Individual provider Active NPI

Timothy P Mayfield, MD

  • Surgery Physician
  • West Des Moines, IA
National Provider Identifier
1811094089
Registry record updated Aug 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
39766 Issued in IA
Practice address
5901 Westown Pkwy Ste 110
West Des Moines, IA 50266-8207
Phone
(515) 225-7001
Fax
(515) 440-1953
NPI assigned
Sep 20, 2006
Last updated
Aug 10, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 0434355 KS
Surgery Physician 208600000X T2005016637 MO
Surgery Physician 208600000X 39766 IA Primary

Addresses

Primary practice location

5901 Westown Pkwy Ste 110
West Des Moines, IA 50266-8207

Mailing address

5901 Westown Pkwy Ste 110
West Des Moines, IA 50266-8207
Phone (515) 225-7001

Other identifiers 1

IdentifierTypeStateIssuer
1811094089MedicaidIA

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
I20111121000102 IA Practitioner - General Surgery 5597880658 Reassigns benefits to 11 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Missouri, Columbia School of Medicine, 2005
Medicare assignment
May accept Medicare assignment
Group practices
Knoxville Community Hospital IncGroup PAC ID 6608787056, shared by 3 NPIs, 34 clinicians
Broadlawns Medical CenterGroup PAC ID 3678466166, 302 clinicians
Hamilton County Public HospitalGroup PAC ID 1254241565, shared by 6 NPIs, 33 clinicians
Iowa Specialty Surgeons LLPGroup PAC ID 4587925698, 2 clinicians
Monroe County HospitalGroup PAC ID 1759299217, shared by 4 NPIs, 26 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

1801 Hickman Rd
Des Moines, IA 50314-1597

2350 Hospital Dr
Webster City, IA 50595-6600
Phone (515) 832-9400

5901 Westown Pkwy
West Des Moines, IA 50266-8207
Phone (515) 225-7001

6580 165TH St
Albia, IA 52531-8793
Phone (641) 932-2134

6582 165TH St
Albia, IA 52531-8793

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair (minimally invasive)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
39766IAMDSurgery Physician
T2005016637MOMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Broadlawns Medical Center CurrentSince Nov 1, 2022 Accepting new patients
St Luke's Methodist Hospital Current Accepting new patients
Mercy Clinics Inc Surgery CurrentSince Mar 23, 2018 Accepting new patients
Iowa Specialty Surgeons LLP Surgery CurrentSince Feb 27, 2018 Accepting new patients
Monroe County Hospital Current Accepting new patients
Monroe County Hospital Current Accepting new patients
Hamilton County Public Hospital CurrentSince Aug 1, 2024 Accepting new patients
Guthrie County Hospital Current Accepting new patients
Broadlawns Medical Center CurrentSince Nov 1, 2022 Accepting new patients
Mercy Clinics, Inc. Current Accepting new patients
Davis County Hospital CurrentSince Jan 9, 2026 Accepting new patients
Hamilton County Public Hospital Current Accepting new patients
Hamilton County Public Hospital CurrentSince Aug 1, 2024 Accepting new patients
Mercy Clinics, Inc. CurrentSince Mar 23, 2018 Accepting new patients
Knoxville Community Hospital Inc Surgery CurrentSince Feb 1, 2018 Accepting new patients
Monroe County Hospital CurrentSince Jun 1, 2023 Accepting new patients
Knoxville Community Hospital Inc Current Accepting new patients
Davis County Hospital CurrentSince Jan 9, 2026 Accepting new patients
Knoxville Community Hospital Inc Current Accepting new patients
Rural Iowa Specialty Physicians Consortium Inc Surgery PastSince Aug 14, 2022 Accepting new patients
Mercy Clinics, Inc. Past Accepting new patients
Joseph B. Petelin, M.D., Chartered Surgery Past Accepting new patients
Lucas County Health Center Past Accepting new patients

Locations

6580 165th St
Albia, IA 52531
Phone (641) 932-1756

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

1200 N 7th St
Chariton, IA 50049
Phone (515) 774-3000

1301 Pennsylvania Ave
Ste 411
Des Moines, IA 50316
Phone (515) 263-2611

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

1801 Hickman Rd
Bldg First
Des Moines, IA 50314

330 Laurel St
Ste 1200
Des Moines, IA 50314
Phone (515) 643-5454

411 Laurel St
Ste 2100
Des Moines, IA 50314

609 SE Kent St
Greenfield, IA 50849
Phone (641) 743-2123

710 N 12th St
Guthrie Ctr, IA 50115
Phone (641) 332-2201

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

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

300 N 4th Ave E
Ste 222
Newton, IA 50208
Phone (515) 358-0011

4949 Westown Pkwy
Ste 100
West Des Moines, IA 50266
Phone (515) 225-7001

5901 Westown Pkwy
Ste 110
West Des Moines, IA 50266
Phone (515) 225-7001

Interoperability endpoints

  • Direct secure messaging: timothy.mayfield@22066.chartlogic.direct-ci.com
  • Direct secure messaging: tmayfield10023@direct.unitypoint.org
  • Direct secure messaging: tmayfield3951447@direct.trinity-health.org

Organizations & group practices 23

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.

View all 23

Hospital & facility affiliations 5

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": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660089600000",
    "number": "1811094089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5901 WESTOWN PKWY STE 110",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502668207",
            "telephone_number": "515-225-7001",
            "fax_number": "515-440-1953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5901 WESTOWN PKWY STE 110",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502668207",
            "telephone_number": "515-225-7001",
            "fax_number": "515-440-1953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAYFIELD",
        "first_name": "TIMOTHY",
        "middle_name": "P",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2022-08-10",
        "certification_date": "2022-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "KS",
            "license": "0434355",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MO",
            "license": "T2005016637",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IA",
            "license": "39766",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1811094089",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Des Moines, IA

Sources for this page

Verify at the official NPI Registry.