Individual provider Active NPI

Vuong Anh Nayima, DO

  • Allergy & Immunology Physician
  • West Des Moines, IA
National Provider Identifier
1174817134
Registry record updated Jan 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
4341 Issued in IA
Practice address
5901 Westown Pkwy Ste 225
West Des Moines, IA 50266-8297
Phone
(515) 410-9400
Fax
(844) 595-5188
NPI assigned
Jun 7, 2011
Last updated
Jan 30, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X 4341 IA Primary
Internal Medicine Physician 207R00000X R9217 IA
Hospitalist Physician 208M00000X DO-04341 IA

Addresses

Primary practice location

5901 Westown Pkwy Ste 225
West Des Moines, IA 50266-8297

Mailing address

5901 Westown Pkwy Ste 250
West Des Moines, IA 50266-8273
Phone (773) 257-7026

Other identifiers 3

IdentifierTypeStateIssuer
P02168477OtherMEDICARE RR
0123134MedicaidIA
IB4258001OtherIAMEDICARE IA

Other names 1

  • Vuong Anh the Nguyen Former name

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
I20140311001166 IA Practitioner - Internal MedicinePractitioner - Allergy/ImmunologyPractitioner - Hospitalist 8224271846 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Allergy/Immunology, Hospitalist
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Shinra PCGroup PAC ID 8426394230, 3 clinicians

Practice addresses (Care Compare)

5901 Westown Pkwy
Suite 250
West Des Moines, IA 50266-8273
Phone (316) 452-1653

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4341IAMDAllergy & Immunology Physician
R9217IAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Broadlawns Medical Center CurrentSince Feb 3, 2014 Accepting new patients
Shinra, P.C. CurrentSince Nov 28, 2018 Accepting new patients
Broadlawns Medical Center CurrentSince Feb 3, 2014 Accepting new patients
Core Physical Therapy Inc PastSince Jul 11, 2012 Accepting new patients

Locations

800 E 1st St
Ste 2800
Ankeny, IA 50021
Phone (515) 410-9400

1801 Hickman Rd
Des Moines, IA 50314
Phone (515) 282-2200

609 SE Kent St
Greenfield, IA 50849
Phone (641) 743-2123

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

920 S Oak St
Iowa Falls, IA 50126
Phone (641) 648-4631

5901 Westown Pkwy
Ste 225
West Des Moines, IA 50266
Phone (515) 410-9400

5901 Westown Pkwy
Ste 250
West Des Moines, IA 50266
Phone (316) 452-1653

300 W Hutchings St
Winterset, IA 50273
Phone (515) 223-4368

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1307404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738195200000",
    "number": "1174817134",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5901 WESTOWN PKWY STE 250",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502668273",
            "telephone_number": "773-257-7026",
            "fax_number": "844-595-5188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5901 WESTOWN PKWY STE 225",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502668297",
            "telephone_number": "515-410-9400",
            "fax_number": "844-595-5188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAYIMA",
        "first_name": "VUONG",
        "middle_name": "ANH",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-07",
        "last_updated": "2025-01-30",
        "certification_date": "2025-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "IA",
            "license": "4341",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IA",
            "license": "R9217",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "IA",
            "license": "DO-04341",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR",
            "identifier": "P02168477",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0123134",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE IA",
            "identifier": "IB4258001",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VUONG",
            "last_name": "NGUYEN",
            "middle_name": "ANH THE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in West Des Moines, IA

Sources for this page

Verify at the official NPI Registry.