Active NPI
Craig A Stark, M.D.
- Cardiovascular Disease Physician
- Des Moines, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- MD-23727
- Practice address
- 1215 Pleasant St
Suite 414
Des Moines, IA 50309-1416 - Phone
- (515) 241-5700
- Fax
- (515) 241-5775
- NPI assigned
- Nov 17, 2005
- Last updated
- Mar 11, 2015
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | MD-23727 | IA | Primary |
Addresses
Primary practice location
1215 Pleasant St
Suite 414
Des Moines, IA 50309-1416
Mailing address
1215 Pleasant St
Suite 414
Des Moines, IA 50309-1416
Phone (515) 241-5700
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P01173061 | Other | IA | RR MEDICARE |
| 6206847 | Medicaid | IA | |
| 1245212075 | Medicaid | IA |
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 Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Wayne State University School of Medicine, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
101 SE Destination Dr
Family Med Grimes
Grimes, IA 50111-6608
Phone (515) 986-4524
1215 Pleasant St
Suite 414
Des Moines, IA 50309-1408
Phone (515) 241-5700
2103 Ingersoll Ave
Des Moines, IA 50312-5227
2301 E 14TH St
Family Med Parks
Des Moines, IA 50316-1901
Phone (515) 262-0404
2515 Grand Prairie Pkwy
Waukee, IA 50263-8966
Phone (515) 644-9000
2515 SE State St
Ankeny, IA 50023-7079
2720 8TH St SW
Altoona, IA 50009-1028
Phone (515) 967-0133
301 E Hillcrest Ave
Family Med Indi
Indianola, IA 50125-9027
Phone (515) 961-3700
4480 Utica Ridge Rd
Bettendorf, IA 52722-1644
5900 NW 86TH St
Suite 100
Johnston, IA 50131-2284
Phone (515) 276-6133
6010 Mills Civic Pkwy
West Des Moines, IA 50266-8345
Phone (515) 221-7800
6400 Hickman Rd
Windsor Heights, IA 50324-5001
Phone (515) 274-3551
801 Colonial Cir
Norwalk, IA 50211-9626
Phone (515) 285-3200
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23727 | IA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Iowa Hospital Corporation | Current | Accepting new patients | |
| St Luke's Methodist Hospital | Current | Accepting new patients | |
| Central Iowa Hospital Corporation | Current | Accepting new patients | |
| Iowa Heart Center PC | Cardiovascular Disease | Past | Accepting new patients |
| Mercy Clinics, Inc. | Past | Accepting new patients | |
| Catholic Health Initiatives-Iowa Corp | Cardiovascular Disease | Past | Accepting new patients |
Locations
410 NW Ash Dr
Ankeny, IA 50023
Phone (515) 964-1101
1215 Pleasant St
Ste 414
Des Moines, IA 50309
Phone (515) 241-5700
1301 Pennsylvania Ave
Ste 100
Des Moines, IA 50316
Phone (515) 241-5700
1801 Hickman Rd
Bldg First
Des Moines, IA 50314
1002 W Lincoln Way
Jefferson, IA 50129
Phone (515) 386-0500
3 S 4th Ave
Marshalltown, IA 50158
Phone (641) 754-5145
51 Unitypoint Way
Ste 100
Marshalltown, IA 50158
Phone (641) 844-6259
8101 Birchwood Ct
Unit R
Urbandale, IA 50131
Phone (515) 471-9363
6000 University Ave
Ste A20
West Des Moines, IA 50266
Phone (515) 241-2330
Interoperability endpoints
- cstark13963@direct.unitypoint.org
Organizations & group practices 7
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.
-
dba East Des Moines Family Care Center
- Family Medicine Physician
- Des Moines, IA
- NPI 1104879576
-
dba UnityPoint Clinic
- General Practice Physician
- West Des Moines, IA
- NPI 1366425274
-
dba IMMC Outpatient Pharmacy
- Pharmacy
- Des Moines, IA
- NPI 1003352949
-
- General Acute Care Hospital
- Cedar Rapids, IA
- NPI 1083708226
-
dba MercyOne Iowa Heart Center
- Clinical Cardiac Electrophysiology Physician
- West Des Moines, IA
- NPI 1629301684
Cardiovascular Disease
-
- Cardiovascular Disease Physician
- West Des Moines, IA
- NPI 1164410932
-
dba MercyOne Des Moines OB Hospitalists
- Obstetrics & Gynecology Physician
- Des Moines, IA
- NPI 1508741505
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Iowa Lutheran Hospital
- General Acute Care Hospital
- Des Moines, IA
- NPI 1356433049
-
dba Iowa Methodist Medical Center
- General Acute Care Hospital
- Des Moines, IA
- NPI 1396837951
-
dba Iowa Methodist Medical Center-Methodist West
- General Acute Care Hospital
- West Des Moines, IA
- NPI 1598905762
-
- Critical Access Hospital
- Osceola, IA
- NPI 1114954997
-
- Critical Access Hospital
- Jefferson, IA
- NPI 1083654883
-
dba Unitypoint Health - Grinnell Regional Medical Center
- General Acute Care Hospital
- Grinnell, IA
- NPI 1669420501
-
- General Acute Care Hospital
- Marshalltown, IA
- NPI 1629503057
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132185600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1426032000000",
"number": "1245212075",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1215 PLEASANT ST",
"address_2": "SUITE 414",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503091416",
"telephone_number": "515-241-5700",
"fax_number": "515-241-5775"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1215 PLEASANT ST",
"address_2": "SUITE 414",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503091416",
"telephone_number": "515-241-5700",
"fax_number": "515-241-5775"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STARK",
"first_name": "CRAIG",
"middle_name": "A",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-17",
"last_updated": "2015-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "IA",
"license": "MD-23727",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P01173061",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6206847",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1245212075",
"state": "IA"
}
],
"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 Mar 11, 2015; 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.