Active NPI
Robert Eells, DPM
- Podiatrist
- Des Moines, IA
National Provider Identifier
1790781342
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- 00571
- Practice address
- 1111 E Army Post Rd
Suite 470
Des Moines, IA 50315-5970 - Phone
- (515) 244-0633
- Fax
- (515) 244-2412
- NPI assigned
- Jun 28, 2005
- Last updated
- Sep 5, 2008
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Podiatrist | 213E00000X | 00571 | IA | Primary |
Addresses
Primary practice location
1111 E Army Post Rd
Suite 470
Des Moines, IA 50315-5970
Mailing address
1111 E Army Post Rd
Suite 470
Des Moines, IA 50315-5970
Phone (515) 244-0633
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 028602 | Other | IA | PRINCIPAL |
| 45971 | Other | IA | WELLMARK BCBS |
| 1112342 | Medicaid | IA | |
| 6286A | Other | IA | COVENTRY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dpmmodlinpria LLC | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Podiatric Clinic/Center
- Des Moines, IA
- NPI 1790868057
-
- Foot & Ankle Surgery Podiatrist
- Des Moines, IA
- NPI 1942614367
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119916800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1220572800000",
"number": "1790781342",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1111 E ARMY POST RD",
"address_2": "SUITE 470",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503155970",
"telephone_number": "515-244-0633",
"fax_number": "515-244-2412"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1111 E ARMY POST RD",
"address_2": "SUITE 470",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503155970",
"telephone_number": "515-244-0633",
"fax_number": "515-244-2412"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EELLS",
"first_name": "ROBERT",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-06-28",
"last_updated": "2008-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "IA",
"license": "00571",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PRINCIPAL",
"identifier": "028602",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLMARK BCBS",
"identifier": "45971",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1112342",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COVENTRY",
"identifier": "6286A",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Des Moines, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.