MR. DUDLEY ALAN PHIPPS PA
NPI 1306807714
Physician Assistant - Surgical in Des Moines, IA

Q: What is Dudley Phipps's NPI number?

The NPI number for Dudley Phipps is 1306807714. It was assigned to this individual provider in the NPPES registry on March 28, 2006.

Q: What is Dudley Phipps's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Q: When was this NPI record last updated?

The NPPES record for Dudley Phipps was last updated on December 30, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 28, 2006PECOS Enrolled

450 LAUREL ST, STE. A, DES MOINES, IA 50314(515) 247-8400(515) 248-8888 Get Directions Write a Review

NPPES record last updated: December 30, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Mr. Dudley Alan Phipps Pa NPPES

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

MR. DUDLEY ALAN PHIPPS PA (NPI 1306807714) is an individual surgical provider in Des Moines, Iowa, licensed in Iowa (001491) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1306807714

Entity TypeIndividualMale

Primary Taxonomy363AS0400X

Provider Legal NameMR. DUDLEY ALAN PHIPPSCredential: PA

Location Address450 LAUREL ST, STE. ADes Moines, IA 50314-3045

Mailing Address450 Laurel St, Ste. ADes Moines, IA 50314-3045 · (515) 247-8400 · Fax (515) 248-8888

Phone(515) 247-8400

Fax(515) 248-8888

Sole ProprietorNo

Enumeration DateMarch 28, 2006

Last NPPES UpdateDecember 30, 2009

✔ NPI 1306807714 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AS0400X

License✔ Licensed in IA · 001491

450 LAUREL ST, Des Moines, IA 50314

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Other Identifiers 2

Medicare ID-Type UnspecifiedI10501

Medicare UPINP97730

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Dudley Alan Phipps Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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