Individual provider Active NPI

Joel Waddell, DO

  • Pediatric Infectious Diseases Physician
  • Des Moines, IA
National Provider Identifier
1174960793
Registry record updated Apr 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Infectious Diseases PhysicianTaxonomy code 2080P0208X
License
1747 Issued in IA
Practice address
1215 Pleasant St Ste 304
Des Moines, IA 50309-1419
Phone
(515) 241-8300
NPI assigned
May 23, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Infectious Diseases Physician 2080P0208X 1747 IA Primary

Addresses

Primary practice location

1215 Pleasant St Ste 304
Des Moines, IA 50309-1419

Mailing address

1215 Pleasant St Ste 304
Des Moines, IA 50309-1419

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
I20190729002608 IA Practitioner - Pediatric Medicine 6204133606 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1747IAMDPediatric Infectious Diseases Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Central Iowa Hospital Corporation CurrentSince Jul 1, 2019 Accepting new patients
Central Iowa Hospital Corporation Pediatric Infectious Diseases CurrentSince Jul 1, 2019 Accepting new patients
Central Iowa Hospital Corporation Current Accepting new patients
St Luke'S Methodist Hospital Current Accepting new patients

Locations

1215 Pleasant St
Ste 304
Des Moines, IA 50309
Phone (515) 241-3413

840 E University Ave
Des Moines, IA 50316
Phone (515) 265-4211

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

1212 Pleasant St
Ste 300
Des Moines, IA 50309
Phone (515) 241-6000

1111 6th Ave
Des Moines, IA 50314
Phone (515) 247-3121

1111 6th Ave
Fl 3
Des Moines, IA 50314

Interoperability endpoints

  • Direct secure messaging: jwaddell34706@direct.unitypoint.org

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1369267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586217600000",
    "number": "1174960793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1215 PLEASANT ST STE 304",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503091419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 PLEASANT ST STE 304",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503091419",
            "telephone_number": "515-241-8300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WADDELL",
        "first_name": "JOEL",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-05-23",
        "last_updated": "2020-04-07",
        "certification_date": "2020-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0208X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Infectious Diseases",
            "state": "IA",
            "license": "1747",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Moines, IA

Sources for this page

Verify at the official NPI Registry.