NPIMap

Organization Active NPI

Metro Anesthesia & Pain Mngmt LLP

  • Anesthesiology Physician
  • West Des Moines, IA
National Provider Identifier
1013065747
Registry record updated Nov 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
METRO ANESTHESIA & PAIN MNGMT LLP
Practice address
5901 Westown Pkwy Ste 210
West Des Moines, IA 50266-8297
Phone
(515) 221-9222
Fax
(515) 221-0575
NPI assigned
Jan 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2018

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

Authorized official

Name
David Victor Ross, MS
Title
Administrator
Phone
(515) 221-9222

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207L00000X Primary

Addresses

Primary practice location

5901 Westown Pkwy Ste 210
West Des Moines, IA 50266-8297

Mailing address

5901 Westown Pkwy Ste 210
West Des Moines, IA 50266-8297
Phone (515) 221-9222

Other identifiers 2

IdentifierTypeStateIssuer
120741MedicaidIA
0120733MedicaidIA

Other names 1

  • Metro Anesthesia LLP Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040330000579 IA Part B Supplier - Clinic/Group Practice 1456343763 Receives reassigned benefits from 34 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Des Moines, IA; West Des Moines, IA

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

700 E University Ave
Des Moines, IA 50316
Phone (515) 263-5120

2459 E Euclid Ave
Des Moines, IA 50317
Phone (515) 261-7246

2459 E Euclid Ave
Ste B
Des Moines, IA 50317
Phone (515) 261-7046

Practitioners & affiliated clinicians

Practitioners 32

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 32

NPI Registry JSON

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1542153600000",
    "number": "1013065747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5901 WESTOWN PKWY STE 210",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502668297",
            "telephone_number": "515-221-9222",
            "fax_number": "515-221-0575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5901 WESTOWN PKWY STE 210",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502668297",
            "telephone_number": "515-221-9222",
            "fax_number": "515-221-0575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METRO ANESTHESIA & PAIN MNGMT LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-08",
        "last_updated": "2018-11-14",
        "status": "A",
        "authorized_official_last_name": "ROSS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "VICTOR",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "515-221-9222",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "120741",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0120733",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Metro Anesthesia LLP",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Metro Anesthesia LLP",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in West Des Moines, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.