Individual provider Active NPI

Kimberly C Bina, D.O.

  • Family Medicine Physician
  • Ankeny, IA
National Provider Identifier
1942261995
Registry record updated Mar 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
3467 Issued in IA
Practice address
2214 SW Ridgeway CT
Ankeny, IA 50023-5424
Phone
(515) 963-5450
NPI assigned
Mar 29, 2006
Last updated
Mar 2, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X R7671 TX
Family Medicine Physician 207Q00000X 036-111283 IL
Family Medicine Physician 207Q00000X 3467 IA Primary

Addresses

Primary practice location

2214 SW Ridgeway CT
Ankeny, IA 50023-5424

Mailing address

2214 SW Ridgeway CT
Ankeny, IA 50023-5424
Phone (515) 963-5450

Other practice location 1

2296 Hat Bender Loop
Round Rock, TX 78664-2044
Phone (515) 963-5450

Other practice location 2

5950 University Ave Ste 105
West Des Moines, IA 50266-7756
Phone (515) 875-9070

Other names 1

  • Miss Kimberly C Boersma Former name

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
I20040908000463 IA Practitioner - Emergency MedicinePractitioner - Family Practice 1951377290 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency MedicineAlso: Family Practice
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pella Regional Health CenterGroup PAC ID 9931005873, shared by 10 NPIs, 96 clinicians

Practice addresses (Care Compare)

405 Monroe St
Pella, IA 50219-1189
Phone (641) 628-3832

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.29 of 100Reported as group
Quality
80.31
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
91.84 of 100Reported as group
Quality
91.13
Promoting interoperability
100
Improvement activities
40
Cost
81.67

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-111283ILMDFamily Medicine Physician
3467IAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Pella Regional Health Center CurrentSince Mar 1, 2019 Accepting new patients
Pella Regional Health Center Family Medicine CurrentSince Mar 1, 2019 Accepting new patients
Des Moines River Physicians, LLC CurrentSince Feb 1, 2016 Accepting new patients
Des Moines River Physicians, LLC CurrentSince Feb 1, 2016 Accepting new patients
Pella Regional Health Center Current Accepting new patients
Des Moines River Physicians, LLC Current Accepting new patients
Catholic Health Initiatives - Iowa Corp Past Accepting new patients
Mercy Health Services-Iowa Corp Past Accepting new patients
Catholic Health Initiatives-Iowa Corp Family Medicine Past Accepting new patients

Locations

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

204 N 4th Ave E
Newton, IA 50208
Phone (641) 791-4800

405 Monroe St
Pella, IA 50219
Phone (641) 621-2200

1755 59th Pl
West Des Moines, IA 50266
Phone (515) 247-4240

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
  • Direct secure messaging: kbina170940@uihcdirect.org

Organizations & group practices 9

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 1

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": "1143590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614643200000",
    "number": "1942261995",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2214 SW RIDGEWAY CT",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "500235424",
            "telephone_number": "515-963-5450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2214 SW RIDGEWAY CT",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "500235424",
            "telephone_number": "515-963-5450"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2296 Hat Bender Loop",
            "address_purpose": "LOCATION",
            "city": "Round Rock",
            "state": "TX",
            "postal_code": "786642044",
            "country_code": "US",
            "telephone_number": "515-963-5450",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5950 University Ave Ste 105",
            "address_purpose": "LOCATION",
            "city": "West Des Moines",
            "state": "IA",
            "postal_code": "502667756",
            "country_code": "US",
            "telephone_number": "515-875-9070",
            "fax_number": "515-875-9071",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BINA",
        "first_name": "KIMBERLY",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-29",
        "last_updated": "2021-03-02",
        "certification_date": "2021-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "R7671",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036-111283",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "3467",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIMBERLY",
            "last_name": "BOERSMA",
            "middle_name": "C",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Ankeny, IA

Sources for this page

Verify at the official NPI Registry.