Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Mark Alvin Kellerman, MD

Individual provider Urology Physician · NPI 1891780995

Dr. Mark Alvin Kellerman, MD is an Urology in Clive, Iowa. Graduated from University of Iowa, Rj & L Carver College of Medicine in 1997, 29 years ago. Practices with Urology Center of Iowa PLLC, a 32-clinician group and accepts Medicare assignment. Licensed in Iowa.

Years since qualifying
29
Trained at
University of Iowa, Rj & L Carver College of Medicine
Licensed in
IA
In the registry since
2005
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

12129 University Ave Ste 100
Clive, IA 50325-8298
Phone: (515) 400-3550
Fax: (515) 400-3551
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Urology Physician (primary) Taxonomy 208800000X · Licence MD-35053 (IA)

Record details

NPI number1891780995
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedSeptember 14, 2005
Last updated in NPPESOctober 28, 2024
Certification dateOctober 28, 2024
Mailing address12129 University Ave Ste 100, Clive, IA 50325-8298

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyUROLOGY
Medical schoolUNIVERSITY OF IOWA, RJ & L CARVER COLLEGE OF MEDICINE
Graduated 1997 (29 years in practice)
Group practice Urology Center Of Iowa Pllc — 32 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations8 on file with Medicare

Other providers in Clive