Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JACOB L OBHOLZ DO
NPI 1689298473
Internal Medicine - Cardiovascular Disease in Des Moines, IA

Q: What is Jacob Obholz's NPI number?

The NPI number for Jacob Obholz is 1689298473. It was assigned to this individual provider in the NPPES registry on June 8, 2020.

Q: What is Jacob Obholz's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Q: When was this NPI record last updated?

The NPPES record for Jacob Obholz was last updated on September 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 days 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 June 08, 2020PECOS Enrolled

411 LAUREL ST STE A250, DES MOINES, IA 50314(515) 235-5000(515) 288-6713 Get Directions Write a Review

NPPES record last updated: September 22, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Sep 22, 2026, Jun 14, 2023, Jul 21, 2020 and 1 more (4 updates tracked since 2020).

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About Jacob L Obholz Do NPPES

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

JACOB L OBHOLZ DO (NPI 1689298473) is an individual cardiovascular disease provider in Des Moines, Iowa, licensed in Iowa (DO-55671) and active in the NPI registry since June 2020. He is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1689298473

Entity TypeIndividualMale

Primary Taxonomy207RC0000X

Provider Legal NameJACOB L OBHOLZCredential: DO

Location Address411 LAUREL ST STE A250Des Moines, IA 50314-3029

Mailing AddressPo Box 677080Dallas, TX 75267-7080 · (515) 633-3600 · Fax (515) 633-3838

Phone(515) 235-5000

Fax(515) 288-6713

Sole ProprietorNo

Enumeration DateJune 8, 2020

Last NPPES UpdateSeptember 22, 20264 updates tracked since enumeration

NPPES CertifiedSeptember 22, 2026

✔ NPI 1689298473 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RC0000X

License✔ Licensed in IA · DO-55671

Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

Also ListedInternal MedicineTaxonomy 207R00000X · License R-11930 (IA)

411 LAUREL ST STE A250, Des Moines, IA 50314

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Secondary Practice Locations 2

Location 15880 University Ave Ste 102West Des Moines, IA 50266-8209 · Phone (515) 633-3600 · Fax (515) 288-0840

Location 21010 4th St SW Ste 305Mason City, IA 50401-2856 · Phone (641) 428-5700 · Fax (641) 428-2515

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jacob L Obholz Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 50314 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$122.23 typical visit price

range $52.96 – $161.40

Typical copayment $30.55 (range $13.24 – $40.35)

Most-billed visit code 99204

Established Patient

$66.36 typical visit price

range $16.91 – $131.98

Typical copayment $16.59 (range $4.22 – $32.99)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

MAKSIM BLIDCHENKO ARNP

Nurse Practitioner