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

Individual provider Pediatrics Physician · NPI 1164683835

Tara J Federly, MD is an Allergy/Immunology in West Des Moines, Iowa. Graduated from University of Minnesota Medical School in 2008, 18 years ago. Accepts Medicare assignment. Licensed in Iowa.

Years since qualifying
18
Trained at
University of Minnesota Medical School
Licensed in
IA
In the registry since
2008
Specialties on file
2
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

6800 Lake Dr Ste 260
West Des Moines, IA 50266-2504
Phone: (515) 630-5022
Fax: (515) 630-5026
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Allergy Physician (primary) Taxonomy 207KA0200X · Licence 39579 (IA)
Pediatrics Physician Taxonomy 208000000X · Licence R-8408 (IA)

Record details

NPI number1164683835
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 24, 2008
Last updated in NPPESJuly 30, 2020
Certification dateJuly 30, 2020

Medicare enrollment

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

Medicare specialtyALLERGY/IMMUNOLOGY
Also practisesPEDIATRIC MEDICINE
Medical schoolUNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Graduated 2008 (18 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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