ANKENY MEDICAL PARK SURGERY CENTER LC
NPI 1649748708
Clinic/Center - Ambulatory Surgical in Ankeny, IA

Active since November 07, 2018CLIA 16D2127595 · Waiver
3625 N ANKENY BLVD STE J, ANKENY, IA 50023(515) 965-2200(515) 446-2767 Get Directions Write a Review

NPPES record last updated: December 26, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 26, 2018, Nov 7, 2018 (2 updates tracked since 2018).

About Ankeny Medical Park Surgery Center Lc NPPES

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

ANKENY MEDICAL PARK SURGERY CENTER LC (NPI 1649748708) is a healthcare organization registered as an ambulatory surgical in Ankeny, Iowa and active in the NPI registry since November 2018. The organization holds a CLIA Waiver certificate valid through March 14, 2027 and lists Thomas P Mulrooney, Board Of Managers Member, as its authorized official.

NPPES Registry Identity

NPI1649748708
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameANKENY MEDICAL PARK SURGERY CENTER LC
Location Address3625 N ANKENY BLVD STE JAnkeny, IA 50023-4610
Mailing Address3625 N Ankeny Blvd Ste JAnkeny, IA 50023-4610 · (515) 965-2213 · Fax (515) 446-2767
Fax(515) 446-2767
Organization SubpartNo
Authorized OfficialThomas P MulrooneyBoard Of Managers Member · (515) 241-4027
Enumeration DateNovember 7, 2018
Last NPPES UpdateDecember 26, 20182 updates tracked since enumeration
NPI 1649748708 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
3625 N ANKENY BLVD STE J, Ankeny, IA 50023

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 16D2127595

Ankeny Medical Park- Surgery Center · Ankeny, IA
Active · expires Mar 14, 2027
CLIA Number16D2127595
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateMarch 15, 2025
Certificate Expiration DateMarch 14, 2027
Laboratory DirectorPaul D. Butler
Laboratory Phone(515) 965-2200
Laboratory LocationAnkeny Medical Park- Surgery Center3625 N Ankeny Blvd, Suite J, Ankeny, IA 50023
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 14

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
156 services154 patients
Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
98 services98 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
89 services86 patients
Release and/or relocation of hand nerve 64721
This procedure involves adjusting or moving a nerve in your hand to alleviate discomfort or improve function. The nerve may be compressed, causing pain or numbness. By releasing or relocating the nerve, these symptoms can be reduced, enhancing hand usage.
59 services46 patients
Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk G0121
Colorectal cancer screening, such as a colonoscopy, is a preventive measure to detect early signs of cancer in the large intestine. For individuals not at high risk, it's typically recommended at age 50. A small, flexible tube with a camera is used to examine your colon. It's a safe, effective way to catch issues early.
56 services56 patients
Colorectal cancer screening; colonoscopy on individual at high risk G0105
Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.
49 services49 patients

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 Ankeny Medical Park Surgery Center Lc's NPI number?

The NPI number for Ankeny Medical Park Surgery Center Lc is 1649748708. It was assigned to this organization in the NPPES registry on November 7, 2018.

Where is Ankeny Medical Park Surgery Center Lc located?

Ankeny Medical Park Surgery Center Lc is located at 3625 N Ankeny Blvd Ste J, Ankeny, IA 50023. The listed phone number is (515) 965-2200.

What is Ankeny Medical Park Surgery Center Lc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Does Ankeny Medical Park Surgery Center Lc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 16D2127595) is associated with this NPI, valid through March 14, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Ankeny Medical Park Surgery Center Lc 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 list Ankeny Medical Park Surgery Center Lc 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 Ankeny Medical Park Surgery Center Lc was last updated on December 26, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.