NPIMap

Individual provider Active NPI

Matthew Wade Andres, DO

  • Anatomic Pathology & Clinical Pathology Physician
  • Des Moines, IA
National Provider Identifier
1891720678
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
3678 Issued in IA
Practice address
1111 6TH Ave
Mercy Medical Center Pathology Department
Des Moines, IA 50314-2610
Phone
(515) 247-3115
Fax
(515) 643-8911
NPI assigned
Jul 11, 2006
Last updated
Jul 8, 2007By the provider in NPPES
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
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 3678 IA Primary

Addresses

Primary practice location

1111 6TH Ave
Mercy Medical Center Pathology Department
Des Moines, IA 50314-2610

Mailing address

2231 NW 108TH St
Des Moines, IA 50325-3729
Phone (515) 334-7524

Other identifiers 1

IdentifierTypeStateIssuer
APPLIED FORMedicaidIA

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
I20070226000216 IA Practitioner - Pathology 4981706769 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pathology Associates of Central Iowa PLCGroup PAC ID 6305887811, 8 clinicians
Mercy Medical Center-DubuqueGroup PAC ID 2668467168, 20 clinicians
Broadlawns Medical CenterGroup PAC ID 3678466166, 302 clinicians

Practice addresses (Care Compare)

1111 6TH Ave
Des Moines, IA 50314-2610

1111 6TH Ave
Des Moines, IA 50314-2611

1111 6TH Ave
Des Moines, IA 50314-2613
Phone (515) 247-4467

150 Mercy Dr
Mercyone Dubuque Cancer Center
Dubuque, IA 52001-7320
Phone (563) 589-8024

1801 Hickman Rd
Des Moines, IA 50314-1548
Phone (515) 282-2200

250 Mercy Dr
Dubuque, IA 52001-7320
Phone (563) 589-8000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3678IAMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Broadlawns Medical Center CurrentSince Aug 17, 2020 Accepting new patients
Mercy Medical Center-Dyersville CurrentSince Oct 1, 2025 Accepting new patients
Broadlawns Medical Center CurrentSince Aug 17, 2020 Accepting new patients
Pathology Associates of Central Iowa, PLC Anatomic Pathology & Clinical Pathology CurrentSince Jul 1, 2006 Accepting new patients
Mercy Medical Center-Dubuque CurrentSince Nov 10, 2025 Accepting new patients
Mercy Medical Center-Dubuque CurrentSince Nov 10, 2025 Accepting new patients
Surgical Clinic of Southern Iowa, PC Past Accepting new patients

Locations

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

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

1801 Hickman Rd
Bldg First
Des Moines, IA 50314

250 Mercy Dr
Dubuque, IA 52001
Phone (563) 589-8000

1111 3rd St SW
Dyersville, IA 52040
Phone (563) 875-2953

Organizations & group practices 7

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 8

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": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1891720678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2231 NW 108TH ST",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503253729",
            "telephone_number": "515-334-7524",
            "fax_number": "515-334-7528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 6TH AVE",
            "address_2": "MERCY MEDICAL CENTER PATHOLOGY DEPARTMENT",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503142610",
            "telephone_number": "515-247-3115",
            "fax_number": "515-643-8911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDRES",
        "first_name": "MATTHEW",
        "middle_name": "WADE",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "IA",
            "license": "3678",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "APPLIED FOR",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Moines, IA

Sources for this page

Verify at the official NPI Registry.