Individual provider Active NPI

Joseph Jay Vavricek, MD

  • Diagnostic Radiology Physician
  • Des Moines, IA
National Provider Identifier
1245551274
Registry record updated Oct 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
41006 Issued in IA
Practice address
1111 6TH Ave
Des Moines, IA 50314-0000
Phone
(515) 643-2667
NPI assigned
Jun 14, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 41006 IA Primary
Vascular & Interventional Radiology Physician 2085R0204X 41006 IA

Addresses

Primary practice location

1111 6TH Ave
Des Moines, IA 50314-0000

Mailing address

1111 6TH Ave
Des Moines, IA 50314-0000
Phone (515) 643-2667

Other identifiers 1

IdentifierTypeStateIssuer
0042408MedicaidIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, KS, NE3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20160613001100 IA Practitioner - Interventional Radiology 4284866575 Reassigns benefits to 2 organizations
I20171218000333 KS Practitioner - Diagnostic Radiology 4284866575 Reassigns benefits to 1 organization
I20171218000844 NE Practitioner - Diagnostic Radiology 4284866575 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Nebraska College of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Great Plains Radiology LLCGroup PAC ID 2062310899, 39 clinicians
Plains Radiology Services LLCGroup PAC ID 1850453432, 61 clinicians
Grand Island Radiology Associates PCGroup PAC ID 7719978261, 44 clinicians
CHI Health Clinic Specialty LLCGroup PAC ID 4789098443, 317 clinicians
Illinois Diagnostic and Interventional Radiology PLLCGroup PAC ID 5092215889, 118 clinicians
Grand Island Clinic IncGroup PAC ID 9931181526, 22 clinicians

Practice addresses (Care Compare)

10 E 31St St
CHI Health Good Samaritan
Kearney, NE 68847-2918
Phone (308) 865-7100

102 E Holme St
Norton County Hospital
Norton, KS 67654-1406
Phone (785) 877-3351

2301 Eastern Ave
Montgomery County Memorial Hospital
Red Oak, IA 51566-1305
Phone (712) 623-7000

2620 W Faidley Ave
CHI Health St Francis
Grand Island, NE 68803-4205
Phone (308) 384-4600

3610 Richmond Cir
Suite 100
Grand Island, NE 68803-3910
Phone (308) 398-6400

3713 Summerfield Ave
Grand Island, NE 68803-2461
Phone (847) 637-8711

711 N Custer Ave
Gic Imaging
Grand Island, NE 68803-4311
Phone (308) 382-1100

8207 Northwoods Dr
Suite 100
Lincoln, NE 68505-2093
Phone (402) 484-3440

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal13

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Cher, LLC Diagnostic Radiology CurrentSince Dec 15, 2025 Accepting new patients
Cher, LLC Diagnostic Radiology CurrentSince Dec 15, 2025 Accepting new patients
Cher LLC Diagnostic Radiology CurrentSince Dec 15, 2025 Accepting new patients
Illinois Diagnostic and Interventional Radiology PLLC Diagnostic Radiology CurrentSince Sep 8, 2025 Accepting new patients
Cher, LLC Diagnostic Radiology CurrentSince Dec 15, 2025 Accepting new patients
Cher LLC Diagnostic Radiology CurrentSince Dec 15, 2025 Accepting new patients
Cher, LLC Diagnostic Radiology CurrentSince Dec 15, 2025 Accepting new patients
Cher, LLC Diagnostic Radiology CurrentSince Dec 15, 2025 Accepting new patients
Grand Island Clinic Inc Diagnostic Radiology CurrentSince Jun 1, 2024 Accepting new patients
Cher, LLC Diagnostic Radiology CurrentSince Dec 15, 2025 Accepting new patients
Grand Island Radiology Associates PC Diagnostic Radiology CurrentSince Nov 13, 2017 Accepting new patients
Cher, LLC Diagnostic Radiology CurrentSince Dec 15, 2025 Accepting new patients
Cher, LLC Diagnostic Radiology CurrentSince Dec 15, 2025 Accepting new patients
Plains Radiology Services LLC Diagnostic Radiology CurrentSince Nov 12, 2017 Accepting new patients
Colorado Springs Imaging LLC Diagnostic Radiology CurrentSince Dec 15, 2025 Accepting new patients
Cher LLC Diagnostic Radiology CurrentSince Dec 15, 2025 Accepting new patients
Heartland Imaging Center of Hastings LLC Diagnostic Radiology CurrentSince Sep 22, 2020 Accepting new patients
Cher, LLC Diagnostic Radiology CurrentSince Dec 15, 2025 Accepting new patients
Grand Island Imaging Center LLC Diagnostic Radiology CurrentSince Nov 13, 2017 Accepting new patients
Cher, LLC Diagnostic Radiology CurrentSince Dec 15, 2025 Accepting new patients
Cher LLC Diagnostic Radiology CurrentSince Dec 15, 2025 Accepting new patients
Cher, LLC Diagnostic Radiology CurrentSince Dec 15, 2025 Accepting new patients
Cher LLC Diagnostic Radiology CurrentSince Dec 15, 2025 Accepting new patients
Cher, LLC Diagnostic Radiology CurrentSince Dec 15, 2025 Accepting new patients
Great Plains Radiology LLC Diagnostic Radiology CurrentSince Jan 1, 2021 Accepting new patients
Colorado Springs Imaging LLC Diagnostic Radiology CurrentSince Dec 15, 2025 Accepting new patients
Diagnostic Imaging Associates, P.C. Diagnostic Radiology CurrentSince Jul 25, 2016 Accepting new patients
Cher, LLC Diagnostic Radiology CurrentSince Dec 15, 2025 Accepting new patients
Cher, LLC Diagnostic Radiology CurrentSince Dec 15, 2025 Accepting new patients
Radpod FL PLLC Diagnostic Radiology Past Accepting new patients
Grand Island Clinic Inc Past Accepting new patients

Locations

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

2301 Eastern Ave
Red Oak, IA 51566
Phone (712) 623-7270

7435 W Talcott Ave
Chicago, IL 60631
Phone (773) 467-9977

102 E Holme St
Norton, KS 67654
Phone (785) 628-3231

2444 W Faidley Ave
Grand Island, NE 68803
Phone (308) 382-1100

3610 Richmond Cir
Grand Island, NE 68803
Phone (308) 382-6856

3610 Richmond Cir
Ste 100
Grand Island, NE 68803
Phone (308) 382-6856

711 N Custer Ave
Grand Island, NE 68803
Phone (308) 381-1781

2620 W Faidley Ave
Grand Island, NE 68803
Phone (308) 382-6856

10 E 31st St
Kearney, NE 68847
Phone (308) 234-5520

Organizations & group practices 32

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.

View all 32

Hospital & facility affiliations 6

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": "1276473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477440000000",
    "number": "1245551274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 6TH AVE",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503140000",
            "telephone_number": "515-643-2667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 6TH AVE",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503140000",
            "telephone_number": "515-643-2667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAVRICEK",
        "first_name": "JOSEPH",
        "middle_name": "JAY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-14",
        "last_updated": "2016-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IA",
            "license": "41006",
            "primary": true
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "IA",
            "license": "41006",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0042408",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Moines, IA

Sources for this page

Verify at the official NPI Registry.