Danilo Sebastian Noboa Gallardo, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

MD-51329 Issued in IA

Practice address

330 Laurel St Ste 2100
Des Moines, IA 50314-3068

Phone

(515) 643-8611

Fax

(515) 643-8812

NPI assigned

Jun 3, 2020

Reactivated

Feb 8, 2022

Last updated

Sep 5, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Pediatric Medicine

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mercy Clinics IncGroup PAC ID 7911810882, 441 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: dnoboagallardo3953069@direct.trinity-health.org

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.

• Mercy Clinics, Inc.

  dba MercyOne Clive Family Medicine Clinic

  • Primary Care Clinic/Center
  • Clive, IA
  • NPI 1487670923
  Medicare reassignment Care Compare group NPD
• Mercy Clinics Inc

  dba MercyOne Des Moines Pediatrics Care Clinc

  • Pediatric Adolescent Medicine Physician
  • Des Moines, IA
  • NPI 1407036262
  NPD
• Mercy Clinics, Inc.

  dba MercyOne Des Moines OB Hospitalists

  • Obstetrics & Gynecology Physician
  • Des Moines, IA
  • NPI 1508741505
  NPD
• Mercy Clinics, Inc.

  dba MercyOne Clive Infectious Disease Care Clinic

  • Endocrinology, Diabetes & Metabolism Physician
  • Des Moines, IA
  • NPI 1457691941
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1591142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693872000000",
    "number": "1265056444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1475",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503051475",
            "telephone_number": "515-643-8611",
            "fax_number": "515-643-8812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 LAUREL ST STE 2100",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503143068",
            "telephone_number": "515-643-8611",
            "fax_number": "515-643-8812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOBOA GALLARDO",
        "first_name": "DANILO",
        "middle_name": "SEBASTIAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-03",
        "last_updated": "2023-09-05",
        "certification_date": "2023-09-05",
        "deactivation_date": "2022-01-18",
        "reactivation_date": "2022-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IA",
            "license": "MD-51329",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• NNP Medical, LLC
• Noble Support Services LLC
• Henry George S Noble, MD
• Nathan Ross Noble, D.O.
• Sammie L Nobles, LMHC
• Kendra Chad Nolan, DPT
• Tara Nolting
• Afrah Noor
• Imran Noor
• Lesa M Nord

• Pediatrics Physician in Des Moines, IA
• Providers in Des Moines, IA by specialty
• Pediatrics Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2023; 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.

Verify at the official NPI Registry.