Active NPI
Kelly J John, D.P.M
- Foot & Ankle Surgery Podiatrist
- Des Moines, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 00710
- Practice address
- 3200 Grand Ave
Des Moines, IA 50312-4104 - Phone
- (515) 271-1731
- Fax
- (515) 271-1726
- NPI assigned
- Aug 20, 2006
- Last updated
- Sep 17, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 00710 | IA | Primary |
Addresses
Primary practice location
3200 Grand Ave
Des Moines, IA 50312-4104
Mailing address
3200 Grand Ave
Des Moines, IA 50312-4104
Phone (515) 271-7868
Other names 1
- Dr. Kelly Joann John Haugen
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kelly.john.1@11667.direct.athenahealth.com |
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: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Des Moines University of Osteopathic Medicine and Health Sciences, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3200 Grand Ave
FL 5
Des Moines, IA 50312-4104
Phone (515) 271-1707
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
| Removal of nail tissue | 88 |
| Removal or shaving of skin growth | 19 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00710 | IA | MD | Clinical Social Worker |
| 016-005145 | IL | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Des Moines University Osteopathic Medical Center | Podiatrist | Current | Accepting new patients |
| St Luke's Methodist Hospital | Current | Accepting new patients | |
| Des Moines University Osteopathic Medical Center | Foot & Ankle Surgery | Current | Accepting new patients |
Locations
1555 Hull Ave
Des Moines, IA 50316
Phone (515) 262-5639
3200 Grand Ave
Des Moines, IA 50312
Phone (515) 271-1700
3200 Grand Ave
Fl 5
Des Moines, IA 50312
Phone (515) 271-1707
710 N 12th St
Guthrie Ctr, IA 50115
Phone (641) 332-2201
Interoperability endpoints
- john.kelly@ro.eclinicaldirect.com
- kelly.john.1@11667.direct.athenahealth.com
- kjohn1046692@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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Des Moines University Clinic
- Family Medicine Physician
- Des Moines, IA
- NPI 1164475760
Foot & Ankle Surgery
-
- Durable Medical Equipment & Medical Supplies
- Des Moines, IA
- NPI 1043380801
Podiatrist
-
- General Acute Care Hospital
- Cedar Rapids, IA
- NPI 1083708226
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Iowa Lutheran Hospital
- General Acute Care Hospital
- Des Moines, IA
- NPI 1356433049
-
dba Iowa Methodist Medical Center
- General Acute Care Hospital
- Des Moines, IA
- NPI 1396837951
-
dba Iowa Methodist Medical Center-Methodist West
- General Acute Care Hospital
- West Des Moines, IA
- NPI 1598905762
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156032000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789603200000",
"number": "1922113273",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3200 GRAND AVE",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503124104",
"telephone_number": "515-271-7868",
"fax_number": "515-271-7123"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3200 GRAND AVE",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503124104",
"telephone_number": "515-271-1731",
"fax_number": "515-271-1726"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOHN",
"first_name": "KELLY",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "D.P.M",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-20",
"last_updated": "2026-09-17",
"certification_date": "2026-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "IA",
"license": "00710",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "kelly.john.1@11667.direct.athenahealth.com",
"affiliation": "N",
"address_1": "3200 Grand Ave",
"city": "Des Moines",
"state": "IA",
"country_code": "US",
"postal_code": "503124104",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "KELLY",
"last_name": "JOHN HAUGEN",
"middle_name": "JOANN",
"prefix": "DR.",
"credential": "DPM",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Des Moines, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.