DALE M. GRUNEWALD DO PC
NPI 1104879170
Family Medicine in West Des Moines, IA

Active since May 18, 2006
230 S 68TH ST, SUITE 1203, WEST DES MOINES, IA 50266(515) 471-1800(515) 471-1801 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dale M. Grunewald Do Pc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DALE M. GRUNEWALD DO PC (NPI 1104879170) is a healthcare organization registered as a family medicine in West Des Moines, Iowa and active in the NPI registry since May 2006. The organization lists Dale M Grunewald, President And Ceo, as its authorized official.

NPPES Registry Identity

NPI1104879170
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameDALE M. GRUNEWALD DO PC
Location Address230 S 68TH ST, SUITE 1203West Des Moines, IA 50266-8176
Mailing Address230 S 68th St, Suite 1203West Des Moines, IA 50266-8176 · (515) 471-1800 · Fax (515) 471-1801
Fax(515) 471-1801
Organization SubpartNo
Authorized OfficialDale M GrunewaldPresident And Ceo · (515) 237-3974
Enumeration DateMay 18, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1104879170 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
230 S 68TH ST, West Des Moines, IA 50266

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dale M. Grunewald Do Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Dale M. Grunewald Do PC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Family Practice
NPI 1871595207
230 S 68TH ST SUITE 1203
West Des Moines, IA 50266
(515) 471-1800
✔ PECOS✔ Accepts Medicare0.2 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dale M. Grunewald Do PC's NPI number?

The NPI number for Dale M. Grunewald Do PC is 1104879170. It was assigned to this organization in the NPPES registry on May 18, 2006.

Where is Dale M. Grunewald Do PC located?

Dale M. Grunewald Do PC is located at 230 S 68th St Suite 1203, West Des Moines, IA 50266. The listed phone number is (515) 471-1800.

What is Dale M. Grunewald Do PC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Dale M. Grunewald Do PC enrolled in Medicare?

Yes. Dale M. Grunewald Do PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Dale M. Grunewald Do PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Dale M. Grunewald Do PC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Dale M. Grunewald Do PC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.