SIMON KNOBLAUCH
NPI 1205650553
Dietitian, Registered - Nutrition, Obesity and Weight Management in Des Moines, IA

Active since November 13, 2024
5901 THORNTON AVE, DES MOINES, IA 50321(515) 327-2000 Get Directions Write a Review

NPPES record last updated: November 13, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Simon Knoblauch NPPES

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

SIMON KNOBLAUCH (NPI 1205650553) is an individual nutrition, obesity and weight management provider in Des Moines, Iowa, licensed in Iowa (86154782) and active in the NPI registry since November 2024. He is a graduate of Other (2020).

NPPES Registry Identity

NPI1205650553
Entity TypeIndividualMale
Primary Taxonomy133VN1201X
Provider Legal NameSIMON KNOBLAUCH
Location Address5901 THORNTON AVEDes Moines, IA 50321-2422
Mailing Address5901 Thornton AveDes Moines, IA 50321-2422 · (515) 327-2000
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateNovember 13, 2024
NPPES CertifiedNovember 13, 2024
✔ NPI 1205650553 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDietitian, Registered · Nutrition, Obesity and Weight ManagementDietary & Nutritional Service Providers
Taxonomy Code133VN1201X
License✔ Licensed in IA · 86154782
Definition
An individual who is a Board Certified Specialist for Obesity and Weight Management and educates, supports, and advocates for patients and clients to understand and manage their weight and associated risks through the use of nutritional, behavioral health, medical, surgical, pharmacotherapeutic, and exercise and physical activity interventions.
5901 THORNTON AVE, Des Moines, IA 50321

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Simon Knoblauch is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3072002880
PECOS Enrollment IDI20251031000487

Medicare Billing Reassignments

2

Medicare enrollment records show Simon Knoblauch reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Rural Health
215 13TH AVE SW
Clarion, IA 50525
  • Reassigned Medicare billing, Iowa enrollment
  • 166 clinicians in this Medicare group
Family Medicine
403 1ST ST SE
Belmond, IA 50421
  • Reassigned Medicare billing, Iowa enrollment
  • 164 clinicians in this Medicare group

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 4

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

Dietitian, Registered
5901 THORNTON AVE
DES MOINES, IA 50321
Dietitian, Registered
5901 THORNTON AVE
DES MOINES, IA 50321
Nurse Practitioner
5901 THORNTON AVE
DES MOINES, IA 50321
Nurse Practitioner (Adult Health)
5901 THORNTON AVE
DES MOINES, IA 50321

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 Simon Knoblauch's NPI number?

The NPI number for Simon Knoblauch is 1205650553. It was assigned to this individual provider in the NPPES registry on November 13, 2024.

Where is Simon Knoblauch located?

Simon Knoblauch practices at 5901 Thornton Ave, Des Moines, IA 50321. The listed phone number is (515) 327-2000.

What is Simon Knoblauch's specialty?

The primary specialty registered for this NPI is Dietitian, Registered, specializing in Nutrition, Obesity and Weight Management, with taxonomy code 133VN1201X.

Is Simon Knoblauch enrolled in Medicare?

Yes. Simon Knoblauch is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Simon Knoblauch's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Simon Knoblauch reassigns Medicare benefits to 2 organizations: Iowa Specialty Hospital- Clarion (Clarion, IA) and Belmond Community Hospital (Belmond, IA). Each 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 Simon Knoblauch's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Simon Knoblauch accept?

Health plans from Medica list Simon Knoblauch 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 Simon Knoblauch was last updated on November 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.