NPIMap

Individual provider Active NPI

Matthew Abendroth

  • Family Medicine Physician
  • Des Moines, IA
National Provider Identifier
1972918894
Registry record updated Dec 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
DO-04750 Issued in IA
Practice address
3709 Southern Hills Dr
Des Moines, IA 50321-1324
Phone
(515) 400-4865
Fax
(515) 497-4062
NPI assigned
Jun 30, 2014
Last updated
Dec 14, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X R-10100 IA
Family Medicine Physician 207Q00000X DO-04750 IA Primary

Addresses

Primary practice location

3709 Southern Hills Dr
Des Moines, IA 50321-1324

Mailing address

3709 Southern Hills Dr
Des Moines, IA 50321-1324
Phone (515) 434-3054

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150806012078 IA Practitioner - Family Practice 1658590807 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Keokuk County Health CenterGroup PAC ID 0244138774, 23 clinicians
Adair County Memorial HospitalGroup PAC ID 3072403153, shared by 6 NPIs, 15 clinicians

Practice addresses (Care Compare)

1000 15TH St N
Humboldt, IA 50548-1008
Phone (515) 332-4200

23019 Hwy 149
Sigourney, IA 52591-8341
Phone (641) 622-2720

609 SE Kent St
Greenfield, IA 50849-9494
Phone (641) 743-2123

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DO-04750IAMDFamily Medicine Physician
R-10100IAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Keokuk County Health Center CurrentSince Mar 21, 2025 Accepting new patients
St Luke's Methodist Hospital Current Accepting new patients
Humboldt County Memorial Hospital Current Accepting new patients
Adair County Memorial Hospital CurrentSince May 8, 2025 Accepting new patients
Van Buren County Hospital CurrentSince Nov 1, 2016 Accepting new patients
Adair County Memorial Hospital CurrentSince May 8, 2025 Accepting new patients
Keokuk County Health Center CurrentSince Dec 1, 2025 Accepting new patients
Van Buren County Hospital CurrentSince Sep 1, 2025 Accepting new patients
Keokuk County Health Center CurrentSince Mar 21, 2025 Accepting new patients
Van Buren County Hospital CurrentSince Nov 1, 2016 Accepting new patients
Adair County Memorial Hospital Current Accepting new patients

Locations

609 SE Kent St
Greenfield, IA 50849
Phone (641) 743-2123

1000 15th St N
Humboldt, IA 50548
Phone (515) 332-4200

304 Franklin St
Keosauqua, IA 52565
Phone (319) 293-3171

23019 Highway 149
Sigourney, IA 52591
Phone (641) 622-2720

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/f904b187-16a4-4582-8ea3-887d87de0011/
  • FHIR API: https://fhir-usa.unify.chbase.com/org/keocohc-1efc0458
  • Direct secure messaging: mabendroth100515@uihcdirect.org
  • Direct secure messaging: mabendroth142325@direct.unitypoint.org

Organizations & group practices 12

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 5

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": "1404086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607904000000",
    "number": "1972918894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3709 SOUTHERN HILLS DR",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503211324",
            "telephone_number": "515-434-3054",
            "fax_number": "515-497-4062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3709 SOUTHERN HILLS DR",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503211324",
            "telephone_number": "515-400-4865",
            "fax_number": "515-497-4062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ABENDROTH",
        "first_name": "MATTHEW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-30",
        "last_updated": "2020-12-14",
        "certification_date": "2020-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "R-10100",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "DO-04750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Moines, IA

Sources for this page

Verify at the official NPI Registry.