Individual provider Active NPI

Gautam Kumar Reddy, M.D.

  • Anesthesiology Physician
  • Des Moines, IA
National Provider Identifier
1134533110
Registry record updated Jun 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
MD-45139 Issued in IA
Practice address
1200 Pleasant St
Des Moines, IA 50309-1406
Phone
(515) 241-6372
Fax
(515) 401-1955
NPI assigned
Jun 17, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X MD-45139 IA Primary

Addresses

Primary practice location

1200 Pleasant St
Des Moines, IA 50309-1406

Mailing address

4201 Westown Pkwy Ste 236
West Des Moines, IA 50266-6720
Phone (515) 401-1950

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, IL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180724001715 IA Practitioner - Anesthesiology 0648497883 Reassigns benefits to 2 organizations
Practice locations: Bettendorf, IA
I20180806000679 IL Practitioner - Anesthesiology 0648497883 Reassigns benefits to 1 organization
Practice locations: Moline, IL; Rock Island, IL

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Associated Anesthesiologists PCGroup PAC ID 9638068307, 65 clinicians
Mercy Medical CenterGroup PAC ID 4183535271, 295 clinicians

Practice addresses (Care Compare)

1200 Pleasant St
Des Moines, IA 50309-1406
Phone (515) 401-1950

1600 60TH St
West Des Moines, IA 50266-7700
Phone (515) 224-5232

1660 60TH St
West Des Moines, IA 50266-7700
Phone (515) 343-1000

700 E University Ave
Iowa Lutheran Hospital
Des Moines, IA 50316-2302
Phone (515) 401-1950

701 10TH St SE
Cedar Rapids, IA 52403-1251

701 10TH St SE
Cedar Rapids, IA 52403-1292

701 10TH St SE J Edward Lundy
Mercy Pediatric Clinic
Cedar Rapids, IA 52403-1251
Phone (319) 832-2328

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD-45139IAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Clinical Colleagues Inc Anesthesiology CurrentSince Jan 17, 2025 Accepting new patients
Associated Anesthesiologists, P.C. CurrentSince Jun 6, 2021 Accepting new patients
Mercy Medical Center CurrentSince Jan 1, 2025 Accepting new patients
Mercy Medical Center CurrentSince Jan 1, 2025 Accepting new patients
St Luke'S Methodist Hospital Current Accepting new patients
Waukee Surgery Center LLC CurrentSince Jun 1, 2019 Accepting new patients
Mercy Medical Center Current Accepting new patients
Clinical Colleagues Inc Anesthesiology CurrentSince Jan 17, 2025 Accepting new patients
Associated Anesthesiologists, P.C. Anesthesiology CurrentSince Jun 1, 2019 Accepting new patients

Locations

3625 N Ankeny Blvd
Ste J
Ankeny, IA 50023
Phone (515) 965-2200

701 10th St SE
Cedar Rapids, IA 52403
Phone (319) 398-6011

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

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

1025 SE Tallgrass Ln
Waukee, IA 50263
Phone (515) 875-8000

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

1600 60th St
West Des Moines, IA 50266
Phone (515) 224-5232

1750 60th St
West Des Moines, IA 50266
Phone (515) 273-5240

4200 University Ave
Ste 300
West Des Moines, IA 50266
Phone (515) 401-1950

4201 Westown Pkwy
Ste 236
West Des Moines, IA 50266
Phone (515) 401-1950

695 N Kellogg St
Galesburg, IL 61401
Phone (309) 343-8131

500 John Deere Rd
Moline, IL 61265
Phone (309) 779-2840

2701 17th St
Rock Island, IL 61201
Phone (309) 779-3200

4100 International Plz
Ste 800
Ft Worth, TX 76109
Phone (855) 373-6862

Interoperability endpoints

  • Direct secure messaging: greddy515721@direct.unitypoint.org

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1402963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719360000000",
    "number": "1134533110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4201 WESTOWN PKWY STE 236",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502666720",
            "telephone_number": "515-401-1950",
            "fax_number": "515-401-1955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 PLEASANT ST",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503091406",
            "telephone_number": "515-241-6372",
            "fax_number": "515-401-1955"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDDY",
        "first_name": "GAUTAM",
        "middle_name": "KUMAR",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-17",
        "last_updated": "2024-06-26",
        "certification_date": "2024-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IA",
            "license": "MD-45139",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Moines, IA

Sources for this page

Verify at the official NPI Registry.