Active NPI
Anand Deshmukh, MD
- Cardiovascular Disease Physician
- Council Bluffs, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 38455
- Practice address
- 1 Edmundson PL
Ste. #306
Council Bluffs, IA 51503-4658 - Phone
- (712) 396-7787
- Fax
- (712) 396-4115
- NPI assigned
- May 16, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 24749 | NE | |
| Cardiovascular Disease Physician | 207RC0000X | 24749 | NE | |
| Interventional Cardiology Physician | 207RI0011X | 24749 | NE | |
| Interventional Cardiology Physician | 207RI0011X | 38455 | IA | |
| Cardiovascular Disease Physician | 207RC0000X | 38455 | IA | Primary |
Addresses
Primary practice location
1 Edmundson PL
Ste. #306
Council Bluffs, IA 51503-4658
Mailing address
PO Box 3755
Omaha, NE 68103-0755
Phone (402) 354-2100
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003022708 | Medicaid | IA | |
| 10026209700 | Medicaid | NE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130731000784 | NE | Practitioner - Interventional Cardiology | 4082855101 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Interventional Cardiology
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- CHI Health Clinic Specialty LLC
Practice addresses (Care Compare)
102 McNeel LN
Suite 1
North Platte, NE 69101-6299
Phone (308) 532-5522
1113 Sherman St
Saint Paul, NE 68873-1546
Phone (308) 754-4421
120 Park Ave
Hebron, NE 68370-2019
Phone (402) 768-6041
1215 Tibbals St
Holdrege, NE 68949-1255
Phone (308) 995-2211
1301 Grundman Blvd
Nebraska City, NE 68410-3319
Phone (402) 873-3321
145 Memorial Dr
Broken Bow, NE 68822-1378
Phone (308) 872-4100
2222 N Lincoln Ave
York General Hospital
York, NE 68467-1030
Phone (402) 362-6671
555 S 70TH St
St Elizabeth Regional Med Center
Lincoln, NE 68510-2462
Phone (402) 219-8000
7440 S 91St St
Lincoln, NE 68526-9797
8207 Northwoods Dr
Suite 100
Lincoln, NE 68505-2093
Phone (402) 484-3440
910 20TH St
Gothenburg, NE 69138-1237
Phone (308) 537-3661
Hospital & facility affiliations
- CHI Health Nebraska Heart
- Fillmore County Hospital
- CHI Health St Mary'S
- York General Health Care Services
- CHI Health St. Elizabeth
Merit-based Incentive Payment System (MIPS)
- Final score
- 19.32 of 100
- Quality
- 0
- Promoting interoperability
- 0
- Improvement activities
- 0
- Cost
- 64.39
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 29 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24749 | NE | MD | Internal Medicine Physician |
| 38455 | IA | MD | Interventional Cardiology Physician |
Practice roles (4 of 12)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| CHI Health Clinic Specialty, LLC | Current | Accepting new patients | |
| The Physician Network | Internal Medicine | Past | Accepting new patients |
| Iowa Heart Center PC | Cardiovascular Disease | Past | Accepting new patients |
| Nebraska Heart Hospital | Past | Accepting new patients |
Locations
8207 Northwoods Dr
Ste 100
Lincoln, NE 68505
Phone (402) 484-3440
7440 S 91st St
Lincoln, NE 68526
Phone (402) 489-6554
Networks
- devoted network organization-734447cc-691b-4aa7-a112-9c9c8698dcc9
- IA HMO
- devoted network organization-2b183dd2-4e80-4977-80a6-4fdf0df4361d
- CO HMO D-SNP
- devoted network organization-a4751131-f16f-4e82-8f2b-b08e66379a7a
- CO HMO
- IA HMO C-SNP
- devoted network organization-27eb9117-6975-449a-a7ad-909243995ddc
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/d4036e7f-af75-4bea-9808-6df2d5355c9c/
- anand.deshmukh@direct.nmhs.org
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Cardiovascular Disease Physician
- West Des Moines, IA
- NPI 1164410932
Cardiovascular Disease
-
- General Acute Care Hospital
- Lincoln, NE
- NPI 1699718437
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Lincoln, NE
- NPI 1336155738
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179273600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1413849600000",
"number": "1003022708",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3755",
"city": "OMAHA",
"state": "NE",
"postal_code": "681030755",
"telephone_number": "402-354-2100",
"fax_number": "402-354-2155"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 EDMUNDSON PL",
"address_2": "STE. #306",
"city": "COUNCIL BLUFFS",
"state": "IA",
"postal_code": "515034658",
"telephone_number": "712-396-7787",
"fax_number": "712-396-4115"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DESHMUKH",
"first_name": "ANAND",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-16",
"last_updated": "2014-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NE",
"license": "24749",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "NE",
"license": "24749",
"primary": false
},
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "NE",
"license": "24749",
"primary": false
},
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "IA",
"license": "38455",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "IA",
"license": "38455",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1003022708",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10026209700",
"state": "NE"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Council Bluffs, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.