Active NPI
Ravinder K Dervesh, MD
- Interventional Cardiology Physician
- Des Moines, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Interventional Cardiology Physician
- License
- MD-38624
- Practice address
- 411 Laurel St Ste 1225
Des Moines, IA 50314-3017 - Phone
- (515) 633-3770
- Fax
- (515) 288-6713
- NPI assigned
- Jul 25, 2007
- Last updated
- Apr 17, 2024
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD-38624 | IA | |
| Advanced Heart Failure and Transplant Cardiology Physician | 207RA0001X | MD-38624 | IA | |
| Interventional Cardiology Physician | 207RI0011X | MD-38624 | IA | Primary |
Addresses
Primary practice location
411 Laurel St Ste 1225
Des Moines, IA 50314-3017
Mailing address
PO Box 9170
Des Moines, IA 50306-9170
Phone (515) 633-3600
Other practice location 1
500 E Market St
Iowa City, IA 52245-2633
Phone (319) 339-3551
Other practice location 2
540 E Jefferson St Ste 400
Iowa City, IA 52245-2479
Phone (319) 399-3400
Other names 1
- Ravinder Kumar
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Interventional Cardiology
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1816 Philadelphia St
Ames, IA 50010-8771
Phone (515) 232-2500
Hospital & facility affiliations
- Mary Greeley Medical Center
- Mercyone Des Moines Medical Center
- Ottumwa Regional Health Center
- Van Diest Medical Center
- Unitypoint Health - Marshalltown
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 21 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Luke's Methodist Hospital | Current | Accepting new patients | |
| Mercy Hospital, Iowa City, Iowa | Internal Medicine | Current | Accepting new patients |
| Northwest Iowa Hospital Corporation | Current | Accepting new patients | |
| Hamilton County Public Hospital | Current | Accepting new patients | |
| Hamilton County Public Hospital | Current | Accepting new patients | |
| Hamilton County Public Hospital | Current | Accepting new patients | |
| Covenant Medical Center Inc | Current | Accepting new patients | |
| Catholic Health Initiatives-Iowa Corp | Interventional Cardiology | Current | Accepting new patients |
| North Iowa Mercy Clinics | Current | Accepting new patients | |
| North Iowa Mercy Clinics | Current | Accepting new patients | |
| North Iowa Mercy Clinics | Current | Accepting new patients | |
| Catholic Health Initiatives-Iowa Corp | Current | Accepting new patients | |
| Covenant Medical Center, Inc. | Current | Accepting new patients | |
| Hamilton County Public Hospital | Current | Accepting new patients | |
| North Iowa Mercy Clinics | Current | Accepting new patients | |
| Iowa Heart Center PC | Interventional Cardiology | Past | Accepting new patients |
Locations
1816 Philadelphia St
Ames, IA 50010
Phone (515) 232-2500
226 Bluebell Rd
Cedar Falls, IA 50613
Phone (319) 575-5800
411 Laurel St
Ste 1225
Des Moines, IA 50314
Phone (515) 633-3770
200 Hawkins Dr
Iowa City, IA 52242
Phone (319) 356-1616
200 Hawkins Dr
#H
Iowa City, IA 52242
Phone (319) 356-1616
269 N 1st Ave
Iowa City, IA 52245
Phone (319) 339-3541
500 E Market St
Iowa City, IA 52245
Phone (319) 339-0300
540 E Jefferson St
Ste 400
Iowa City, IA 52245
Phone (319) 339-3400
250 S Crescent Dr
Mason City, IA 50401
Phone (541) 422-6588
250 S Crescent Dr
Ste 200
Mason City, IA 50401
Phone (641) 494-5300
1001 Pennsylvania Ave
Ottumwa, IA 52501
Phone (641) 472-4111
1005 Pennsylvania Ave
Ste 207
Ottumwa, IA 52501
Phone (641) 682-5349
2720 Stone Park Blvd
Sioux City, IA 51104
Phone (712) 259-3000
801 5th St
Sioux City, IA 51101
Phone (712) 279-2010
2710 Saint Francis Dr
Ste 320
Waterloo, IA 50702
Phone (319) 272-8072
Networks
- devoted network organization-27eb9117-6975-449a-a7ad-909243995ddc
- devoted network organization-734447cc-691b-4aa7-a112-9c9c8698dcc9
Interoperability endpoints
- ravinder.kumar.p1@direct.iowaheart.nextgenshare.com
- rdervesh3942863@direct.trinity-health.org
- rkumar902418@direct.unitypoint.org
Organizations & group practices 16
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.
