JORDAN CREEK FAMILY MEDICAL CLINIC PC
NPI 1356378772
Family Medicine in West Des Moines, IA

Active since June 28, 2006CLIA 16D1056664 · Waiver
230 S 68TH ST, SUITE 220, WEST DES MOINES, IA 50266(515) 457-8517 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 22, 2020, Aug 17, 2018 (2 updates tracked since 2018).

About Jordan Creek Family Medical Clinic Pc NPPES

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

JORDAN CREEK FAMILY MEDICAL CLINIC PC (NPI 1356378772) is a healthcare organization registered as a family medicine in West Des Moines, Iowa and active in the NPI registry since June 2006. The organization holds a CLIA Waiver certificate valid through February 28, 2027 and lists Basil Saadi Hassan, President/ceo, as its authorized official.

NPPES Registry Identity

NPI1356378772
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameJORDAN CREEK FAMILY MEDICAL CLINIC PC
Location Address230 S 68TH ST, SUITE 220West Des Moines, IA 50266-8176
Mailing Address230 S 68th St, Suite 220West Des Moines, IA 50266-8176 · (515) 457-8517
Organization SubpartNo
Authorized OfficialBasil Saadi HassanPresident/ceo · (515) 457-8517
Enumeration DateJune 28, 2006
Last NPPES UpdateAugust 22, 20202 updates tracked since enumeration
NPI 1356378772 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in IA · 35490
Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

230 S 68TH ST, West Des Moines, IA 50266

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 SINGLE SPECIALTY GROUP

Accepted 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 Waiver 16D1056664

Jordan Creek Family Medicine Clinic, PC · West Des Moines, IA
Active · expires Feb 28, 2027
CLIA Number16D1056664
Laboratory TypePhysician Office
Certificate Effective DateMarch 1, 2025
Certificate Expiration DateFebruary 28, 2027
Laboratory DirectorDawn Schissel
Laboratory Phone(515) 471-1800
Laboratory LocationJordan Creek Family Medicine Clinic, PC230 South 68th Street, Suite 1203, West Des Moines, IA 50266
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 9

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

Family Medicine
230 S 68TH ST, SUITE 1203
WEST DES MOINES, IA 50266
Family Medicine
230 S 68TH ST, SUITE 1203
WEST DES MOINES, IA 50266
Family Medicine
230 S 68TH ST, SUITE 1203
WEST DES MOINES, IA 50266
Family Medicine
230 S 68TH ST, SUITE 1203
WEST DES MOINES, IA 50266
Family Medicine
230 S 68TH ST, SUITE 220
WEST DES MOINES, IA 50266
Orthopaedic Surgery
230 S 68TH ST, SUITE 1209
WEST DES MOINES, IA 50266
Family Medicine
230 S 68TH ST, SUITE 1203
WEST DES MOINES, IA 50266
Family Medicine
230 S 68TH ST, SUITE 1203
WEST DES MOINES, IA 50266

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 Jordan Creek Family Medical Clinic PC's NPI number?

The NPI number for Jordan Creek Family Medical Clinic PC is 1356378772. It was assigned to this organization in the NPPES registry on June 28, 2006.

Where is Jordan Creek Family Medical Clinic PC located?

Jordan Creek Family Medical Clinic PC is located at 230 S 68th St Suite 220, West Des Moines, IA 50266. The listed phone number is (515) 457-8517.

What is Jordan Creek Family Medical Clinic PC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Jordan Creek Family Medical Clinic PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 16D1056664) is associated with this NPI, valid through February 28, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Jordan Creek Family Medical Clinic PC 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 Jordan Creek Family Medical Clinic PC 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 Jordan Creek Family Medical Clinic PC was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.