Individual provider Active NPI

Roger I Ceilley, M.D.

  • Dermatology Physician
  • West Des Moines, IA
National Provider Identifier
1992758122
Registry record updated Apr 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
18639 Issued in IA
Practice address
6000 University Ave
Suite 450
West Des Moines, IA 50266-8203
Phone
(515) 241-2000
Fax
(515) 241-2005
NPI assigned
May 18, 2006
Last updated
Apr 7, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 18639 IA Primary
MOHS-Micrographic Surgery Physician 207ND0101X 18639 IA

Addresses

Primary practice location

6000 University Ave
Suite 450
West Des Moines, IA 50266-8203

Mailing address

6000 University Ave
Suite 450
West Des Moines, IA 50266-8203
Phone (515) 241-2000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, CO2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20051227000142 IA Practitioner - Dermatology 3779470950 Reassigns benefits to 1 organization
I20120313000077 CO Practitioner - Dermatology 3779470950 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Iowa, RJ & L Carver College of Medicine, 1971
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dermatology PCGroup PAC ID 8426945742, 15 clinicians

Practice addresses (Care Compare)

6000 University Ave
Suite 450
West Des Moines, IA 50266-8229
Phone (515) 241-2000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88.16 of 100Reported as group
Quality
82.24
Promoting interoperability
100
Improvement activities
40
Cost
78.28

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision145
Removal of tissue1-10
Removal of skin lesions3155
Removal of skin cancer415
Removal or shaving of skin growth17
Skin biopsy863

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
18639IAMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Dermatology Skin Cancer & Laser Surgery Center P.C. Dermatology CurrentSince Mar 7, 2003 Accepting new patients
Advanced Dermatology Skin Cancer & Laser Surgery Center P.C. Dermatology CurrentSince Mar 7, 2003 Accepting new patients

Locations

1390 S Potomac St
Ste 124
Denver, CO 80012
Phone (303) 368-8611

3464 S Willow St
Ste 194
Denver, CO 80231

Organizations & group practices 3

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 4

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": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743984000000",
    "number": "1992758122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6000 UNIVERSITY AVE",
            "address_2": "SUITE 450",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502668203",
            "telephone_number": "515-241-2000",
            "fax_number": "515-241-2005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6000 UNIVERSITY AVE",
            "address_2": "SUITE 450",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502668203",
            "telephone_number": "515-241-2000",
            "fax_number": "515-241-2005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CEILLEY",
        "first_name": "ROGER",
        "middle_name": "I",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-18",
        "last_updated": "2025-04-07",
        "certification_date": "2025-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "IA",
            "license": "18639",
            "primary": true
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "IA",
            "license": "18639",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Des Moines, IA

Sources for this page

Verify at the official NPI Registry.