East Des Moines Family Care Center – Family Medicine Physician, NPI 1104879576
Family Medicine Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for East Des Moines Family Care Center
5409, Northwest 88th Street, Wesfield Center Office Park, Johnston, Polk County, Iowa, 50131, United States
SUITE 200
JOHNSTON, IA 501312949
Phone: (515) 362-5980
Fax: (515) 362-5985
Type: Mailing
840, East University Avenue, Des Moines, Polk County, Iowa, 50316, United States
DES MOINES, IA 503162304
Phone: (515) 265-4211
Fax: (515) 309-5993
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
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2004-01-28
PECOS data refreshed: 2026-05-27
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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 50131)
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