NPIMap

Individual provider Active NPI

Keith M Kohout, DO

  • Neurology Physician
  • Des Moines, IA
National Provider Identifier
1982043782
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
DO-05002 Issued in IA
Practice address
1111 6TH Ave Ste A100
Des Moines, IA 50314-2610
Phone
(515) 358-0011
Fax
(515) 358-0099
NPI assigned
Jun 14, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X DO-05002 IA Primary

Addresses

Primary practice location

1111 6TH Ave Ste A100
Des Moines, IA 50314-2610

Mailing address

PO Box 1475
Des Moines, IA 50305-1475
Phone (515) 358-0011

Other practice location 1

200 Hawkins Dr
UIHC Neurology
Iowa City, IA 52242-1009
Phone (319) 356-8754

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
I20170718002762 IA Practitioner - Neurology 5991939407 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Clinics IncGroup PAC ID 7911810882, 441 clinicians

Practice addresses (Care Compare)

1111 6TH Ave
Des Moines, IA 50314-2610

1111 6TH Ave
Des Moines, IA 50314-2613
Phone (515) 247-4240

1111 6TH Ave E Tower
Des Moines, IA 50314-2610

300 W Hutchings St
Winterset, IA 50273-2109

330 Laurel St
Suite 1200
Des Moines, IA 50314-3044
Phone (515) 643-6290

Hospital & facility affiliations

  • Mercyone Des Moines Medical Center Hospital, Des Moines, IA, CCN 160083
  • Knoxville Hospital & Clinics Hospital, Knoxville, IA, CCN 161355
  • Adair County Memorial Hospital Hospital, Greenfield, IA, CCN 161310
  • Unitypoint Health - Des Moines Iowa Methodist Medi Hospital, Des Moines, IA, CCN 160082
  • Mercyone Newton Medical Center Hospital, Newton, IA, CCN 160032

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DO-05002IAMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Knoxville Community Hospital Inc CurrentSince Aug 30, 2024 Accepting new patients
Knoxville Community Hospital Inc Current Accepting new patients
Knoxville Community Hospital Inc Current Accepting new patients
Mercy Clinics, Inc. CurrentSince Aug 1, 2017 Accepting new patients
Mercy Clinics, Inc Neurology CurrentSince Aug 1, 2017 Accepting new patients
Mercy Clinics, Inc. Current Accepting new patients
Boone County Hospital Past Accepting new patients

Locations

1111 6th Ave
Ste A100
Des Moines, IA 50314
Phone (515) 358-0011

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

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

1202 W Howard St
Knoxville, IA 50138
Phone (641) 828-7144

1002 S Lincoln St
Knoxville, IA 50138
Phone (641) 842-1464

300 W Hutchings St
Winterset, IA 50273
Phone (515) 223-4368

Interoperability endpoints

  • Direct secure messaging: kkohout3949711@direct.trinity-health.org
  • FHIR API: https://fhir4.healow.com/fhir/r4/DDGADD
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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 and National Provider Directory roles.

Hospital & facility affiliations 11

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": "1371168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1982043782",
    "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": "515-358-0011",
            "fax_number": "515-358-0099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 6TH AVE STE A100",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503142610",
            "telephone_number": "515-358-0011",
            "fax_number": "515-358-0099"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Hawkins Dr",
            "address_2": "UIHC Neurology",
            "address_purpose": "LOCATION",
            "city": "Iowa City",
            "state": "IA",
            "postal_code": "522421009",
            "country_code": "US",
            "telephone_number": "319-356-8754",
            "fax_number": "319-384-8476",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOHOUT",
        "first_name": "KEITH",
        "middle_name": "M",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-14",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "IA",
            "license": "DO-05002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Moines, IA

Sources for this page

Verify at the official NPI Registry.