SOUTHERN IOWA GENERAL MEDICINE LLC – Family Medicine Physician, NPI 1043417637

SOUTHERN IOWA GENERAL MEDICINE LLC is a healthcare provider. based in Des moines, Iowa. specializing in Family Medicine Physician. The organization holds a License No. 02987 (IA). The NPI Number for SOUTHERN IOWA GENERAL MEDICINE LLC is 1043417637

Main info

Organization
Name
SOUTHERN IOWA GENERAL MEDICINE LLC
NPI
1043417637
Phone
(515) 237-3974
Address
2213 GRAND AVE
Authorized Official
DR. CARL ROLESON PRESIDENT CEO DO
Enumeration Date
28 June 2007
Last Update Date
29 October 2007
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

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Provider Addresses for SOUTHERN IOWA GENERAL MEDICINE LLC

  • Medical Billing Services, 2213, Grand Avenue, Grand Oaks Condominiums, Des Moines, Polk County, Iowa, 50312, United States

    DES MOINES, IA 503125305

    Phone: (515) 237-3974

    Fax: (515) 883-2692

    Type: Mailing

  • 105, East McLane Street, East Gate Trailer Park, Osceola, Clarke County, Iowa, 50213, United States

    SUITE 400

    OSCEOLA, IA 502131456

    Phone: (641) 342-6337

    Fax: (641) 342-6339

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

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

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

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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 50312)

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Reviews

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Frequently asked questions

How do payers reference SOUTHERN IOWA GENERAL MEDICINE LLC?
For SOUTHERN IOWA GENERAL MEDICINE LLC, use NPI 1043417637 as the unique 10-digit identifier.
Would SOUTHERN IOWA GENERAL MEDICINE LLC appear as active to a payer?
You can treat SOUTHERN IOWA GENERAL MEDICINE LLC as active for directory purposes; confirm clinical privileges separately.
What area of care is associated with SOUTHERN IOWA GENERAL MEDICINE LLC?
SOUTHERN IOWA GENERAL MEDICINE LLC's record emphasizes Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with SOUTHERN IOWA GENERAL MEDICINE LLC?
Directory geography for SOUTHERN IOWA GENERAL MEDICINE LLC centers on Des Moines, Iowa.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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