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: July 19, 2026.

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

  • Organization
  • Pediatrics
  • Accepts Insurance
  • CLIA Number: 16D0383437
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 10-07-2026

About DES MOINES PEDIATRIC & ADOLESCENT CLINIC

This page provides the complete NPI Profile along with additional information for Des Moines Pediatric & Adolescent Clinic, a pediatrician established in Des Moines, Iowa operating as a Pediatrics. The healthcare provider is registered in the NPI registry with number 1194991109 assigned on April 2008. The practitioner's primary taxonomy code is 208000000X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Rob Fornoff M.d. (Owner)

NPI
1194991109 Verify this NPI
Provider Name
DES MOINES PEDIATRIC & ADOLESCENT CLINIC
Entity Type
Organization
Location Address
2301 BEAVER AVE DES MOINES, IA 50310
Location Phone
(515) 255-3181
Location Fax
(515) 255-9392
Mailing Address
2301 BEAVER AVE DES MOINES, IA 50310
Mailing Phone
(515) 255-3181
Mailing Fax
(515) 255-9392
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-30-2008
Last Update Date
12-10-2020
Code Navigator

A pediatrician like Des Moines Pediatric & Adolescent Clinic is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Pediatrics

Taxonomy Code
208000000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1363LP0200XPhysician Assistants & Advanced Practice Nursing Providers

Nurse Practitioner
Pediatrics

 

Group Taxonomy 193400000X MULTIPLE SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Complete Silver - EPO
  • Complete Silver + Vision + Adult Dental - EPO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Everyday Gold - EPO
  • Everyday Gold + Vision + Adult Dental - EPO
  • Choice Bronze HSA - EPO
  • Choice Bronze HSA + Vision + Adult Dental - EPO
  • Clear Silver - EPO
  • Clear Silver + Vision + Adult Dental - EPO
  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Complete Silver - EPO
  • Complete Silver + Vision + Adult Dental - EPO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Elite Gold - EPO
  • Elite Gold + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Everyday Gold - EPO
  • Everyday Gold + Vision + Adult Dental - EPO
  • Focused Silver - EPO
  • Focused Silver + Vision + Adult Dental - EPO
  • Choice Bronze HSA - EPO
  • Choice Bronze HSA + Vision + Adult Dental - EPO
  • Clear Gold - EPO
  • Clear Gold + Vision + Adult Dental - EPO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Elite Bronze - EPO
  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Clear Gold - EPO
  • Clear Gold + Vision + Adult Dental - EPO
  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Elite Silver - EPO
  • Elite Silver + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Focused Silver - EPO
  • Focused Silver + Vision + Adult Dental - EPO
  • Inspire by Medica Bronze $0 Copay PCP Visits - EPO
  • Inspire by Medica Bronze Share - EPO
  • Inspire by Medica Expanded Bronze Standard - EPO
  • Inspire by Medica Gold $0 Copay PCP Visits - EPO
  • Inspire by Medica Gold Share - EPO
  • Inspire by Medica Gold Standard - EPO
  • Inspire by Medica Silver $0 Copay PCP Visits - EPO
  • Inspire by Medica Silver Share - EPO
  • Inspire by Medica Silver Standard - EPO
  • Medica Insure Bronze $0 Copay PCP Visits - EPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

ROB FORNOFF M.D.

Authorized Official Title
OWNER
Authorized Official Phone
(515) 255-3181

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
16D0383437
Facility Type
Physician Office
Certificate Effective Date
October 08, 2024
Certificate Expiration Date
October 07, 2026
Laboratory Director
ROBERT A. FORNOFF
Certificate Type
Certificate of Compliance
Certificate Type Description
This CLIA certificate is issued to Des Moines Pediatric & Adolescent Clinic after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.

Reviews for DES MOINES PEDIATRIC & ADOLESCENT CLINIC

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

Other Providers at the Same Location


The following 7 providers are registered at the same or a nearby location.

Pediatrics
2301 BEAVER AVE
DES MOINES, IA 50310
Pediatrics
2301 BEAVER AVE
DES MOINES, IA 50310
Nurse Practitioner (Pediatrics)
2301 BEAVER AVE
DES MOINES, IA 50310
Nurse Practitioner (Pediatrics)
2301 BEAVER AVE
DES MOINES, IA 50310
Nurse Practitioner (Family)
2301 BEAVER AVE
DES MOINES, IA 50310
Pediatrics
2301 BEAVER AVE
DES MOINES, IA 50310
Pediatrics
2301 BEAVER AVE
DES MOINES, IA 50310

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1194991109, enumerated as an "organization" on April 30, 2008.

The provider is located at 2301 BEAVER AVE DES MOINES, IA 50310 and the phone number is (515) 255-3181.

Pediatrics with taxonomy code 208000000X.

The provider might be accepting Accepts: Ambetter from Home State Health, Ambetter from NH. Please consult your insurance carrier or call the provider to verify.