Individual provider Active NPI

Michael A. Disbro, M.D.

  • Nuclear Imaging & Therapy Physician
  • Des Moines, IA
National Provider Identifier
1265429294
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nuclear Imaging & Therapy PhysicianTaxonomy code 207UN0902X
License
24802 Issued in IA
Practice address
1111 6TH Ave
Des Moines, IA 50314-2613
Phone
(515) 643-2667
Fax
(515) 643-2978
NPI assigned
Oct 4, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nuclear Imaging & Therapy Physician 207UN0902X 24802 IA Primary

Addresses

Primary practice location

1111 6TH Ave
Des Moines, IA 50314-2613

Mailing address

1111 6TH Ave
Des Moines, IA 50314-2613
Phone (515) 643-2667

Other identifiers 1

IdentifierTypeStateIssuer
0034199MedicaidIA

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
I20050928000424 IA Practitioner - Diagnostic Radiology 2163457201 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
24802IAMDNuclear Imaging & Therapy Physician
24805IAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Catholic Health Initiatives-Iowa Corp CurrentSince Sep 18, 2017 Accepting new patients
Catholic Health Initiatives-Iowa Corp CurrentSince Sep 18, 2017 Accepting new patients
Diagnostic Imaging Associates, P.C. CurrentSince Jan 1, 1990 Accepting new patients
McFarland Clinic PC Current Accepting new patients
Open MRI of Davenport. L.L.C. Past Accepting new patients

Locations

1215 Duff Ave
Ames, IA 50010
Phone (515) 239-4400

1816 Philadelphia St
Ames, IA 50010
Phone (515) 232-2500

515 Pacific Ave
Audubon, IA 50025
Phone (712) 563-2611

509 N Madison St
Bloomfield, IA 52537
Phone (641) 664-2145

1 Saint Joseph Dr
Centerville, IA 52544
Phone (641) 437-3482

12499 University Ave
Clive, IA 50325
Phone (515) 245-6425

417 S East St
Corydon, IA 50060
Phone (641) 872-2260

405 SW 5th St
Ste E
Des Moines, IA 50309
Phone (515) 358-7259

1601 NW 114th St
Ste 128
Des Moines, IA 50325
Phone (515) 222-7550

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

1601 NW 114th St
Ste 149
Des Moines, IA 50325
Phone (515) 222-7445

609 SE Kent St
Greenfield, IA 50849
Phone (641) 743-2123

2006 N 4th St
Ste 202B
Indianola, IA 50125
Phone (515) 358-7680

1002 S Lincoln St
Knoxville, IA 50138
Phone (641) 842-1464

1301 W Main St
Lake City, IA 51449
Phone (712) 464-3171

1405 NW Church St
Leon, IA 50144
Phone (641) 446-2340

1550 6th St
Manning, IA 51455
Phone (712) 655-2072

504 N Cleveland St
Mount Ayr, IA 50854
Phone (641) 464-3226

204 N 4th Ave E
Newton, IA 50208
Phone (641) 791-4800

522 N Hancock St
Ottumwa, IA 52501
Phone (641) 683-0800

610 10th St
Perry, IA 50220
Phone (515) 465-3547

211 Highland Ave
Sac City, IA 50583
Phone (712) 662-7105

1755 59th Pl
West Des Moines, IA 50266
Phone (515) 247-4240

300 W Hutchings St
Winterset, IA 50273
Phone (515) 223-4368

Interoperability endpoints

  • Direct secure messaging: mdisbro3943271@direct.trinity-health.org

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1128384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1265429294",
    "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": "503142613",
            "telephone_number": "515-643-2667",
            "fax_number": "515-643-2978"
        },
        {
            "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": "503142613",
            "telephone_number": "515-643-2667",
            "fax_number": "515-643-2978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DISBRO",
        "first_name": "MICHAEL",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-04",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207UN0902X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine, Nuclear Imaging & Therapy",
            "state": "IA",
            "license": "24802",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0034199",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Moines, IA

Sources for this page

Verify at the official NPI Registry.