Urology Center of Iowa PLLC
NPI 1689210155ActiveOrganization· Urology· Clive, IA
Urology in Clive, Iowa, registered in NPPES in November 2019. The authorized official on file is Mark Kellerman, MD, Managing Member/Partner. Enrolled in Medicare as dme supplier - physician - urology and part b supplier - clinic/group practice.
Overview
| NPI | 1689210155 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 20, 2019 |
| Last updated in NPPES | Mar 12, 2026 |
| Certified by provider | Mar 12, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Urology Primary | 208800000X | — | — |
| Durable Medical Equipment & Medical Supplies | 332B00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled DME Supplier - Physician - Urology (IA); Part B Supplier - Clinic/Group Practice (IA) |
|---|
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