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DES MOINES PEDIATRIC & ADOLESCENT CLINIC
NPI 1194991109
Pediatrics in Des Moines, IA

Active since April 30, 2008CLIA 16D0383437 · Certificate of Compliance
2301 BEAVER AVE, DES MOINES, IA 50310(515) 255-3181(515) 255-9392 Get Directions Write a Review

NPPES record last updated: December 10, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 10, 2020, Oct 14, 2020 (2 updates tracked since 2020).

About Des Moines Pediatric & Adolescent Clinic NPPES

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

DES MOINES PEDIATRIC & ADOLESCENT CLINIC (NPI 1194991109) is a healthcare organization registered as a pediatrics in Des Moines, Iowa and active in the NPI registry since April 2008. The organization holds a CLIA Certificate of Compliance certificate valid through October 7, 2026 and lists Rob Fornoff, Owner, as its authorized official.

NPPES Registry Identity

NPI1194991109
Entity TypeOrganization
Primary Taxonomy208000000X
Legal Business NameDES MOINES PEDIATRIC & ADOLESCENT CLINIC
Location Address2301 BEAVER AVEDes Moines, IA 50310-3903
Mailing Address2301 Beaver AveDes Moines, IA 50310-3903 · (515) 255-3181 · Fax (515) 255-9392
Phone(515) 255-3181
Fax(515) 255-9392
Organization SubpartNo
Authorized OfficialRob FornoffOwner · (515) 255-3181
Enumeration DateApril 30, 2008
Last NPPES UpdateDecember 10, 20202 updates tracked since enumeration
NPPES CertifiedDecember 10, 2020
✔ NPI 1194991109 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedNurse Practitioner · PediatricsTaxonomy 363LP0200X
2301 BEAVER AVE, Des Moines, IA 50310
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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 MULTIPLE SINGLE SPECIALTY GROUP

Accepted Insurance

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 16D0383437

Des Moines Pediatric & Adolescent Clinic · Des Moines, IA
Active · expires Oct 7, 2026
CLIA Number16D0383437
Laboratory TypePhysician Office
Certificate Effective DateOctober 8, 2024
Certificate Expiration DateOctober 7, 2026
Laboratory DirectorRobert A. Fornoff
Laboratory Phone(515) 255-3181
Laboratory LocationDes Moines Pediatric & Adolescent Clinic2301 Beaver Avenue, Des Moines, IA 50310
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 7

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

DR. KENNETH WLSON TALCOTT M.D.
Pediatrics
2301 BEAVER AVE
DES MOINES, IA 50310
Polk County (515) 255-3181
LAUREN ROPP
Nurse Practitioner (Family)
2301 BEAVER AVE
DES MOINES, IA 50310
Polk County (515) 255-3181
MS. SHERRI CHRISMAN-BATTERSON CPNP,ARNP
Nurse Practitioner (Pediatrics)
2301 BEAVER AVE
DES MOINES, IA 50310
Polk County (515) 255-3181
DR. HEIDI MARIE KOCH M.D.
Pediatrics
2301 BEAVER AVE
DES MOINES, IA 50310
Polk County (515) 255-3181
SARAH BARNHART CPNP
Pediatrics
2301 BEAVER AVE
DES MOINES, IA 50310
Polk County (515) 255-3181
DR. ROBERT ADAM FORNOFF M.D.
Pediatrics
2301 BEAVER AVE
DES MOINES, IA 50310
Polk County (515) 255-3181
MS. SALLY TWEDT CPNP,ARNP
Nurse Practitioner (Pediatrics)
2301 BEAVER AVE
DES MOINES, IA 50310
Polk County (515) 255-3181

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 Des Moines Pediatric & Adolescent Clinic's NPI number?

The NPI number for Des Moines Pediatric & Adolescent Clinic is 1194991109. It was assigned to this organization in the NPPES registry on April 30, 2008.

Where is Des Moines Pediatric & Adolescent Clinic located?

Des Moines Pediatric & Adolescent Clinic is located at 2301 Beaver Ave, Des Moines, IA 50310. The listed phone number is (515) 255-3181.

What is Des Moines Pediatric & Adolescent Clinic's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Does Des Moines Pediatric & Adolescent Clinic hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 16D0383437) is associated with this NPI, valid through October 7, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Des Moines Pediatric & Adolescent Clinic accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan and 1 other insurer list Des Moines Pediatric & Adolescent Clinic 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 Des Moines Pediatric & Adolescent Clinic was last updated on December 10, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.