JOHN M. IPPOLITO MD, P.C
NPI 1548310394
Internal Medicine in Council Bluffs, IA

Active since January 12, 2007
201 RIDGE ST, SUITE 301, COUNCIL BLUFFS, IA 51503(712) 256-0791(712) 256-0807 Get Directions Write a Review

NPPES record last updated: April 24, 2013. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About John M. Ippolito Md, P.c NPPES

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

JOHN M. IPPOLITO MD, P.C (NPI 1548310394) is a healthcare organization registered as an internal medicine in Council Bluffs, Iowa and active in the NPI registry since January 2007. The organization lists John M Ippolito, President, as its authorized official.

NPPES Registry Identity

NPI1548310394
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameJOHN M. IPPOLITO MD, P.C
Location Address201 RIDGE ST, SUITE 301Council Bluffs, IA 51503-4643
Mailing Address201 Ridge St, Suite 301Council Bluffs, IA 51503-4643 · (712) 256-0791 · Fax (712) 256-0807
Fax(712) 256-0807
Organization SubpartNo
Authorized OfficialJohn M IppolitoPresident · (712) 256-0791
Enumeration DateJanuary 12, 2007
Last NPPES UpdateApril 24, 2013
✔ NPI 1548310394 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in IA · 25954
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
201 RIDGE ST, Council Bluffs, IA 51503

Other Identifiers 3

Medicare ID-Type UnspecifiedI10551IA · Medicare Group Number
Medicaid1548310394NE
Medicaid1044065IA

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

John M. Ippolito Md, P.c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to John M. Ippolito MD, P.C, which bills Medicare for the services this clinician delivers.

Clinician (1)

Internal Medicine
NPI 1215929708
201 RIDGE ST STE 301
Council Bluffs, IA 51503
(712) 256-0791
✔ PECOS✔ Accepts MedicareSame address

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

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 John M. Ippolito MD, P.C's NPI number?

The NPI number for John M. Ippolito MD, P.C is 1548310394. It was assigned to this organization in the NPPES registry on January 12, 2007.

Where is John M. Ippolito MD, P.C located?

John M. Ippolito MD, P.C is located at 201 Ridge St Suite 301, Council Bluffs, IA 51503. The listed phone number is (712) 256-0791.

What is John M. Ippolito MD, P.C's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is John M. Ippolito MD, P.C enrolled in Medicare?

Yes. John M. Ippolito MD, P.C is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through John M. Ippolito MD, P.C?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to John M. Ippolito MD, P.C. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for John M. Ippolito MD, P.C was last updated on April 24, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.