Individual provider Active NPI

Kimberly Ann Skipworth, DO STUDENT

  • Obstetrics & Gynecology Physician
  • West Des Moines, IA
National Provider Identifier
1831691799
Registry record updated Oct 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
06025 Issued in IA
Practice address
4949 Westown Pkwy Ste 140
West Des Moines, IA 50266-6716
Phone
(515) 223-5466
Fax
(515) 223-5405
NPI assigned
Mar 6, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 06025 IA Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

4949 Westown Pkwy Ste 140
West Des Moines, IA 50266-6716

Mailing address

4949 Westown Pkwy Ste 140
West Des Moines, IA 50266-6716
Phone (515) 223-5466

Other practice location 1

5131 Beacon Hill Rd Ste 340
Columbus, OH 43228
Phone (614) 544-1006

Other identifiers 1

IdentifierTypeStateIssuer
1831691799MedicaidIA

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
I20230118000368 IA Practitioner - Obstetrics/Gynecology 1850649302 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
West Des Moines OB/GYN Associates PCGroup PAC ID 3375537129, 13 clinicians

Practice addresses (Care Compare)

4949 Westown Pkwy
Suite 140
West Des Moines, IA 50266-6716
Phone (515) 223-5466

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
06025IAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Luke'S Methodist Hospital Current Accepting new patients
West Des Moines OB/GYN Associates, P.C. Obstetrics & Gynecology CurrentSince Sep 23, 2022 Accepting new patients
Catholic Health Initiatives-Iowa Corp Past Accepting new patients

Locations

111 NW 9th St
Ste 2
Ankeny, IA 50023
Phone (515) 223-5466

2006 N 4th St
Ste 202B
Indianola, IA 50125
Phone (515) 358-7680

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

Interoperability endpoints

  • Direct secure messaging: kskipworth3926334@direct.trinity-health.org
  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.1701
  • Direct secure messaging: kskipworth912454@direct.unitypoint.org

Organizations & group practices 3

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": "1520294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665532800000",
    "number": "1831691799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4949 WESTOWN PKWY STE 140",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502666716",
            "telephone_number": "515-223-5466",
            "fax_number": "515-223-5405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4949 WESTOWN PKWY STE 140",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502666716",
            "telephone_number": "515-223-5466",
            "fax_number": "515-223-5405"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5131 Beacon Hill Rd Ste 340",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "43228",
            "country_code": "US",
            "telephone_number": "614-544-1006",
            "fax_number": "614-544-1701",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SKIPWORTH",
        "first_name": "KIMBERLY",
        "middle_name": "ANN",
        "credential": "DO STUDENT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-06",
        "last_updated": "2022-10-12",
        "certification_date": "2022-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IA",
            "license": "06025",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1831691799",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Des Moines, IA

Sources for this page

Verify at the official NPI Registry.