-
dba MercyOne Iowa Heart Center
- Clinical Cardiac Electrophysiology Physician
- West Des Moines, IA
- NPI 1629301684
Interventional Cardiology
-
dba MercyOne Medical Group Northeast Iowa
- Family Medicine Physician
- Waterloo, IA
- NPI 1548288160
-
dba VanDiest Medical Center
- Critical Access Hospital
- Webster City, IA
- NPI 1295702397
-
dba Van Diest Medical Center Stratford Clinic
- Rural Health Clinic/Center
- Stratford, IA
- NPI 1497957351
-
dba MercyOne North Iowa Anesthesia Professional Services
- Anesthesiology Physician
- Mason City, IA
- NPI 1780278242
-
dba St. Luke's Regional Medical Center
- Emergency Medical Services (Emergency Medicine) Physician
- Sioux City, IA
- NPI 1215962550
-
dba MercyOne Des Moines Cancer and Infusion Care-Newton
- Hematology & Oncology Physician
- Newton, IA
- NPI 1841039856
-
dba MercyOne Evansdale home medical equipment
- Customized Equipment (DME)
- Evansdale, IA
- NPI 1851141980
-
dba Van Diest Family Health Clinic of Fort Dodge
- Rural Health Clinic/Center
- Fort Dodge, IA
- NPI 1508481243
-
dba Van Diest Medical Center Jewell Clinic
- Rural Health Clinic/Center
- Jewell, IA
- NPI 1851308423
-
dba Mercy Iowa City Professional Services
- Emergency Medicine Physician
- Iowa City, IA
- NPI 1124089347
Internal Medicine
-
dba MercyOne North Iowa Heart Center
- Cardiovascular Disease Physician
- Mason City, IA
- NPI 1801147269
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba MercyOne West Des Moines Medical Center
- General Acute Care Hospital
- West Des Moines, IA
- NPI 1538395975
-
dba MercyOne Des Moines Laboratory
- Clinical Medical Laboratory
- Des Moines, IA
- NPI 1104982743
Hospital
-
dba MercyOne Des Moines Medical Center
- General Acute Care Hospital
- Des Moines, IA
- NPI 1508964883
-
dba Mercy Medical Mammography Center
- Mammography Clinic/Center
- Des Moines, IA
- NPI 1477984367
Hospital
-
dba VanDiest Medical Center
- Critical Access Hospital
- Webster City, IA
- NPI 1295702397
-
dba Van Diest Medical Center Stratford Clinic
- Rural Health Clinic/Center
- Stratford, IA
- NPI 1497957351
Hospital
-
- General Acute Care Hospital
- Ames, IA
- NPI 1477539492
-
dba Ottumwa Regional Health Center
- General Acute Care Hospital
- Ottumwa, IA
- NPI 1013233741
-
- General Acute Care Hospital
- Marshalltown, IA
- NPI 1629503057
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185321600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713312000000",
"number": "1013107291",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 9170",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503069170",
"telephone_number": "515-633-3600",
"fax_number": "515-633-3838"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "411 LAUREL ST STE 1225",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503143017",
"telephone_number": "515-633-3770",
"fax_number": "515-288-6713"
}
],
"practiceLocations": [
{
"address_1": "500 E Market St",
"address_purpose": "LOCATION",
"city": "Iowa City",
"state": "IA",
"postal_code": "522452633",
"country_code": "US",
"telephone_number": "319-339-3551",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "540 E Jefferson St Ste 400",
"address_purpose": "LOCATION",
"city": "Iowa City",
"state": "IA",
"postal_code": "522452479",
"country_code": "US",
"telephone_number": "319-399-3400",
"fax_number": "319-399-3401",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DERVESH",
"first_name": "RAVINDER",
"middle_name": "K",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-07-25",
"last_updated": "2024-04-17",
"certification_date": "2024-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IA",
"license": "MD-38624",
"primary": false
},
{
"code": "207RA0001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Advanced Heart Failure and Transplant Cardiology",
"state": "IA",
"license": "MD-38624",
"primary": false
},
{
"code": "207RI0011X",
"taxonomy_group": "",
"desc": "Internal Medicine, Interventional Cardiology",
"state": "IA",
"license": "MD-38624",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "RAVINDER",
"last_name": "KUMAR",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Des Moines, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2024; 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.