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TARA J FEDERLY M.D.
NPI 1164683835
Allergy & Immunology - Allergy in West Des Moines, IA

Active since June 24, 2008PECOS EnrolledAccepts Medicare Assignment
6800 LAKE DR STE 260, WEST DES MOINES, IA 50266(515) 630-5022(515) 630-5026 Get Directions Write a Review

NPPES record last updated: July 30, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 30, 2020, Apr 10, 2017 (2 updates tracked since 2017).

About Tara J Federly M.d. NPPES

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

TARA J FEDERLY M.D. (NPI 1164683835) is an individual allergy provider in West Des Moines, Iowa, licensed in Iowa (39579) and active in the NPI registry since June 2008. She is enrolled in Medicare PECOS and is a graduate of University Of Minnesota Medical School (2008).

NPPES Registry Identity

NPI1164683835
Entity TypeIndividualFemale
Primary Taxonomy207KA0200X
Provider Legal NameTARA J FEDERLYCredential: M.D.
Location Address6800 LAKE DR STE 260West Des Moines, IA 50266-2504
Mailing Address6800 Lake Dr Ste 260West Des Moines, IA 50266-2504 · (515) 630-5022 · Fax (515) 630-5026
Phone(515) 630-5022
Fax(515) 630-5026
Sole ProprietorNo
Medical School CMSUniversity Of Minnesota Medical SchoolGraduated 2008
Enumeration DateJune 24, 2008
Last NPPES UpdateJuly 30, 20202 updates tracked since enumeration
NPPES CertifiedJuly 30, 2020
✔ NPI 1164683835 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAllergy & Immunology · AllergyAllopathic & Osteopathic Physicians
Taxonomy Code207KA0200X
License✔ Licensed in IA · 39579
Definition
A physician who specializes in the diagnosis, treatment, and management of allergies. Source: National Uniform Claim Committee
Also ListedPediatricsTaxonomy 208000000X · License R-8408 (IA)
6800 LAKE DR STE 260, West Des Moines, IA 50266
Open in Google Maps ↗

Other Names 1

Former Name (1)Tara J Bly M.d.

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Tara J Federly M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2264675719
PECOS Enrollment IDI20130830000514
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Tara Federly reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Cornerstone Pediatrics And Family Allergy, Plc
Same address
Allergy
6800 LAKE DRIVE, #260
West Des Monies, IA 50266
  • Reassigned Medicare billing, Iowa enrollment
  • 2 clinicians in this Medicare group
NPI 1598325151 (515) 822-3192

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

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AMY K. PETERSEN D.O.
Pediatrics
6800 LAKE DR STE 260
WEST DES MOINES, IA 50266
Dallas County (515) 630-5022

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 Tara Federly's NPI number?

The NPI number for Tara Federly is 1164683835. It was assigned to this individual provider in the NPPES registry on June 24, 2008. The provider is also known as Tara J Bly M.D..

Where is Tara Federly located?

Tara Federly practices at 6800 Lake Dr Ste 260, West Des Moines, IA 50266. The listed phone number is (515) 630-5022.

What is Tara Federly's specialty?

The primary specialty registered for this NPI is Allergy & Immunology, specializing in Allergy, with taxonomy code 207KA0200X.

Is Tara Federly enrolled in Medicare?

Yes. Tara Federly is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Tara Federly's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tara Federly reassigns Medicare benefits to Cornerstone Pediatrics And Family Allergy, Plc (West Des Monies, IA). The 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 Tara Federly's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tara Federly accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and Oscar Insurance Company and 1 other insurer list Tara Federly as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Tara Federly was last updated on July 30, 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.