Individual provider Active NPI

Anne Al Snider, M.D.

  • Dermatology Physician
  • Ames, IA
National Provider Identifier
1902887318
Registry record updated Sep 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
36038 Issued in IA
Practice address
3600 Lincoln Way
Ames, IA 50014-7595
Phone
(515) 239-4492
Fax
(515) 663-4836
NPI assigned
Nov 11, 2005
Last updated
Sep 7, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 36038 IA Primary

Addresses

Primary practice location

3600 Lincoln Way
Ames, IA 50014-7595

Mailing address

3600 Lincoln Way
Ames, IA 50014-7595
Phone (515) 239-4492

Other identifiers 1

IdentifierTypeStateIssuer
0461608MedicaidIA

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
I20050810000240 IA Practitioner - Dermatology 3577592542 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Iowa, RJ & L Carver College of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Iowa Dermatology Consultants PLLCGroup PAC ID 0941624340, 3 clinicians

Practice addresses (Care Compare)

2675 N Ankeny Blvd
Suite 101And103
Ankeny, IA 50023-4719
Phone (833) 432-3376

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision74
Removal of skin lesions776
Removal or shaving of skin growth1-10
Skin biopsy466

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Iowa Dermatology Consultants, PLLC Dermatology CurrentSince Jun 1, 2020 Accepting new patients
Floyd County Memorial Hospital Commission Past Accepting new patients

Locations

1429 Boston Ave
Ames, IA 50010
Phone (515) 217-4807

2675 N Ankeny Blvd
Ste 101
Ankeny, IA 50023
Phone (515) 217-4807

2675 N Ankeny Blvd
Ste 101103
Ankeny, IA 50023
Phone (833) 432-3376

974 73rd St
Unit 3940
West Des Moines, IA 50265
Phone (833) 432-3376

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/ez_00169

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1131667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346976000000",
    "number": "1902887318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 LINCOLN WAY",
            "city": "AMES",
            "state": "IA",
            "postal_code": "500147595",
            "telephone_number": "515-239-4492",
            "fax_number": "515-663-4836"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3600 LINCOLN WAY",
            "city": "AMES",
            "state": "IA",
            "postal_code": "500147595",
            "telephone_number": "515-239-4492",
            "fax_number": "515-663-4836"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SNIDER",
        "first_name": "ANNE",
        "middle_name": "AL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-11",
        "last_updated": "2012-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "IA",
            "license": "36038",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0461608",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ames, IA

Sources for this page

Verify at the official NPI Registry.