NPIMap

Individual provider Active NPI

Kevin Hanigan, D.O.

  • Family Medicine Physician
  • Ankeny, IA
National Provider Identifier
1972980902
Registry record updated Jan 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
DO-05009 Issued in IA
Practice address
2605 SW White Birch Dr
Ankeny, IA 50023-7204
Phone
(515) 643-7100
Fax
(515) 643-7145
NPI assigned
Apr 28, 2015
Sex
Male
Sole proprietor
No

Organizations & group practices 16

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.

View all 16

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Primary Health Care Inc 72 clinicians
Mercy Clinics Inc 441 clinicians

Practice addresses (Care Compare)

250 Laurel St
Des Moines, IA 50314-3024
Phone (515) 612-9595

2605 SW White Birch Dr
Mercyone Ankeny Prairie Trail Family Medici
Ankeny, IA 50023-7235
Phone (515) 643-7100

Hospital & facility affiliations

  • Mercyone Des Moines Home Care Home health agency, Des Moines, IA, CCN 167133
  • Mercyone Des Moines Medical Center Hospital, Des Moines, IA, CCN 160083
  • Unitypoint Health - Des Moines Iowa Methodist Medi Hospital, Des Moines, IA, CCN 160082

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

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
I20180419001911 IA Practitioner - Family Practice 4587959341 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DO-05009IAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Clinics, Inc Family Medicine CurrentSince Sep 19, 2019 Accepting new patients
Primary Health Care, Inc. CurrentSince Nov 11, 2019 Accepting new patients
Mercy Clinics, Inc. Family Medicine Current Accepting new patients
Primary Health Care, Inc. CurrentSince Nov 11, 2019 Accepting new patients
Mercy Clinics, Inc. CurrentSince Sep 19, 2019 Accepting new patients
Primary Health Care, Inc. Past Accepting new patients

Locations

2605 SW White Birch Dr
Ankeny, IA 50023
Phone (515) 643-7100

405 SW 5th St
Ste E
Des Moines, IA 50309
Phone (515) 358-7259

2353 SE 14th St
Des Moines, IA 50320
Phone (515) 248-1400

250 Laurel St
Des Moines, IA 50314
Phone (515) 612-9595

330 Laurel St
Ste 1200
Des Moines, IA 50314
Phone (515) 643-5454

6200 Aurora Ave
Ste 100W
Urbandale, IA 50322
Phone (515) 270-1177

Interoperability endpoints

  • Direct secure messaging: khanigan3946362@direct.trinity-health.org
  • Direct secure messaging: khanigan638458@direct.ochin.org

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Family Medicine Physician 207Q00000X DO-05009 IA Primary

Addresses

NPPES NPI Registry

Primary practice location

2605 SW White Birch Dr
Ankeny, IA 50023-7204

Mailing address

PO Box 1475
Des Moines, IA 50305-1475
Phone (515) 643-7100

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 21, 2024.

{
    "created_epoch": "1430179200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705795200000",
    "number": "1972980902",
    "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": "515-643-7100",
            "fax_number": "515-643-7145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2605 SW WHITE BIRCH DR",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "500237204",
            "telephone_number": "515-643-7100",
            "fax_number": "515-643-7145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HANIGAN",
        "first_name": "KEVIN",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-28",
        "last_updated": "2024-01-21",
        "certification_date": "2024-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "DO-05009",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ankeny, IA

Sources for this page

Verify at the official NPI Registry.