Renee R Ellerbroek, MD

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

24490 Issued in IA

Practice address

4637 121St St
Urbandale, IA 50323-2311

Phone

(515) 655-7080

Fax

(515) 655-7090

NPI assigned

Aug 28, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Pathology

Education

University of Iowa, RJ & L Carver College of Medicine, 1981

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Urology Center of Iowa PLLCGroup PAC ID 1658701834, 32 clinicians

Iowa Digestive Disease Center PCGroup PAC ID 4183522188, 24 clinicians

Goldfinch Laboratory PCGroup PAC ID 8123497211, 5 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

79.67 of 100Reported as group

Quality

59.33

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/10390883
• FHIR API: https://fhir-myrecord.cerner.com/r4/18f5d65c-83f0-435a-868c-70ce5a6de90a/

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Goldfinch Laboratory, P.C.

  • Anatomic Pathology & Clinical Pathology Physician
  • Urbandale, IA
  • NPI 1477277119
  Medicare reassignment Care Compare group NPD
• Iowa Digestive Disease Center P.C.

  • Gastroenterology Physician
  • Clive, IA
  • NPI 1275571747
  Medicare reassignment Care Compare group NPD
• Urology Center of Iowa PLLC

  • Urology Physician
  • Clive, IA
  • NPI 1689210155
  Medicare reassignment Care Compare group NPD
• Broadlawns Medical Center

  • General Acute Care Hospital
  • Des Moines, IA
  • NPI 1467447508
  Medicare reassignment NPD
• Regional Laboratory Consultants PC

  • Clinical Medical Laboratory
  • Des Moines, IA
  • NPI 1891805958

  Anatomic Pathology & Clinical Pathology

  Medicare reassignment NPD
• Broadlawns Medical Center

  • Pharmacy
  • Des Moines, IA
  • NPI 1013197060
  NPD
• Iowa Pathology Associates PC

  • Clinical Medical Laboratory
  • Des Moines, IA
  • NPI 1184734246
  NPD
• Urology Partners of North Texas, PLLC

  • Urology Physician
  • Arlington, TX
  • NPI 1528537180
  NPD (past)

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

{
    "created_epoch": "1156723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688688000000",
    "number": "1962510099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4637 121ST ST",
            "city": "URBANDALE",
            "state": "IA",
            "postal_code": "503232311",
            "telephone_number": "515-655-7080",
            "fax_number": "515-655-7090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4637 121ST ST",
            "city": "URBANDALE",
            "state": "IA",
            "postal_code": "503232311",
            "telephone_number": "515-655-7080",
            "fax_number": "515-655-7090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELLERBROEK",
        "first_name": "RENEE",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-28",
        "last_updated": "2023-07-07",
        "certification_date": "2023-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "IA",
            "license": "24490",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1041525",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Monique I Elgersma, LMFT
• Richard Elgersma, LMFT, M. LITT
• Eli Trumpy Counseling LLC
• Jenifer C Eligh, LMSW
• Elite Spinal Rehab, P.C
• Clinton Ellis
• Emeritus Corporation
• Jody Lynn England, D.C.
• Shad B England, D.C.
• Chad P Enich, PA C

• Anatomic Pathology & Clinical Pathology Physician in Urbandale, IA
• Providers in Urbandale, IA by specialty
• Anatomic Pathology & Clinical Pathology Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2023; 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.

Verify at the official NPI Registry.