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

Q: 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.

Q: What is Mercy Clinics Inc's specialty?

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

Q: 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 22 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.

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: August 09, 2026.

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

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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

Phone(515) 643-8611

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

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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

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and more.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 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.

Other Providers at the Same Location NPPES 20

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

DR. BASAVIAH CHANDRAMOULI M.D.

Pediatrics (Pediatric Cardiology)

330 LAUREL ST, SUITE 2200
DES MOINES, IA 50314

Polk County (515) 288-1097

PEDIATRIC CARDIOLOGY, P.C.

Pediatrics (Pediatric Cardiology)

330 LAUREL ST, SUITE 2200
DES MOINES, IA 50314

Polk County (515) 288-1097

DAVID M CRAVEN MD

Pediatrics

330 LAUREL ST, SUITE 2100
DES MOINES, IA 50314

Polk County (515) 643-8611

DR. MARK DONALD SLOAN D.D.S.

Dentist (General Practice)

330 LAUREL ST, SUITE 1400
DES MOINES, IA 50314

Polk County (515) 288-3543

HAMZA AHMAD ALSAYOUF M.D

Pediatrics

330 LAUREL ST, SUITE 1200
DES MOINES, IA 50314

Polk County (515) 643-5454

DR. CASEY J GREMORE D.D.S.

Dentist (General Practice)

330 LAUREL ST, SUITE 1400
DES MOINES, IA 50314

Polk County (515) 288-3543

MOHAMMAD S IQBAL MD

Pain Medicine (Interventional Pain Medicine)

330 LAUREL ST, STE 1300
DES MOINES, IA 50314

Polk County (515) 883-2650

MERCY CLINICS, INC

Nurse Practitioner

330 LAUREL ST, SUITE 2300
DES MOINES, IA 50314

Polk County (515) 643-6888

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.

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 Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan and 2 other insurers 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 22 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.