Individual provider Active NPI

Chad Thomas Carlson, M.D.

  • Sports Medicine (Neuromusculoskeletal Medicine) Physician
  • West Des Moines, IA
National Provider Identifier
1326008368
Registry record updated Jul 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Neuromusculoskeletal Medicine) PhysicianTaxonomy code 204C00000X
License
36501 Issued in IA
Practice address
7601 Office Plaza Dr N Ste 140
West Des Moines, IA 50266-1207
Phone
(515) 221-1102
Fax
(515) 221-1272
NPI assigned
Mar 24, 2006
Last updated
Jul 10, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 10, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Neuromusculoskeletal Medicine) Physician 204C00000X 36501 IA Primary

Addresses

Primary practice location

7601 Office Plaza Dr N Ste 140
West Des Moines, IA 50266-1207

Mailing address

7601 Office Plaza Dr N Ste 140
West Des Moines, IA 50266-1207
Phone (515) 221-1102

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
I20060804000072 IA Practitioner - Sports MedicinePractitioner - Family Practice 3476536079 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Sports Medicine
Education
University of Nebraska College of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Stadia Sports Medicine PCGroup PAC ID 4284647579, 3 clinicians

Practice addresses (Care Compare)

7601 Office Plaza Dr N
Suite 140
West Des Moines, IA 50266-1207
Phone (515) 221-1102

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
36501IAMDSports Medicine (Neuromusculoskeletal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Stadia Sports Medicine PC Neuromusculoskeletal Medicine, Sports Medicine CurrentSince Jul 15, 2006 Accepting new patients
Sparrow Ionia Hospital Past Accepting new patients
Gibson Community Hospital Association Past Accepting new patients
Sparrow Ionia Hospital Past Accepting new patients

Locations

6000 University Ave
Ste 250
West Des Moines, IA 50266
Phone (515) 221-1102

7601 Office Plaza Dr N
Ste 140
West Des Moines, IA 50266

Organizations & group practices 4

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 4

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": "1143158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783641600000",
    "number": "1326008368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7601 OFFICE PLAZA DR N STE 140",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502661207",
            "telephone_number": "515-221-1102",
            "fax_number": "515-221-1272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7601 OFFICE PLAZA DR N STE 140",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502661207",
            "telephone_number": "515-221-1102",
            "fax_number": "515-221-1272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARLSON",
        "first_name": "CHAD",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-24",
        "last_updated": "2026-07-10",
        "certification_date": "2026-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204C00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine, Sports Medicine",
            "state": "IA",
            "license": "36501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Des Moines, IA

Sources for this page

Verify at the official NPI Registry.