Active NPI
Emad R Shenouda, MD
- Ophthalmology Physician
- Des Moines, IA
National Provider Identifier
1336109545
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 33949
- Practice address
- 7011 Douglas Ave
Des Moines, IA 50322-3223 - Phone
- (515) 333-3333
- Fax
- (515) 362-7933
- NPI assigned
- Mar 23, 2006
- Last updated
- Nov 3, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 33949 | IA | Primary |
Addresses
Primary practice location
7011 Douglas Ave
Des Moines, IA 50322-3223
Mailing address
PO Box 7703
Des Moines, IA 50323-7703
Phone (515) 333-3333
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1229203 | Medicaid | IA |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- Other, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
7011 Douglas Ave
Urbandale, IA 50322-3223
Phone (515) 333-3333
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 16 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33949 | IA | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Christian Eye Clinic, PLC | Ophthalmology | Current | Accepting new patients |
| The Christian Eye Clinic PLC | Ophthalmology | Current | Accepting new patients |
Locations
7011 Douglas Ave
Urbandale, IA 50322
Phone (515) 251-3700
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.
-
- Ophthalmology Physician
- Des Moines, IA
- NPI 1194998658
-
dba Loud & Clear Hearing PLC
- Ophthalmology Physician
- Urbandale, IA
- NPI 1689910218
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143072000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1414972800000",
"number": "1336109545",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7703",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503237703",
"telephone_number": "515-333-3333",
"fax_number": "515-283-2020"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7011 DOUGLAS AVE",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503223223",
"telephone_number": "515-333-3333",
"fax_number": "515-362-7933"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHENOUDA",
"first_name": "EMAD",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-23",
"last_updated": "2014-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "IA",
"license": "33949",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1229203",
"state": "IA"
}
],
"endpoints": [],
"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 Nov 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.