Active NPI
Mercy Clinics Inc
Doing business as Mercy Clinics Internal Medicine Central Campus
- Internal Medicine Physician
- Des Moines, IA
National Provider Identifier
1942226550
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- MERCY CLINICS INC
- Doing business as
- Mercy Clinics Internal Medicine Central Campus
MercyOne Des Moines Internal Medicine Clinic - Practice address
- 411 Laurel St Ste A120
Des Moines, IA 50314-3027 - Phone
- (515) 643-5700
- Fax
- (515) 643-5739
- NPI assigned
- Jul 15, 2006
- Last updated
- Apr 8, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sharon Phillips
- Title
- Chief Operating Officer
- Phone
- (515) 358-6960
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Specialty Clinic/Center | 261QM2500X | IA | ||
| Internal Medicine Physician | 207R00000X | Primary |
Addresses
Primary practice location
411 Laurel St Ste A120
Des Moines, IA 50314-3027
Mailing address
PO Box 1475
Des Moines, IA 50305-1475
Phone (515) 643-5700
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0256370 | Medicaid | IA | |
| CD3776 | Other | IA | RAILROAD MEDICARE |
Other names 2
- Mercy Clinics Internal Medicine Central Campus
- MercyOne Des Moines Internal Medicine Clinic
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031112000238 | IA | Part B Supplier - Clinic/Group Practice | 7911810882 |
Receives reassigned benefits from 558 practitioners This NPI is an additional NPI on the enrollment |
National Provider Directory
National Provider DirectoryLocations
411 Laurel St
Ste A120
Des Moines, IA 50314
Phone (515) 247-3970
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Internal Medicine Physician
- Des Moines, IA
- NPI 1033778352
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152921600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1554681600000",
"number": "1942226550",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1475",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503051475",
"telephone_number": "515-643-5700",
"fax_number": "515-643-5739"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "411 LAUREL ST STE A120",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503143027",
"telephone_number": "515-643-5700",
"fax_number": "515-643-5739"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MERCY CLINICS INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-15",
"last_updated": "2019-04-08",
"status": "A",
"authorized_official_last_name": "PHILLIPS",
"authorized_official_first_name": "SHARON",
"authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
"authorized_official_telephone_number": "515-358-6960"
},
"taxonomies": [
{
"code": "261QM2500X",
"taxonomy_group": "",
"desc": "Clinic/Center, Medical Specialty",
"state": "IA",
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0256370",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "CD3776",
"state": "IA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Mercy Clinics Internal Medicine Central Campus",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "MercyOne Des Moines Internal Medicine Clinic",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Des Moines, IA
- Mercy Clinics Inc (Mercy Skywalk Physical Therapy)
- Mercy Clinics Inc (MercyOne Des Moines Pediatrics Care Clinc)
- Mercy Clinics Inc (Mercy Plastic & Reconstructive Surgery)
- Mercy Clinics Inc (Mercy Arthritis and Osteoporosis Center)
- Mercy Clinics Inc (Mercy South Physical Therapy)
- Mercy Clinics Nurse Practitioners
- Mercy Clinics, Inc (Mercy Ruan Neurology Clinic Central)
- Mercy Clinics, Inc (MercyOne Des Moines Transplant Care)
- Mercy Clinics, Inc (MercyOne Des Moines Trauma Care)
- Mercy Clinics, Inc (Mercy Pediatric Neurology and Psychiatry Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.