KILEY OTTERVANGER D.O.
NPI 1942564745
Pediatrics in West Des Moines, IA
About Kiley Ottervanger D.o. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KILEY OTTERVANGER D.O. (NPI 1942564745) is an individual pediatrics provider in West Des Moines, Iowa, licensed in Iowa (DO-04638) and active in the NPI registry since June 2012. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kiley Ottervanger D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Kiley Ottervanger reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
West Des Moines, IA 50266
- Reassigned Medicare billing, Iowa enrollment
- 1,506 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 50266 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Kiley Ottervanger's NPI number?
The NPI number for Kiley Ottervanger is 1942564745. It was assigned to this individual provider in the NPPES registry on June 27, 2012.
Where is Kiley Ottervanger located?
Kiley Ottervanger practices at 6000 University Ave Ste 100, West Des Moines, IA 50266. The listed phone number is (515) 241-2500.
What is Kiley Ottervanger's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Kiley Ottervanger enrolled in Medicare?
Yes. Kiley Ottervanger is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Kiley Ottervanger's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kiley Ottervanger reassigns Medicare benefits to Iowa Physicians Clinic Medical Foundation (West Des Moines, IA). The 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 Kiley Ottervanger's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Kiley Ottervanger accept?
Health plans from Oscar Insurance Company and Wellmark Health Plan of Iowa, Inc. list Kiley Ottervanger 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 Kiley Ottervanger was last updated on March 26, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.
# Kiley Ottervanger, D.O. · NPI 1942564745
Pediatrics physician in West Des Moines, Iowa. Individual provider, active in the CMS NPPES registry since June 27, 2012.
## Identity
- **NPI:** 1942564745 (Entity type: Individual)
- **Enumerated:** June 27, 2012
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** DO-04638 (Iowa)
- **Sole proprietor:** No
## Practice location
- **Address:** 6000 UNIVERSITY AVE STE 100, West Des Moines, IA 50266-8200
- **Phone:** (515) 241-2500
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Iowa Physicians Clinic Medical Foundation (NPI 1366425274, West Des Moines, IA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 26, 2015
- **Other identifiers:** Medicaid 1942564745 (IA)
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Source: [NPI Profile](https://npiprofile.com/npi/1942564745) · Data from the CMS NPPES public registry.