Individual provider Active NPI

Roy Molina, MD

  • Hematology & Oncology Physician
  • Des Moines, IA
National Provider Identifier
1336103969
Registry record updated May 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
27658 Issued in IA
Practice address
411 Laurel St Ste A300
Des Moines, IA 50314-3030
Phone
(515) 247-3970
Fax
(515) 643-8819
NPI assigned
Apr 12, 2006
Last updated
May 17, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 27658 IA Primary

Addresses

Primary practice location

411 Laurel St Ste A300
Des Moines, IA 50314-3030

Mailing address

411 Laurel St Ste A300
Des Moines, IA 50314-3030
Phone (515) 247-3970

Other identifiers 1

IdentifierTypeStateIssuer
1298703MedicaidIA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rmolina@MOHA.OncoEMRDirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
27658IAMDHematology & Oncology Physician

Interoperability endpoints

  • Direct secure messaging: rmolina@moha.oncoemrdirect.com

NPI Registry JSON

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

{
    "created_epoch": "1144800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621209600000",
    "number": "1336103969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 LAUREL ST STE A300",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503143030",
            "telephone_number": "515-247-3970",
            "fax_number": "515-643-8819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 LAUREL ST STE A300",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503143030",
            "telephone_number": "515-247-3970",
            "fax_number": "515-643-8819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOLINA",
        "first_name": "ROY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-12",
        "last_updated": "2021-05-17",
        "certification_date": "2021-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "IA",
            "license": "27658",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1298703",
            "state": "IA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rmolina@MOHA.OncoEMRDirect.com",
            "affiliation": "N",
            "address_1": "411 Laurel St Ste A300",
            "city": "Des Moines",
            "state": "IA",
            "country_code": "US",
            "postal_code": "503143030",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Des Moines, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.