MEDICARE: IOWA PHYSICIANS CLINIC MEDICAL FOUNDATION

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician
2	207R00000X	Internal Medicine Physician
3	207RC0000X	Cardiovascular Disease Physician
4	207RG0100X	Gastroenterology Physician
5	207RI0200X	Infectious Disease Physician
6	207RP1001X	Pulmonary Disease Physician
7	207RR0500X	Rheumatology Physician
8	207V00000X	Obstetrics & Gynecology Physician
9	208000000X	Pediatrics Physician
10	208100000X	Physical Medicine & Rehabilitation Physician
11	2084N0400X	Neurology Physician
12	208600000X	Surgery Physician
13	208M00000X	Hospitalist Physician
14	332B00000X	Durable Medical Equipment & Medical Supplies	1100240058	IA
15	208D00000X	General Practice Physician

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	CC6519	OTHER	IA	RR MEDICARE
2	CJ3564	OTHER	IL	RR MEDICARE
3	CC6757	OTHER	IA	RR MEDICARE
4	CC7716	OTHER	IA	RR MEDICARE
5	CI6362	OTHER	IA	RR MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1366425274
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	IOWA PHYSICIANS CLINIC MEDICAL FOUNDATION

Provider Business Mailing Address
First Line	:	PO BOX 843151
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64184-3151
Country	:	US
Telephone Number	:	888-434-4165
Fax Number	:

Provider Business Practice Location Address
First Line	:	1776 W LAKES PKWY STE 400
Second Line	:
City	:	WEST DES MOINES
State	:	IA
Zip	:	50266-8378
Country	:	US
Telephone Number	:	515-471-9300
Fax Number	:	515-471-9319

Authorized Official
Title or Position	:	PRESIDENT, IPCMF
Name	:	DR. PATRICIA K. NEWLAND
Credential	:
Telephone Number	:	515-285-3200

Provider Enumeration Date	:	11/23/2005
Last Update Date	:	04/25/2025

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Directions to “IOWA PHYSICIANS CLINIC MEDICAL FOUNDATION ” Practice Location

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