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

Active since November 09, 2007CLIA 16D0383703 · Waiver
330 LAUREL ST, SUITE 2100, DES MOINES, IA 50314(515) 643-8611(515) 643-8812 Get Directions Write a Review

NPPES record last updated: October 11, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 11, 2024, Apr 5, 2019 (2 updates tracked since 2019).

About Mercyone Des Moines Pediatrics Care Clinc NPPES

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

MERCYONE DES MOINES PEDIATRICS CARE CLINC (NPI 1407036262) is a healthcare organization registered as an adolescent medicine in Des Moines, Iowa and active in the NPI registry since November 2007. The organization holds a CLIA Waiver certificate valid through January 20, 2027, maintains 2 additional practice locations, and lists Bradley Whipple, Coo, as its authorized official.

NPPES Registry Identity

NPI1407036262
Entity TypeOrganization
Primary Taxonomy2080A0000X
Legal Business NameMERCY CLINICS INC
Location Address330 LAUREL ST, SUITE 2100Des Moines, IA 50314-3034
Mailing AddressPo Box 1475Des Moines, IA 50305-1475 · (515) 643-4374 · Fax (515) 643-2784
Fax(515) 643-8812
Organization SubpartNo
Authorized OfficialBradley WhippleCoo · (515) 358-6956
Enumeration DateNovember 9, 2007
Last NPPES UpdateOctober 11, 20242 updates tracked since enumeration
NPPES CertifiedOctober 11, 2024
✔ NPI 1407036262 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Adolescent MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080A0000X
Definition
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.
330 LAUREL ST, Des Moines, IA 50314

Other Names 2

Doing Business AsMercyone Des Moines Pediatrics Care Clinc
Doing Business AsMercyone Waukee Pediatrics Care Clinic

Secondary Practice Locations 2

Location 125 W Hickman RdWaukee, IA 50263-5020 · Phone (515) 643-7000 · Fax (515) 643-7001
Location 25406 Merle Hay RdJohnston, IA 50131-1209 · Phone (515) 727-8750

Other Identifiers 1

Medicaid0236174IA

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mercyone Des Moines Pediatrics Care Clinc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

516

Medicare enrollment records show 516 clinicians reassign Medicare billing to Mercyone Des Moines Pediatrics Care Clinc, which bills Medicare for the services they deliver. Of these, 19 practice at this address and 390 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 39

Nurse Practitioner132
Family Practice61
Hospitalist40
Physical Therapist in Private Practice34
Internal Medicine33
Obstetrics/Gynecology26
Pediatric Medicine24
Neurology22
31 other specialties144

Nearest to this location (20)

