Individual provider Active NPI

David Lawrence Lacey, M.D.

  • Vascular & Interventional Radiology Physician
  • Clive, IA
National Provider Identifier
1043277247
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
32479 Issued in IA
Practice address
12368 Stratford Dr
Suite 300
Clive, IA 50325-8162
Phone
(515) 226-9810
Fax
(515) 226-8408
NPI assigned
May 1, 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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular & Interventional Radiology Physician 2085R0204X 32479 IA Primary

Addresses

Primary practice location

12368 Stratford Dr
Suite 300
Clive, IA 50325-8162

Mailing address

13338 Lake Shore Dr
Clive, IA 50325-8740
Phone (515) 254-0336

Other identifiers 1

IdentifierTypeStateIssuer
3189886MedicaidIA

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
I20050111000932 IA Practitioner - Diagnostic Radiology 8628969854 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Iowa, RJ & L Carver College of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Iowa Hospital CorporationGroup PAC ID 1052229275, 233 clinicians
Iowa Radiology P CGroup PAC ID 2264323468, 37 clinicians
Iowa Diagnostic Imaging and Procedure Center, L CGroup PAC ID 1658263546, 36 clinicians

Practice addresses (Care Compare)

1200 Pleasant St
Des Moines, IA 50309-1406
Phone (515) 241-5926

1221 Pleasant St
Suite 350
Des Moines, IA 50309-1420
Phone (515) 226-9810

12368 Stratford Dr
Suite 300
Clive, IA 50325-8149
Phone (515) 228-9810

1660 60TH St
West Des Moines, IA 50266-7700
Phone (515) 343-1800

700 E University Ave
Unity Point Hosp
Des Moines, IA 50316-2302
Phone (515) 263-5612

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
32479IAMDVascular & Interventional Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Iowa Radiology, P C CurrentSince Jun 1, 2001 Accepting new patients
BTX Iowa Inc CurrentSince Sep 1, 2015 Accepting new patients
Boone County Hospital Past Accepting new patients

Locations

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

311 S Clark St
Carroll, IA 51401
Phone (712) 792-3581

1200 Pleasant St
Des Moines, IA 50309
Phone (515) 241-5926

12368 Stratford Dr
Ste 300
Des Moines, IA 50325
Phone (515) 228-9810

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

625 L St
Fort Dodge, IA 50501
Phone (515) 574-3015

802 Kenyon Rd
Fort Dodge, IA 50501
Phone (515) 574-6565

210 4th Ave
Grinnell, IA 50112
Phone (641) 236-2055

710 N 12th St
Guthrie Ctr, IA 50115
Phone (641) 332-2201

1000 15th St N
Humboldt, IA 50548
Phone (515) 332-4200

701 E 2nd St
Ida Grove, IA 51445
Phone (712) 364-3311

1000 W Lincoln Way
Jefferson, IA 50129
Phone (515) 386-2114

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

640 S 19th St
Nevada, IA 50201
Phone (515) 382-2111

800 S Fillmore St
Osceola, IA 50213
Phone (641) 342-2184

606 NW 7th St
Pocahontas, IA 50574
Phone (712) 335-3501

211 Highland Ave
Sac City, IA 50583
Phone (712) 662-7105

2720 Stone Park Blvd
Sioux City, IA 51104
Phone (712) 259-3000

1525 W 5th St
Storm Lake, IA 50588
Phone (712) 732-4030

1660 60th St
West Des Moines, IA 50266
Phone (515) 241-2250

Organizations & group practices 5

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 7

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": "1146441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1043277247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13338 LAKE SHORE DR",
            "city": "CLIVE",
            "state": "IA",
            "postal_code": "503258740",
            "telephone_number": "515-254-0336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12368 STRATFORD DR",
            "address_2": "SUITE 300",
            "city": "CLIVE",
            "state": "IA",
            "postal_code": "503258162",
            "telephone_number": "515-226-9810",
            "fax_number": "515-226-8408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LACEY",
        "first_name": "DAVID",
        "middle_name": "LAWRENCE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-01",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "IA",
            "license": "32479",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3189886",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clive, IA

Sources for this page

Verify at the official NPI Registry.