TARA J FEDERLY M.D. NPI 1164683835

NPI Information

  • NPI: 1164683835
  • Provider Name: TARA J FEDERLY, M.D.
  • Classification: Allergy & Immunology - 207KA0200X
  • Specialization: Allergy
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 6800 LAKE DR STE 260
    WEST DES MOINES, IA
    ZIP 50266
  • Phone: (515) 630-5022

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NPI Details

Tara J Federly, M.D. is an allergy allergy immunology in West Des Moines, IA with 18 years of experience. The provider is a physician who specializes in the diagnosis, treatment, and management of allergies. Source: National Uniform Claim Committee Tara J Federly, M.D. NPI is 1164683835. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduation Year:2008

The provider's business location address is:

6800 LAKE DR STE 260
WEST DES MOINES, IA
ZIP 50266-504
Phone: (515) 630-5022
Fax: (515) 630-5026

The NPI 1164683835 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/24/2008 and was last updated on 7/30/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207KA0200XAllergy & ImmunologyAllergy39579IOWAYes
2208000000XPediatricsR-8408IOWANo

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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