NPIMap

Individual provider Active NPI

Douglas A. Layton, DO

  • Family Medicine Physician
  • Polk City, IA
National Provider Identifier
1831159193
Registry record updated Nov 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
02723 Issued in IA
Practice address
1010 S 3Rd St
Polk City, IA 50226-1130
Phone
(515) 984-6426
NPI assigned
Mar 23, 2006
Last updated
Nov 1, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 02723 IA Primary

Addresses

Primary practice location

1010 S 3Rd St
Polk City, IA 50226-1130

Mailing address

1010 S 3Rd St
Polk City, IA 50226-1130
Phone (515) 984-6426

Other identifiers 2

IdentifierTypeStateIssuer
6073155MedicaidIA
1831159193MedicaidIA

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
I20060411000118 IA Practitioner - Family Practice 1153367321 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Douglas a Layton DOGroup PAC ID 8325495294, 2 clinicians
On With Life IncGroup PAC ID 4385553965, 8 clinicians

Practice addresses (Care Compare)

1010 S 3Rd St
1A North Polk Family Medicine
Polk City, IA 50226-1165
Phone (515) 984-6426

715 SW Ankeny Rd
Ankeny, IA 50023-9798
Phone (515) 289-9600

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions21
Removal of nail tissue1-10
Removal or shaving of skin growth14
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
02723IAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
On With Life, Inc CurrentSince Apr 1, 2023 Accepting new patients
On With Life, Inc. Family Medicine CurrentSince Apr 1, 2023 Accepting new patients
Douglas a Layton DO Family Medicine CurrentSince Oct 9, 2023 Accepting new patients
Central Iowa Hospital Corporation Past Accepting new patients
Central Iowa Hospital Corporation Family Medicine Past Accepting new patients

Locations

715 SW Ankeny Rd
Ankeny, IA 50023
Phone (515) 289-9600

717 SW Ankeny Rd
Ankeny, IA 50023
Phone (515) 289-9600

2854 Coral Ct
Ste 1
Coralville, IA 52241
Phone (319) 259-6224

1010 S 3rd St
Polk City, IA 50226
Phone (515) 984-6426

1010 S 3rd St
Ste 1A
Polk City, IA 50226
Phone (515) 984-6426

Interoperability endpoints

  • Direct secure messaging: douglas.layton.1@20569.direct.athenahealth.com
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1143072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572566400000",
    "number": "1831159193",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 S 3RD ST",
            "city": "POLK CITY",
            "state": "IA",
            "postal_code": "502261130",
            "telephone_number": "515-984-6426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 S 3RD ST",
            "city": "POLK CITY",
            "state": "IA",
            "postal_code": "502261130",
            "telephone_number": "515-984-6426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAYTON",
        "first_name": "DOUGLAS",
        "middle_name": "A.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-23",
        "last_updated": "2019-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "02723",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6073155",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1831159193",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Polk City, IA

Sources for this page

Verify at the official NPI Registry.