Penn Avenue Internal Medicine – Internal Medicine Physician, NPI 1194776955

Penn Avenue Internal Medicine is a healthcare provider. based in Johnston, Iowa. specializing in Internal Medicine Physician. The NPI Number for Penn Avenue Internal Medicine is 1194776955

Main info

Organization
Name
Penn Avenue Internal Medicine
NPI
1194776955
Phone
(515) 362-5980
Address
5409 NW 88TH ST
Authorized Official
MR. JOSEPH F. CORFITS JR. CFO
Enumeration Date
15 May 2006
Last Update Date
21 May 2008
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness80
Years active:20State licenses:0Digital endpointsUpdated within 12 months

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Provider Addresses for Penn Avenue Internal Medicine

  • 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

  • Pennsylvania Avenue, East Village, Des Moines, Polk County, Iowa, 50316, United States

    DES MOINES, IA 503162339

    Phone: (515) 266-1000

    Fax: (515) 266-1824

    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.

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 50131)

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Reviews

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Frequently asked questions

Does Penn Avenue Internal Medicine share an NPI with anyone else?
NPI numbers are unique to each provider or organization — Penn Avenue Internal Medicine uses 1194776955.
Can I rely on Penn Avenue Internal Medicine being an active provider?
As of the registry snapshot, Penn Avenue Internal Medicine is marked active.
What is Penn Avenue Internal Medicine's primary classification?
Internal Medicine Physician is the headline specialty for Penn Avenue Internal Medicine here. Clinical services aligned with this taxonomy classification.
Where should I expect Penn Avenue Internal Medicine on a map?
Expect Johnston, Iowa as a primary anchor for Penn Avenue Internal Medicine unless the record lists multiple sites.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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