CCN 161355

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 Medicine

State licenses

LicenseStateTypeSpecialty
35480IAMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Knoxville Community Hospital Inc Current Accepting new patients
Knoxville Community Hospital Inc CurrentSince Nov 15, 2018 Accepting new patients
Iowa ENT Center PLLC Otolaryngology CurrentSince Apr 1, 2014 Accepting new patients
Knoxville Community Hospital Inc Current Accepting new patients
ENT Clinic of Iowa, PC Otolaryngology PastSince Feb 1, 2006 Accepting new patients
Hartsville Hma Physician Management Inc Past Accepting new patients
Boone County Hospital Past Accepting new patients

Locations

319 N Ankeny Blvd
Ankeny, IA 50023
Phone (515) 223-4368

403 1st St SE
Belmond, IA 50421
Phone (641) 444-3223

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

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

405 Monroe St
Ste A
Pella, IA 50219
Phone (641) 628-2837

105 Valley West Dr
West Des Moines, IA 50265
Phone (515) 223-4368

105 Valley West Dr
Ste 100
West Des Moines, IA 50265
Phone (515) 223-4368

300 W Hutchings St
Winterset, IA 50273
Phone (515) 223-4368

Interoperability endpoints

  • Direct secure messaging: sgriffith@826.securemail.prognocis.com

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 2

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": "1129161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430956800000",
    "number": "1790773679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 VALLEY WEST DR",
            "address_2": "SUITE 100",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502653902",
            "telephone_number": "515-223-4368",
            "fax_number": "515-453-2368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 VALLEY WEST DR",
            "address_2": "SUITE 100",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502653902",
            "telephone_number": "515-223-4368",
            "fax_number": "515-453-2368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRIFFITH",
        "first_name": "STEPHEN",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-13",
        "last_updated": "2015-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "IA",
            "license": "35480",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1790773679",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0426205",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Des Moines, IA

Sources for this page

Verify at the official NPI Registry.