See all 516
Nurse Practitioner
NPI 1881442416
330 LAUREL ST STE 2100
Des Moines, IA 50314
(515) 358-6500
✔ PECOSSame address
Pediatric Medicine
NPI 1477115152
330 LAUREL ST STE 1200
Des Moines, IA 50314
(515) 643-5454
✔ PECOSSame address
Pediatric Medicine
NPI 1881943090
330 LAUREL ST STE 2100
Des Moines, IA 50314
(515) 643-8611
✔ PECOSSame address
Pediatric Medicine
NPI 1306954516
330 LAUREL ST SUITE 2100
Des Moines, IA 50314
(515) 643-8611
✔ PECOSSame address
Obstetrics/Gynecology
NPI 1417055641
330 LAUREL ST STE 1100
Des Moines, IA 50314
(515) 288-3287
✔ PECOS✔ Accepts MedicareSame address
General Surgery
NPI 1821526906
330 LAUREL ST STE 1200
Des Moines, IA 50314
(515) 643-5454
✔ PECOSSame address
Pediatric Medicine
NPI 1225089287
330 LAUREL ST STE 2100
Des Moines, IA 50314
(515) 358-6500
✔ PECOSSame address
Obstetrics/Gynecology
NPI 1023339728
330 LAUREL ST STE 1100
Des Moines, IA 50314
(515) 288-3287
✔ PECOS✔ Accepts MedicareSame address
Obstetrics/Gynecology
NPI 1326624966
330 LAUREL ST STE 1100
Des Moines, IA 50314
(515) 288-3287
✔ PECOSSame address
Pediatric Medicine
NPI 1093203382
330 LAUREL ST STE 1200
Des Moines, IA 50314
(515) 643-5454
✔ PECOSSame address
Neurology
NPI 1477950988
330 LAUREL ST STE 1200
Des Moines, IA 50314
(515) 643-6290
✔ PECOSSame address
Obstetrics/Gynecology
NPI 1679910970
330 LAUREL ST STE 1100
Des Moines, IA 50314
(515) 288-3287
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1639545486
330 LAUREL STREET SUITE 2100
Des Moines, IA 50314
(515) 643-8611
✔ PECOSSame address
Obstetrics/Gynecology
NPI 1841404126
330 LAUREL ST STE 1100
Des Moines, IA 50314
(515) 288-3287
✔ PECOS✔ Accepts MedicareSame address
Gastroenterology
NPI 1285946566
330 LAUREL ST SUITE 1200
Des Moines, IA 50314
(515) 643-5454
✔ PECOSSame address
Pediatric Medicine
NPI 1588863518
330 LAUREL ST SUITE 2100
Des Moines, IA 50314
(515) 643-8611
✔ PECOSSame address
Pediatric Medicine
NPI 1922105303
330 LAUREL ST SUITE 1200
Des Moines, IA 50314
(515) 643-5454
✔ PECOSSame address
Nurse Practitioner
NPI 1932217833
330 LAUREL ST SUITE 2100
Des Moines, IA 50314
(515) 643-8611
✔ PECOSSame address
Family Practice
NPI 1588307250
250 LAUREL ST
Des Moines, IA 50314
(515) 612-9595
✔ PECOS✔ Accepts MedicareSame address
Hand Surgery
NPI 1053372425
450 LAUREL ST STE A
Des Moines, IA 50314
(515) 247-8400
✔ PECOS✔ Accepts Medicare0.1 mi
See all 516 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 16D0383703

Mercyone Des Moines Pediatric Care Clinic · Des Moines, IA
Active · expires Jan 20, 2027
CLIA Number16D0383703
Laboratory TypePhysician Office
Certificate Effective DateJanuary 21, 2025
Certificate Expiration DateJanuary 20, 2027
Laboratory DirectorMustafa Eldadah
Laboratory Phone(515) 643-8611
Laboratory LocationMercyone Des Moines Pediatric Care Clinic330 Laurel Street, Suite 2100, Des Moines, IA 50314
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Mercy Clinics Inc's NPI number?

The NPI number for Mercy Clinics Inc is 1407036262. It was assigned to this organization in the NPPES registry on November 9, 2007. The provider is doing business as Mercyone Des Moines Pediatrics Care Clinc and MercyOne Waukee Pediatrics Care Clinic.

Where is Mercy Clinics Inc located?

Mercy Clinics Inc is located at 330 Laurel St Suite 2100, Des Moines, IA 50314. The listed phone number is (515) 643-8611.

What is Mercy Clinics Inc's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Adolescent Medicine, with taxonomy code 2080A0000X.

Is Mercy Clinics Inc enrolled in Medicare?

Yes. Mercy Clinics Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Mercy Clinics Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 516 clinicians in 39 Medicare specialties reassign their Medicare billing to Mercy Clinics Inc. A 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 the clinician's services. The largest specialties are Nurse Practitioner (132), Family Practice (61) and Hospitalist (40). Of these, 19 practice at this address and 390 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Mercy Clinics Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 16D0383703) is associated with this NPI, valid through January 20, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Mercy Clinics Inc accept?

Health plans from Sanford Health Plan list Mercy Clinics Inc 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 Mercy Clinics Inc was last updated on October 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.