DES MOINES RIVER PHYSICIANS, LLC – Emergency Medicine Physician, NPI 1174907703

DES MOINES RIVER PHYSICIANS, LLC is a healthcare provider. based in Newton, Iowa. specializing in Emergency Medicine Physician. The NPI Number for DES MOINES RIVER PHYSICIANS, LLC is 1174907703

Main info

Organization
Name
DES MOINES RIVER PHYSICIANS, LLC
NPI
1174907703
Phone
(641) 792-1273
Address
204 N 4TH AVE E
Authorized Official
KIM H LARSEN DIRECTOR OF CREDENTIALING
Enumeration Date
14 July 2015
Last Update Date
5 February 2020
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience35
Completeness75
Years active:10State licenses:0Digital endpointsOther names

Provider Addresses for DES MOINES RIVER PHYSICIANS, LLC

  • 204 N 4TH AVE E

    NEWTON, IA 502083135

    Phone: (641) 792-1273

    Type: Location

  • PO BOX 21197

    BELFAST, ME 049154108

    Phone: (770) 874-5400

    Type: Mailing

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.

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.

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
O20150505001794OClinic/Group PracticeIATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

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 50208)

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Reviews

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Frequently asked questions

How do I look up DES MOINES RIVER PHYSICIANS, LLC by NPI?
Use NPI 1174907703 when you need to reference DES MOINES RIVER PHYSICIANS, LLC in forms, claims, or directories.
Is DES MOINES RIVER PHYSICIANS, LLC active in the national directory?
DES MOINES RIVER PHYSICIANS, LLC's public NPI profile is in an active state.
Does DES MOINES RIVER PHYSICIANS, LLC list a primary specialty?
If you are matching referrals, note Emergency Medicine Physician for DES MOINES RIVER PHYSICIANS, LLC. Clinical services aligned with this taxonomy classification.
Does DES MOINES RIVER PHYSICIANS, LLC practice in Iowa?
You will see Newton, Iowa on file for DES MOINES RIVER PHYSICIANS, LLC alongside any extra practice locations.
Is DES MOINES RIVER PHYSICIANS, LLC a real provider?
This page reflects official NPPES data for NPI 1174907703. Always confirm identity and privileges with the practice and licensing boards.

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