MERCYONE DES MOINES PEDIATRICS CARE CLINC
NPI 1407036262
Pediatrics - Adolescent Medicine in Des Moines, IA

NPI Status: Active since November 09, 2007

Contact Information

330 LAUREL ST
SUITE 2100
DES MOINES, IA
ZIP 50314
Phone: (515) 643-8611
Fax: (515) 643-8812

NPI Profile Information
Primary Taxonomy
Group Taxonomy
Insurance Plans Accepted
Secondary Locations
Authorized Official
CLIA Information
NPI Validation
Other Providers Same Location
Frequently Asked Questions

Organization
Pediatrics
Adolescent Medicine
Accepts Insurance
CLIA Number: 16D0383703
CLIA Cert. Type: Physician Office
CLIA Exp. Date: 01-20-2027

About MERCYONE DES MOINES PEDIATRICS CARE CLINC

This page provides the complete NPI Profile along with additional information for Mercyone Des Moines Pediatrics Care Clinc, a pediatrician established in Des Moines, Iowa operating as a Pediatrics, focusing in adolescent medicine . The healthcare provider is registered in the NPI registry with number 1407036262 assigned on November 2007. The practitioner's primary taxonomy code is 2080A0000X. The provider is registered as an organization and their NPI record was last updated 2 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 provider's is doing business as Mercyone Des Moines Pediatrics Care Clinc. The authorized official of this NPI record is Bradley Whipple (Coo)

NPI: 1407036262
Provider Legal Name: MERCY CLINICS INC
Other Organization Name: MERCYONE DES MOINES PEDIATRICS CARE CLINC
Other Name Type: Doing Business As (3)
Entity Type: Organization
Location Address: 330 LAUREL ST SUITE 2100 DES MOINES, IA 50314
Location Phone: (515) 643-8611
Location Fax: (515) 643-8812
Mailing Address: PO BOX 1475 DES MOINES, IA 50305
Mailing Phone: (515) 643-4374
Mailing Fax: (515) 643-8812
Is Sole Proprietor?: No
Is Organization Subpart?: No
Enumeration Date: 11-09-2007
Last Update Date: 10-11-2024
Code Navigator

A pediatrician like Mercyone Des Moines Pediatrics Care Clinc 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

Secondary Locations

25 W Hickman Rd
Waukee, IA 50263
(515) 643-7000
5406 Merle Hay Rd
Johnston, IA 50131
(515) 727-8750

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 Adolescent Medicine
Taxonomy Code: 2080A0000X
Type: Allopathic & Osteopathic Physicians
Taxonomy Description: A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.

Group Taxonomy 193400000X 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:

Ambetter from Home State Health

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

Ambetter from NH Healthy Families

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

Ambetter from Sunflower Health Plan

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

Ambetter Health

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

Ambetter Health of Delaware

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

Medica

Medica Insure Bronze $0 Copay PCP Visits - EPO
Medica Insure Bronze Premier - EPO
Medica Insure Bronze Share - EPO
Medica Insure Expanded Bronze Standard - EPO
Medica Insure Gold $0 Copay PCP Visits - EPO
Medica Insure Gold Share - EPO
Medica Insure Gold Standard - EPO
Medica Insure Silver $0 Copay PCP Visits - EPO
Medica Insure Silver Share - EPO
Medica Insure Silver Standard - EPO

Sanford Health Plan

Sanford Individual Simplicity $1,750 - PPO
Sanford Individual Simplicity $10,600 - PPO
Sanford Individual Simplicity $3,500 - PPO
Sanford Individual Simplicity $4,750 - PPO
Sanford Individual Simplicity $6,500 - PPO
Sanford Individual Simplicity $7,200 HSA Qualified - PPO
Sanford Individual Simplicity Standardized $2,000 - PPO
Sanford Individual Simplicity Standardized $6,000 - PPO
Sanford Individual Simplicity Standardized $7,500 - PPO

Medicare

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Medicaid

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*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: BRADLEY WHIPPLE
Authorized Official Title: COO
Authorized Official Phone: (515) 358-6956

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier	Type / Code	Identifier State	Identifier Issuer
0236174	MEDICAID (05)	IA

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: 16D0383703
Facility Type: Physician Office
Certificate Effective Date: January 21, 2025
Certificate Expiration Date: January 20, 2027
Laboratory Director: MUSTAFA ELDADAH
Certificate Type: Certificate of Waiver
Certificate Type Description: This CLIA certificate is issued to Mercyone Des Moines Pediatrics Care Clinc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1407036262, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 48. The final step is to find the difference between that total and the next multiple of ten (50 - 48 = 2).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1

Doubled → 2

Pos 2

Unchanged

Pos 3

Doubled → 0

Pos 4

Unchanged

Pos 5

Doubled → 0

Pos 6

Unchanged

Pos 7

Doubled → 12 → 1 + 2

Pos 8

Unchanged

Pos 9

Doubled → 12 → 1 + 2

Check

Target digit

Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 0 → 0 0 → 0 6 → 12 → 3 6 → 12 → 3