Individual provider Active NPI

Anand Deshmukh, MD

  • Cardiovascular Disease Physician
  • Council Bluffs, IA
National Provider Identifier
1003022708
Registry record updated Oct 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
38455 Issued in IA
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

Updated by the provider on Oct 21, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1003022708MedicaidIA
10026209700MedicaidNE

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130731000784 NE Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 4082855101 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology)
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
CHI Health Clinic Specialty LLCGroup PAC ID 4789098443, 317 clinicians

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 Hospital, Lincoln, NE, CCN 280128
  • Fillmore County Hospital Hospital, Geneva, NE, CCN 281301
  • CHI Health St Mary'S Hospital, Nebraska City, NE, CCN 281342
  • York General Health Care Services Hospital, York, NE, CCN 281336
  • CHI Health St. Elizabeth Hospital, Lincoln, NE, CCN 280020

Merit-based Incentive Payment System (MIPS)

Final score
19.32 of 100Reported as individual
Quality
0
Promoting interoperability
0
Improvement activities
0
Cost
64.39

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting29

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
24749NEMDInternal Medicine Physician
38455IAMDInterventional Cardiology Physician

Practice roles (4 of 12)

OrganizationSpecialtyStatusNew patients
CHI Health Clinic Specialty, LLC CurrentSince Jul 1, 2021 Accepting new patients
The Physician Network Internal Medicine PastSince Sep 1, 2011 Accepting new patients
Iowa Heart Center PC Cardiovascular Disease PastSince Jul 31, 2013 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

  • FHIR API: https://fhir-myrecord.cerner.com/r4/d4036e7f-af75-4bea-9808-6df2d5355c9c/
  • Direct secure messaging: 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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.