Dr. Mark Alvin Kellerman, M.D.
Dr. Mark Alvin Kellerman is a Urology Physician provider (Urology) practicing in Clive, IA, registered in the NPPES registry with NPI 1891780995 since 2005. The credential MD stands for Doctor of Medicine.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1891780995 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Dr. Mark Alvin Kellerman |
| Credential | M.D. |
| Sex | Male |
| Practice address | 12129 UNIVERSITY AVE STE 100, Clive, IA, 50325 |
| Phone | 5154003550 |
| Fax | 5154003551 |
| Enumeration date | 2005-09-14 |
| Last updated in NPPES | 2024-10-28 |
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 208800000X | Urology Physician | Primary | MD-35053 | IA |
MD — Doctor of Medicine: A physician who completed medical school (allopathic medicine), residency training, and state licensure. About the MD credential
Copy-ready billing details
Provider: Mark Kellerman, M.D. NPI: 1891780995 Taxonomy: 208800000X (Urology Physician) Address: 12129 UNIVERSITY AVE STE 100, Clive, IA, 50325
Other providers at this practice address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1639130057 | Marc Goeders | Individual | Surgical Physician Assistant | Clive, IA |
| 1033230560 | Stephanie Courson Pothoven | Individual | Urology Physician | Clive, IA |
| 1336358324 | Brian Gallagher | Individual | Urology Physician | Clive, IA |
| 1215178371 | Rhonda Kraus | Individual | Surgical Assistant | Clive, IA |
| 1164721338 | Mccabe Kenny | Individual | Urology Physician | Clive, IA |
| 1881969111 | Trevor Wild | Individual | Urology Physician | Clive, IA |
| 1609294305 | Ryan Dornbier | Individual | Urology Physician | Clive, IA |
| 1164886644 | Jacob Jipp | Individual | Urology Physician | Clive, IA |
Verify this record
Cross-check NPI 1891780995 against the authoritative CMS record: view Dr. Mark Alvin Kellerman on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2024-10-28.