Individual provider Active NPI

Mitchell R. Erickson, M.D.

  • Neuroradiology Physician
  • Des Moines, IA
National Provider Identifier
1013904044
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuroradiology PhysicianTaxonomy code 2085N0700X
License
32884 Issued in IA
Practice address
1111 6TH Ave
Des Moines, IA 50314-2613
Phone
(515) 643-2667
Fax
(515) 643-2978
NPI assigned
Oct 4, 2005
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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neuroradiology Physician 2085N0700X 32884 IA Primary

Addresses

Primary practice location

1111 6TH Ave
Des Moines, IA 50314-2613

Mailing address

1111 6TH Ave
Des Moines, IA 50314-2613
Phone (515) 643-2667

Other identifiers 1

IdentifierTypeStateIssuer
0192690MedicaidIA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061002000080 IA Practitioner - Diagnostic Radiology 5294730917 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Wisconsin School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Diagnostic Imaging Associates, P.C.Group PAC ID 7113820788, 20 clinicians

Practice addresses (Care Compare)

1111 6TH Ave
Des Moines, IA 50314-2610

1111 6TH Ave
Des Moines, IA 50314-2613
Phone (515) 643-2667

1601 NW 114TH St
Suite 149
Clive, IA 50325-7046
Phone (515) 222-7550

1755 59TH PL
West Des Moines, IA 50266-7737
Phone (515) 358-8262

1816 Philadelphia St
Ames, IA 50010-8771
Phone (515) 232-2500

5880 University Ave
West Des Moines, IA 50266-8209
Phone (515) 633-3600

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
32884IAMDNeuroradiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Catholic Health Initiatives-Iowa Corp CurrentSince Oct 1, 2013 Accepting new patients
Diagnostic Imaging Associates, P.C. CurrentSince Jul 1, 1999 Accepting new patients
Catholic Health Initiatives-Iowa Corp CurrentSince Oct 1, 2013 Accepting new patients
Open MRI of Davenport. L.L.C. Past Accepting new patients

Locations

1816 Philadelphia St
Ames, IA 50010
Phone (515) 232-2500

515 Pacific Ave
Audubon, IA 50025
Phone (712) 563-2611

509 N Madison St
Bloomfield, IA 52537
Phone (641) 664-2145

1 Saint Joseph Dr
Centerville, IA 52544
Phone (641) 437-3482

12499 University Ave
Clive, IA 50325
Phone (515) 245-6425

417 S East St
Corydon, IA 50060
Phone (641) 872-2260

1601 NW 114th St
Ste 149
Des Moines, IA 50325
Phone (515) 222-7445

1601 NW 114th St
Ste 128
Des Moines, IA 50325
Phone (515) 222-7550

1111 6th Ave
Des Moines, IA 50314
Phone (515) 247-3121

2006 N 4th St
Ste 202B
Indianola, IA 50125
Phone (515) 358-7680

1002 S Lincoln St
Knoxville, IA 50138
Phone (641) 842-1464

1301 W Main St
Lake City, IA 51449
Phone (712) 464-3171

1405 NW Church St
Leon, IA 50144
Phone (641) 446-2339

1550 6th St
Manning, IA 51455
Phone (712) 655-2072

504 N Cleveland St
Mount Ayr, IA 50854
Phone (641) 464-3226

204 N 4th Ave E
Newton, IA 50208
Phone (641) 791-4800

522 N Hancock St
Ottumwa, IA 52501
Phone (641) 683-0800

610 10th St
Perry, IA 50220
Phone (515) 465-3547

211 Highland Ave
Sac City, IA 50583
Phone (712) 662-6379

1755 59th Pl
West Des Moines, IA 50266
Phone (515) 247-4240

300 W Hutchings St
Winterset, IA 50273
Phone (515) 223-4368

Interoperability endpoints

  • Direct secure messaging: merickson3943975@direct.trinity-health.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 10

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": "1128384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1013904044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 6TH AVE",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503142613",
            "telephone_number": "515-643-2667",
            "fax_number": "515-643-2978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 6TH AVE",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503142613",
            "telephone_number": "515-643-2667",
            "fax_number": "515-643-2978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERICKSON",
        "first_name": "MITCHELL",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-04",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "IA",
            "license": "32884",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0192690",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Moines, IA

Sources for this page

Verify at the official NPI Registry.