Individual provider Active NPI

Rudolph Lafontant, DPM

  • Podiatrist
  • Des Moines, IA
National Provider Identifier
1235197542
Registry record updated Mar 17, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
00597 Issued in IA
Practice address
2629 Beaver Ave
Suite 15
Des Moines, IA 50310-3991
Phone
(515) 223-5219
Fax
(515) 274-9443
NPI assigned
May 3, 2006
Last updated
Mar 17, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 00597 IA Primary

Addresses

Primary practice location

2629 Beaver Ave
Suite 15
Des Moines, IA 50310-3991

Mailing address

3613 Beaver Ave
Des Moines, IA 50310-3273
Phone (515) 223-5219

Other identifiers 1

IdentifierTypeStateIssuer
P01001290OtherIARAILROAD MEDICARE

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060221000005 IA Practitioner - Podiatry 6507858743 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
College of Podiatric Med and Surgery, Des Moines University, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3613 Beaver Ave
Des Moines, IA 50310-3273
Phone (515) 223-5219

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue448
Removal or shaving of skin growth68
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
597IAMDOccupational Therapist
00597IAMDAudiologist

Practice roles

OrganizationSpecialtyStatusNew patients
Diagnostic & Critical Care Medicine Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: rlafontant@mydoctorrudy.emadirect.md

Organizations & group practices 2

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": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1584403200000",
    "number": "1235197542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3613 BEAVER AVE",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503103273",
            "telephone_number": "515-223-5219",
            "fax_number": "515-223-9344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2629 BEAVER AVE",
            "address_2": "SUITE 15",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503103991",
            "telephone_number": "515-223-5219",
            "fax_number": "515-274-9443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAFONTANT",
        "first_name": "RUDOLPH",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-03",
        "last_updated": "2020-03-17",
        "certification_date": "2020-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "IA",
            "license": "00597",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P01001290",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Moines, IA

Sources for this page

Verify at the official NPI Registry.