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UROLOGY CENTER OF IOWA PLLC
NPI 1689210155
Urology in Clive, IA

Active since November 20, 2019CLIA Certified · 5 labs
12129 UNIVERSITY AVE, CLIVE, IA 50325(515) 400-3550 Get Directions Write a Review

NPPES record last updated: March 12, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 12, 2026, Nov 26, 2025, Jul 17, 2024 and 3 more (6 updates tracked since 2019).

About Urology Center Of Iowa Pllc NPPES

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

UROLOGY CENTER OF IOWA PLLC (NPI 1689210155) is a healthcare organization registered as an urology in Clive, Iowa and active in the NPI registry since November 2019. The organization holds 5 active CLIA laboratory certificates and lists Mark Kellerman, Managing Member/partner, as its authorized official.

NPPES Registry Identity

NPI1689210155
Entity TypeOrganization
Primary Taxonomy208800000X
Legal Business NameUROLOGY CENTER OF IOWA PLLC
Location Address12129 UNIVERSITY AVEClive, IA 50325-8287
Mailing Address12129 University AveClive, IA 50325-8287
Phone(515) 400-3550
Organization SubpartNo
Authorized OfficialMark KellermanManaging Member/partner · (515) 249-1610
Enumeration DateNovember 20, 2019
Last NPPES UpdateMarch 12, 20266 updates tracked since enumeration
NPPES CertifiedMarch 12, 2026
✔ NPI 1689210155 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyUrologyAllopathic & Osteopathic Physicians
Taxonomy Code208800000X
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
12129 UNIVERSITY AVE, Clive, IA 50325
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter from Arizona Complete Health and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA 5

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 for Provider-Performed Microscopy Procedures (PPMP) 16D2187364

Urology Center Of Iowa · Clive, IA
Active · expires Jun 30, 2028
CLIA Number16D2187364
Laboratory TypePhysician Office
Certificate Effective DateJuly 1, 2026
Certificate Expiration DateJune 30, 2028
Laboratory DirectorRichard L. Glowacki
Laboratory Phone(515) 400-3550
Laboratory LocationUrology Center Of Iowa12129 University Ave, Clive, IA 50325
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate of Waiver 16D2342888

Urology Center Of Iowa - Wellness Center · Clive, IA
Active · expires Apr 27, 2028
CLIA Number16D2342888
Laboratory TypePhysician Office
Certificate Effective DateApril 28, 2026
Certificate Expiration DateApril 27, 2028
Laboratory DirectorStephanie Pothoven
Laboratory Phone(515) 400-3550
Laboratory LocationUrology Center Of Iowa - Wellness Center12129 University Ave Ste 210, Clive, IA 50325
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 16D2342890

Urology Center Of Iowa · Clive, IA
Active · expires Apr 27, 2028
CLIA Number16D2342890
Laboratory TypePhysician Office
Certificate Effective DateApril 28, 2026
Certificate Expiration DateApril 27, 2028
Laboratory DirectorKevin K. Birusingh
Laboratory Phone(515) 400-3550
Laboratory LocationUrology Center Of Iowa12129 University Ave Ste 250, Clive, IA 50325
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Compliance 16D2183029

Urology Center Of Iowa · Clive, IA
Active · expires Mar 29, 2027
CLIA Number16D2183029
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateMarch 30, 2025
Certificate Expiration DateMarch 29, 2027
Laboratory DirectorTiffani Milless
Laboratory Phone(515) 400-3550
Laboratory LocationUrology Center Of Iowa12129 University Ave, Clive, IA 50325
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Waiver 16D2322505

Urology Center Of Iowa · Ankeny, IA
Active · expires Apr 21, 2027
CLIA Number16D2322505
Laboratory TypePhysician Office
Certificate Effective DateApril 22, 2025
Certificate Expiration DateApril 21, 2027
Laboratory DirectorBrian Gallagher
Laboratory Phone(515) 400-3550
Laboratory LocationUrology Center Of Iowa800 E First St Ste 2300, Ankeny, IA 50021
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

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

KARMAN A PFLUGHAUPT ARNP
Nurse Practitioner (Family)
12129 UNIVERSITY AVE
CLIVE, IA 50325
Polk County (515) 400-3550
AESTHETIC HEALTH AND WELLNESS
Family Medicine
12129 UNIVERSITY AVE, SUITE 1000
CLIVE, IA 50325
Polk County (515) 267-8808
IVYR PLLC
Ophthalmology (Retina Specialist)
12129 UNIVERSITY AVE
CLIVE, IA 50325
Polk County (515) 420-2020
BRITTANY ANN RYGG FNP
Nurse Practitioner (Family)
12129 UNIVERSITY AVE
CLIVE, IA 50325
Polk County (515) 400-3550

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 Urology Center Of Iowa PLLC's NPI number?

The NPI number for Urology Center Of Iowa PLLC is 1689210155. It was assigned to this organization in the NPPES registry on November 20, 2019.

Where is Urology Center Of Iowa PLLC located?

Urology Center Of Iowa PLLC is located at 12129 University Ave, Clive, IA 50325. The listed phone number is (515) 400-3550.

What is Urology Center Of Iowa PLLC's specialty?

The primary specialty registered for this NPI is Urology with taxonomy code 208800000X.

Does Urology Center Of Iowa PLLC hold CLIA laboratory certificates?

Yes. 5 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Urology Center Of Iowa PLLC accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter Health of Delaware, Ambetter from Absolute Total Care and Ambetter from Arizona Complete Health and 33 other insurers list Urology Center Of Iowa PLLC 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 Urology Center Of Iowa PLLC was last updated on March 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.