Pediatric Cardiology, P.C.

Primary specialty

Pediatric Cardiology PhysicianTaxonomy code 2080P0202X

Legal business name

PEDIATRIC CARDIOLOGY, P.C.

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

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Basaviah Chandramouli, M.D.

Title

President

Phone

(515) 288-1097

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stephen James Mooradian, M.D.

  • Pediatric Cardiology Physician
  • Des Moines, IA
  • NPI 1902888613
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1132185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1083696793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 LAUREL ST",
            "address_2": "SUITE 2200",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503143034",
            "telephone_number": "515-288-1097",
            "fax_number": "515-288-2847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 LAUREL ST",
            "address_2": "SUITE 2200",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503143034",
            "telephone_number": "515-288-1097",
            "fax_number": "515-288-2847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC CARDIOLOGY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CHANDRAMOULI",
        "authorized_official_first_name": "BASAVIAH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "515-288-1097",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2080P0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0183046",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lisa Marie Pearson
• Carolyn Su-Ying Pease, M.D.
• Caitlin Siobhan Pedati
• Brenda K. Pedersen, BSOT, OTR/L, CHT
• Pediatric & Adult Allergy PC
• Pediatric Dentistry of Central Iowa, P.C. (Pediatric Dentistry)
• Pediatrics and Adolescent Medicine, P.C.
• Alissa Marie Peer, BS., CADC
• Kristen Peerbaccus
• Robert Peffer

• Pediatric Cardiology Physician in Des Moines, IA
• Providers in Des Moines, IA by specialty
• Pediatric Cardiology Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.