Emory Dye, M.D.
Individual provider Active NPI Diagnostic Radiology Physician · West Des Moines, IA
NPI 1043747868 · NPPES record last updated Oct 29, 2024
Key facts
- NPI
- 1043747868
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Diagnostic Radiology Physician 2085R0202X
- License
- MD-53754 (IA)
- Practice address
- 7601 Office Plaza Dr N Ste 100
West Des Moines, IA 50266-2340 - Phone
- (515) 222-0550
- NPI assigned
- May 11, 2017
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 14
Hospital & facility affiliations 8
Medicare Care Compare profile
- Specialty
- Diagnostic Radiology
- Education
- University of Nebraska College of Medicine, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Innovative Radiology LLC
Broadlawns Medical Center
Pella Regional Health Center
Practice addresses (Care Compare)
12733 Forestdale Dr
Bellevue, NE 68123-2812
Phone (515) 222-0550
1801 Hickman Rd
Des Moines, IA 50314-1548
Phone (515) 282-2200
405 Monroe St
Pella, IA 50219-1189
Phone (641) 628-3832
7601 Office Plaza Dr N
Suite 115
West Des Moines, IA 50266-2338
Phone (515) 222-0550
Hospital & facility affiliations
- Broadlawns Medical Center
- Pella Regional Health Center
- Wayne County Hospital
- Compass Memorial Healthcare
- Mercyone Des Moines Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241123000161 | IA | Practitioner - Diagnostic Radiology | 4183997257 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pella Regional Health Center | Current | Accepting new patients | |
| Innovative Radiology, LLC | Diagnostic Radiology | Current |
Accepting new patients |
| Broadlawns Medical Center | Current |
Accepting new patients | |
| Pella Regional Health Center | Current |
Accepting new patients | |
| Pella Regional Health Center | Family Medicine | Current |
Accepting new patients |
| Broadlawns Medical Center | Current |
Accepting new patients |
Locations
1801 Hickman Rd
Des Moines, IA 50314
Phone (515) 282-2200
2508 E University Ave
Des Moines, IA 50317
Phone (515) 282-2362
580 SW 9th St
Ste 100
Des Moines, IA 50309
Phone (515) 282-2362
405 Monroe St
Pella, IA 50219
Phone (641) 621-2200
7601 Office Plaza Dr N
Ste 115
West Des Moines, IA 50266
Phone (515) 222-0550
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 7907 | NE | |
| Diagnostic Radiology Physician | 2085R0202X | MD-53754 | IA | Yes |
Addresses
Primary practice location
7601 Office Plaza Dr N Ste 100
West Des Moines, IA 50266-2340
Mailing address
7601 Office Plaza Dr N Ste 100
West Des Moines, IA 50266-2340
Other practice location 1
University Of Nebraska Medical Ctr
Department of Family Medicine
Omaha, NE 68198-3075
Phone (402) 559-5279
NPI Registry JSON
{
"created_epoch": "1494460800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730160000000",
"number": "1043747868",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7601 OFFICE PLAZA DR N STE 100",
"city": "WEST DES MOINES",
"state": "IA",
"postal_code": "502662340"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7601 OFFICE PLAZA DR N STE 100",
"city": "WEST DES MOINES",
"state": "IA",
"postal_code": "502662340",
"telephone_number": "515-222-0550"
}
],
"practiceLocations": [
{
"address_1": "University Of Nebraska Medical Ctr",
"address_2": "Department of Family Medicine",
"address_purpose": "LOCATION",
"city": "Omaha",
"state": "NE",
"postal_code": "681983075",
"country_code": "US",
"telephone_number": "402-559-5279",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DYE",
"first_name": "EMORY",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-05-11",
"last_updated": "2024-10-29",
"certification_date": "2024-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NE",
"license": "7907",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "IA",
"license": "MD-53754",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Des Moines, IA
- Dustin Daugherty, Lisw, LLC
- Charlotte E. Dutcher
- Emily Genaway Duvick
- Amber Dvorak
- David Scott Dwyer
- Joelle Eager
- Amanda Renee Earle
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All providers in West Des Moines, IA · Diagnostic Radiology 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 Oct 29, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.