Allergy Asthma Sinus Center PC
Organization Active NPI Allergy & Immunology Physician · West Des Moines, IA
NPI 1154640837 · NPPES record last updated May 20, 2010
Key facts
- NPI
- 1154640837
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Allergy & Immunology Physician 207K00000X
- License
- 29432 (IA)
- Legal business name
- ALLERGY ASTHMA SINUS CENTER PC
- Practice address
- 1200 Valley West Drive
Suite 120
West Des Moines, IA 50266-1902 - Phone
- (515) 226-9559
- NPI assigned
- May 20, 2010
- Organization subpart
- No
Authorized official
- Name
- Ravinder Kumar Agarwal, MD
- Title
- Physician/Owner
- Phone
- (515) 226-9559
Practitioners 1
-
Ravinder Kumar Agarwal, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100909000356 | IA | Part B Supplier - Clinic/Group Practice | 6901921360 |
Receives reassigned benefits from 1 practitioner Practice locations: West Des Moines, IA |
National Provider Directory
Locations
1221 S Gear Ave
Ste 308
West Burlington, IA 52655
1200 Valley West Dr
West Des Moines, IA 50266
Phone (515) 267-1340
1200 Valley West Dr
Ste 120
West Des Moines, IA 50266
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy & Immunology Physician |
207K00000X | 29432 | IA | Yes |
Addresses
Primary practice location
1200 Valley West Drive
Suite 120
West Des Moines, IA 50266-1902
Mailing address
1200 Valley West Dr
Suite 120
West Des Moines, IA 50266-1908
Phone (515) 226-9559
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2098988 | Medicaid | IA |
Other providers in West Des Moines, IA
- Ayoub A Ali
- Laura French Alison
- Steven A Aljets
- Fadi H Alkhatib
- Daniel P. Allen
- Allergy Institute, P.C.
- Alliance Mental Health Services, LLC
- Alliance Therapy and Counseling Services LLC
- Kyle J Alliman
- Ali Altaie
All providers in West Des Moines, IA · Allergy & Immunology 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 May 20, 2010. 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.