Individual provider Active NPI

Ryan Douglas Cook, MD

  • Vascular & Interventional Radiology Physician
  • Des Moines, IA
National Provider Identifier
1285858084
Registry record updated Sep 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
37076 Issued in IA
Practice address
1111 6TH Ave
Des Moines, IA 50314-2613
Phone
(515) 643-2667
Fax
(515) 643-2978
NPI assigned
Apr 12, 2007
Last updated
Sep 16, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 16, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular & Interventional Radiology Physician 2085R0204X 37076 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

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
I20070605000339 IA Practitioner - Diagnostic Radiology 3173621000 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Saint Louis University School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Diagnostic Imaging Associates, P.C.Group PAC ID 7113820788, 20 clinicians

Practice addresses (Care Compare)

1111 6TH Ave
Des Moines, IA 50314-2610

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

1601 NW 114TH St
Suite 149
Clive, IA 50325-7046
Phone (515) 222-7550

1755 59TH PL
West Des Moines, IA 50266-7737
Phone (515) 358-8262

522 N Hancock St
Ottumwa, IA 52501-4231
Phone (515) 247-3130

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
37076IAMDVascular & Interventional Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Diagnostic Imaging Associates, P.C. CurrentSince Jul 1, 2007 Accepting new patients

Locations

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

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

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

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

1405 NW Church St
Leon, IA 50144
Phone (641) 446-2339

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

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: rcook3942289@direct.trinity-health.org

Organizations & group practices 2

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 10

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": "1176336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410825600000",
    "number": "1285858084",
    "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": "COOK",
        "first_name": "RYAN",
        "middle_name": "DOUGLAS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-12",
        "last_updated": "2014-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "IA",
            "license": "37076",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Moines, IA

Sources for this page

Verify at the official NPI Registry.