NPIMap

Individual provider Active NPI

Jeffrey Jay Fagerland, D.O.

  • Obstetrics & Gynecology Physician
  • Des Moines, IA
National Provider Identifier
1811095045
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
02469 Issued in IA
Practice address
330 Laurel St Ste 1100
Des Moines, IA 50314-3044
Phone
(515) 288-3287
NPI assigned
Sep 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 02469 IA Primary

Addresses

Primary practice location

330 Laurel St Ste 1100
Des Moines, IA 50314-3044

Mailing address

330 Laurel St Ste 1100
Des Moines, IA 50314-3044
Phone (515) 288-3287

Other identifiers 1

IdentifierTypeStateIssuer
2102251MedicaidIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040702000256 IA Practitioner - Obstetrics/Gynecology 1557348083 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Obstetrical Gynecological Associates of Des Moines PLC 4 clinicians

Practice addresses (Care Compare)

330 Laurel St
Suite 1100
Des Moines, IA 50314-3044
Phone (515) 288-3287

Hospital & facility affiliations

  • Mercyone Des Moines Medical Center Hospital, Des Moines, IA, CCN 160083

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
02469IAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Central Iowa OB/GYN Specialists of Des Moines, PLC Obstetrics & Gynecology CurrentSince Nov 1, 2019 Accepting new patients
West Des Moines OB/GYN Associates, P.C. Obstetrics & Gynecology CurrentSince Sep 1, 2019 Accepting new patients
St Luke'S Methodist Hospital Current Accepting new patients
Mercy Clinics, Inc. Obstetrics & Gynecology PastSince Jan 1, 2006 Accepting new patients
Catholic Health Initiatives-Iowa Corp Past Accepting new patients

Locations

1111 6th Ave
Des Moines, IA 50314
Phone (515) 247-3121

4949 Westown Pkwy
Ste 140
West Des Moines, IA 50266
Phone (515) 223-5466

2501 Westown Pkwy
Ste 1101
West Des Moines, IA 50266
Phone (515) 267-8300

Interoperability endpoints

  • Direct secure messaging: jfagerland9539@direct.unitypoint.org
  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.1701

Organizations & group practices 6

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 4

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": "1183852800000",
    "number": "1811095045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 LAUREL ST STE 1100",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503143044",
            "telephone_number": "515-288-3287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 LAUREL ST STE 1100",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503143044",
            "telephone_number": "515-288-3287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAGERLAND",
        "first_name": "JEFFREY",
        "middle_name": "JAY",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IA",
            "license": "02469",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2102251",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Moines, IA

Sources for this page

Verify at the official NPI Registry.