Active NPI
Cory C Vaudt, DO
- Emergency Medicine Physician
- Des Moines, IA
National Provider Identifier
1184675159
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 3688
- Practice address
- 1200 Pleasant St
Des Moines, IA 50309-1406 - Phone
- (515) 263-5694
- NPI assigned
- May 15, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 34008246 | OH | |
| Emergency Medicine Physician | 207P00000X | 3688 | IA | Primary |
Addresses
Primary practice location
1200 Pleasant St
Des Moines, IA 50309-1406
Mailing address
3508 NW Rockridge Rd
Ankeny, IA 50023-6005
Phone (515) 965-8594
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1744979 | Medicaid | IA | |
| P00368423 | Other | RAILROAD MEDICARE | |
| 0744979 | Medicaid | IA | |
| 2478466 | Medicaid | OH | |
| 31677 | Other | IA | WELLMARK OF IOWA |
| 31683 | Other | WELLMARK OF IOWA | |
| 000000361694 | Other | BCBS |
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
Enrollment records 1
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 82.56 of 100
- Quality
- 83.65
- Promoting interoperability
- 78
- Improvement activities
- 40
- Cost
- 76.53
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Iowa Hospital Corporation | Current | Accepting new patients | |
| Central Iowa Hospital Corporation | Emergency Medicine | Current | Accepting new patients |
| St Luke'S Methodist Hospital | Current | Accepting new patients | |
| Central Iowa Hospital Corporation | Current | Accepting new patients | |
| Lima Memorial Joint Operating Company | Past | Accepting new patients | |
| Emergency Medicine Physicians of Guernsey County, LTD | Emergency Medicine | Past | Accepting new patients |
| Marion Physician Billing LLC | Emergency Medicine | Past | Accepting new patients |
| Marysville Emergency Physicians Inc. | Emergency Medicine | Past | Accepting new patients |
| Marion General Hospital Foundation, Inc. | Emergency Medicine | Past | Accepting new patients |
Locations
700 E University Ave
Des Moines, IA 50316
Phone (515) 263-5120
700 E University Ave
Ste 3W
Des Moines, IA 50316
1200 Pleasant St
Des Moines, IA 50309
Phone (515) 241-5926
1660 60th St
West Des Moines, IA 50266
Phone (515) 241-2250
Interoperability endpoints
- cvaudt11992@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.
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-
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-
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-
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-
- Emergency Medicine Physician
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-
- Emergency Medicine Physician
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- NPI 1649271594
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147651200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1468886400000",
"number": "1184675159",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3508 NW ROCKRIDGE RD",
"city": "ANKENY",
"state": "IA",
"postal_code": "500236005",
"telephone_number": "515-965-8594"
},
{
"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": "515-263-5694"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VAUDT",
"first_name": "CORY",
"middle_name": "C",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-15",
"last_updated": "2016-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "OH",
"license": "34008246",
"primary": false
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "IA",
"license": "3688",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1744979",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00368423",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0744979",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2478466",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLMARK OF IOWA",
"identifier": "31677",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLMARK OF IOWA",
"identifier": "31683",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "000000361694",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Des Moines, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.