Unknown Individual – Surgical Physician Assistant, NPI 1952481863

Unknown Individual is a healthcare provider. based in Des moines, Iowa. specializing in Surgical Physician Assistant. They hold a License No. 001773 (IA). The NPI Number for Unknown Individual is 1952481863

Main info

Organization
Inactive
28 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1952481863
Phone
(515) 247-8400
Address
450 LAUREL ST
Deactivation Date
15 June 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5152478400
Graduation Year
1998 (28 years ago)
PAC ID
6103863329
Group Practice PAC ID
5597679159
Professional Enrollment ID
I20070215000653
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience23
Completeness75
Years active:0State licenses:2Digital endpointsOther names

Loading map...

Provider Addresses for Unknown Individual

  • 450, Laurel Street, Des Moines, Polk County, Iowa, 50314, United States

    STE A

    DES MOINES, IA 503143045

    Phone: (515) 247-8400

    Fax: (515) 248-8888

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 50314)

Loading plans...

Provider's Procedures

Unknown Individual performs procedures in Surgical Physician Assistant. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICIAN ASSISTANTIA20610Aspiration and/or injection of large joint or joint capsule167111
PHYSICIAN ASSISTANTIA73562X-ray of knee, 3 views2921

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5597679159View full group profile
NameSpecialtyState
ALYSSA JADE HOMEWOOD (PA-C)
Physician AssistantIA
ROBERT B RIPCHINSKI (PAC)
Physician AssistantIA
JULIE ANGELL EARP (DPT)
Physical Therapist In Private PracticeIA
DR. JOSHUA DAVID KIMELMAN (D.O.)
-IA
DR. BRYAN MATHEW TROUT (D.P.M., FACFAS)
P O D I A T R YIA
JOHN WESLEY RAYBURN (MD)
Pain Management, Physical Medicine And RehabilitationIA
MELANIE CHOOS (PA-C)
Physician AssistantIA
MITCHELL WILSON (PA-C)
Physician AssistantIA
NICOLE KAUPPILA (OT)
Occupational Therapist In Private PracticeIL
CARTER TRAGER (PT, DPT)
Physical Therapist In Private PracticeIA

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What federal number belongs to Unknown Individual?
The federal identifier for Unknown Individual is NPI 1952481863.
Why would Unknown Individual's listing show inactive?
Inactive in NPPES means the identifier is not currently active in that dataset.
Does Unknown Individual list a primary specialty?
If you are matching referrals, note Surgical Physician Assistant for Unknown Individual. Clinical services aligned with this taxonomy classification.
Where does public data place Unknown Individual?
The snapshot lists Des Moines, Iowa for Unknown Individual; download NPPES for the complete set.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.