NPIMap

Individual provider Active NPI

Robert Nelson Smith, D.O.

  • Nephrology Physician
  • Des Moines, IA
National Provider Identifier
1891746350
Registry record updated Jan 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
3419 Issued in IA
Practice address
411 Laurel St
Suite 2350
Des Moines, IA 50314-3017
Phone
(515) 280-4700
Fax
(515) 280-4701
NPI assigned
May 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 3419 IA
Nephrology Physician 207RN0300X 3419 IA Primary

Addresses

Primary practice location

411 Laurel St
Suite 2350
Des Moines, IA 50314-3017

Mailing address

411 Laurel St Ste 2350
Des Moines, IA 50314-3026
Phone (515) 280-4700

Other identifiers 3

IdentifierTypeStateIssuer
1891746350OtherHIWELLMARK BCBS
P00329646OtherIARAILROAD MEDICARE
1891746350MedicaidIA

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
I20060621000187 IA Practitioner - NephrologyPractitioner - Internal Medicine 5193743482 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Associates in Kidney Care PLCGroup PAC ID 2769494590, 6 clinicians

Practice addresses (Care Compare)

1111 6TH Ave
FL 4
Des Moines, IA 50314-2610
Phone (515) 247-4400

1200 Pleasant St
Des Moines, IA 50309-1406
Phone (515) 241-6212

2625 N Ankeny Blvd
Davita Ankeny
Ankeny, IA 50023-4704
Phone (515) 963-3174

404 Jefferson St
Pella, IA 50219-1257
Phone (641) 628-3150

411 Laurel St
Suite 2350
Des Moines, IA 50314-3026
Phone (515) 421-4983

610 10TH St
Perry, IA 50220-2221
Phone (515) 465-3547

6651 SW 9TH St
Fresenius South
Des Moines, IA 50315-6138
Phone (515) 285-3032

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3419IAMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Luke's Methodist Hospital Current Accepting new patients
Knoxville Community Hospital Inc Current Accepting new patients
Associates in Kidney Care PLC Current Accepting new patients

Locations

1111 6th Ave
Ste 510
Des Moines, IA 50314
Phone (515) 643-5275

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

Interoperability endpoints

  • Direct secure messaging: rsmith3958266@direct.trinity-health.org
  • Direct secure messaging: rsmith13958@direct.unitypoint.org
  • Direct secure messaging: robertsmith@aikc.ssdirect.aprima.com

Organizations & group practices 4

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 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1420502400000",
    "number": "1891746350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 LAUREL ST STE 2350",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503143026",
            "telephone_number": "515-280-4700",
            "fax_number": "515-280-4701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 LAUREL ST",
            "address_2": "SUITE 2350",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503143017",
            "telephone_number": "515-280-4700",
            "fax_number": "515-280-4701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "ROBERT",
        "middle_name": "NELSON",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-12",
        "last_updated": "2015-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IA",
            "license": "3419",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "IA",
            "license": "3419",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK BCBS",
            "identifier": "1891746350",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00329646",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1891746350",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Moines, IA

Sources for this page

Verify at the official NPI Registry.