Basaviah Chandramouli, M.D.
Individual provider Active NPI Pediatric Cardiology Physician · Des Moines, IA
NPI 1023090735 · NPPES record last updated Jul 13, 2026
Key facts
- NPI
- 1023090735
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatric Cardiology Physician 2080P0202X
- License
- 19084 (IA)
- Practice address
- 330 Laurel St
Suite 2200
Des Moines, IA 50314-3034 - Phone
- (515) 288-1097
- Fax
- (515) 288-2847
- NPI assigned
- Nov 17, 2005
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19084 | IA | MD | Pediatric Cardiology Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Cardiology Physician | 2080P0202X | 19084 | IA | Yes |
Addresses
Primary practice location
330 Laurel St
Suite 2200
Des Moines, IA 50314-3034
Mailing address
707 38TH St
West Des Moines, IA 50265-3177
Phone (515) 223-1511
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093849 | Medicaid | IA |
Other providers in Des Moines, IA
- Quentin Chambers
- Christopher S Champion
- Andrew Wanley Chan
- Tamara S Chance
- Vidya T Chande
- Prem K.G. Chandran
- Poojitha Chandrasekhar
- Angela Lynn Chaney
- Change Behavioral Health, Inc
- Floyd David Chapin
All providers in Des Moines, IA · Pediatric Cardiology Physician in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 13, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.