Ryan Douglas Cook, MD
Individual provider Active NPI Vascular & Interventional Radiology Physician · Des Moines, IA
NPI 1285858084 · NPPES record last updated Sep 16, 2014
Key facts
- NPI
- 1285858084
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Vascular & Interventional Radiology Physician 2085R0204X
- License
- 37076 (IA)
- Practice address
- 1111 6TH Ave
Des Moines, IA 50314-2613 - Phone
- (515) 643-2667
- Fax
- (515) 643-2978
- NPI assigned
- Apr 12, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Hospital & facility affiliations 10
Medicare Care Compare profile
- 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.
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
- Mercyone Des Moines Medical Center
- Mercyone Centerville Medical Center
- Knoxville Hospital & Clinics
- Davis County Hospital
- Mercyone Newton Medical Center
- Select Specialty Hospital - Des Moines
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Leg revascularization (restoring blood flow) | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070605000339 | IA | Practitioner - Diagnostic Radiology | 3173621000 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37076 | IA | MD | Vascular & Interventional Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Diagnostic Imaging Associates, P.C. | Current |
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
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
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) 446-2340
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
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
- rcook3942289@direct.trinity-health.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular & Interventional Radiology Physician | 2085R0204X | 37076 | IA | Yes |
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 providers in Des Moines, IA
- Jamie Renee Cook
- Jennifer S Cook
- Joshua Benjamin Cook
- Kristina Elizabethann Cook
- Lindsay Cook
- Shane Cook
- Sara Marie Coon
- Amanda Eileen Cooney
- Peter Edward Coonrod
- Alexis Cooper
All providers in Des Moines, IA · Vascular & Interventional Radiology Physician in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 16, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.