KDP MANAGEMENT SERVICES PLLC
NPI 1790300648
Nurse Practitioner in West Des Moines, IA
About Kdp Management Services Pllc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KDP MANAGEMENT SERVICES PLLC (NPI 1790300648), doing business as Integrative Family Medicine Of Iowa, is a healthcare organization registered as a nurse practitioner in West Des Moines, Iowa and active in the NPI registry since June 2020. The organization holds a CLIA Waiver certificate valid through October 28, 2026, maintains a secondary practice location in West Des Moines, and lists Kara Dobelis, Owner/director, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Secondary Practice Location 1
Other Identifiers 1
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kdp Management Services Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
5Medicare enrollment records show 5 clinicians reassign Medicare billing to Kdp Management Services PLLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 5 within 10 miles. They are listed nearest first.
Clinicians, nearest first (5)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 16D2197983
Kdp Management Services, LLC · West Des Moines, IAFrequently 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 Kdp Management Services PLLC's NPI number?
The NPI number for Kdp Management Services PLLC is 1790300648. It was assigned to this organization in the NPPES registry on June 16, 2020. The provider is doing business as Integrative Family Medicine of Iowa.
Where is Kdp Management Services PLLC located?
Kdp Management Services PLLC is located at 475 S 50th St Ste 600, West Des Moines, IA 50265. The listed phone number is (319) 531-6000.
What is Kdp Management Services PLLC's specialty?
The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.
Is Kdp Management Services PLLC enrolled in Medicare?
Yes. Kdp Management Services PLLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Kdp Management Services PLLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians, all in Nurse Practitioner, reassign their Medicare billing to Kdp Management Services PLLC. 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. Of these, 3 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Kdp Management Services PLLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 16D2197983) is associated with this NPI, valid through October 28, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Kdp Management Services PLLC was last updated on April 24, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Kdp Management Services Pllc · NPI 1790300648
Nurse Practitioner organization in West Des Moines, Iowa. Organization record, active in the CMS NPPES registry since June 16, 2020.
## Identity
- **NPI:** 1790300648 (Entity type: Organization)
- **Enumerated:** June 16, 2020
- **Primary specialty:** Nurse Practitioner · taxonomy 363L00000X
- **Also known as:** Integrative Family Medicine of Iowa (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Kara Dobelis, OWNER/DIRECTOR
## Practice location
- **Address:** 475 S 50TH ST STE 600, West Des Moines, IA 50265-6979
- **Phone:** (319) 531-6000 · **Fax:** (870) 252-2681
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 5 clinicians (Nurse Practitioner) reassign Medicare billing to this organization (form CMS-855R); 3 practice at this address and 5 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** April 24, 2026
- **Other identifiers:** Other 363L00000X
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1790300648) · Data from the CMS NPPES public registry.