Individual provider Active NPI

Craig A Stark, M.D.

  • Cardiovascular Disease Physician
  • Des Moines, IA
National Provider Identifier
1245212075
Registry record updated Mar 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
MD-23727 Issued in IA
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, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
P01173061OtherIARR MEDICARE
6206847MedicaidIA
1245212075MedicaidIA

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
I20091019000143 IA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 9335286715 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Wayne State University School of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Iowa Hospital CorporationGroup PAC ID 1052229275, 233 clinicians

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

LicenseStateTypeSpecialty
23727IAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Central Iowa Hospital Corporation CurrentSince Dec 21, 2020 Accepting new patients
St Luke's Methodist Hospital Current Accepting new patients
Central Iowa Hospital Corporation CurrentSince Dec 21, 2020 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.