Individual provider Active NPI

Randall Allen Kavalier, DO

  • Psychiatry Physician
  • West Des Moines, IA
National Provider Identifier
1003884107
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
R9F15 Issued in MO
Practice address
1003 Grand Avenue
West Des Moines, IA 50265-3502
Phone
(515) 267-1003
Fax
(515) 267-0100
NPI assigned
Mar 14, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 2117 IA
Psychiatry Physician 2084P0800X R9F15 MO Primary
Child & Adolescent Psychiatry Physician 2084P0804X 2117 IA

Addresses

Primary practice location

1003 Grand Avenue
West Des Moines, IA 50265-3502

Mailing address

1003 Grand Avenue
West Des Moines, IA 50265-3502
Phone (515) 267-1003

Other identifiers 3

IdentifierTypeStateIssuer
1045898MedicaidIA
10973OtherIAWELLMARK BCBS
IA0100OtherIAJOHN DEERE HC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Apr 1, 2010 through Apr 1, 2028

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
02117IAMDOptometrist
2117IAMDPsychiatry Physician
R9F15MOMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Institute for Therapy and Psychological Solutions L.L.C. PastSince Jan 1, 2001 Accepting new patients
Kavalier & Associates PC Child & Adolescent Psychiatry Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1003884107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1003 GRAND AVENUE",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502653502",
            "telephone_number": "515-267-1003",
            "fax_number": "515-267-0100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1003 GRAND AVENUE",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502653502",
            "telephone_number": "515-267-1003",
            "fax_number": "515-267-0100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAVALIER",
        "first_name": "RANDALL",
        "middle_name": "ALLEN",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-14",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IA",
            "license": "2117",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MO",
            "license": "R9F15",
            "primary": true
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "IA",
            "license": "2117",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1045898",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK BCBS",
            "identifier": "10973",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JOHN DEERE HC",
            "identifier": "IA0100",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Des Moines, IA

Sources for this page

Verify at the official NPI Registry.