Active NPI
Kevin McDonald, MD
- Child & Adolescent Psychiatry Physician
- Des Moines, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- License
- MD-55403
- Practice address
- 700 E University Ave
Des Moines, IA 50316-2302 - Phone
- (515) 263-5612
- NPI assigned
- Jun 11, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Child & Adolescent Psychiatry Physician | 2084P0804X | 42043 | OK | |
| Child & Adolescent Psychiatry Physician | 2084P0804X | MD-55403 | IA | Primary |
Addresses
Primary practice location
700 E University Ave
Des Moines, IA 50316-2302
Mailing address
1239 S Trenton Ave
Tulsa, OK 74120-5420
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
- Psychiatry
- Education
- Other, 2017
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1776 W Lakes Pkwy
West Des Moines, IA 50266-8378
PO Box
Kansas City, MO 64184
PO Box
Suite 843151
Kansas City, MO 64184-3151
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD-55403 | IA | MD | Child & Adolescent Psychiatry Physician |
| 42043 | OK | MD | Child & Adolescent Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Iowa Hospital Corporation | Current | Accepting new patients | |
| St Luke'S Methodist Hospital | Current | Accepting new patients | |
| Iowa Physicians Clinic Medical Foundation | Current | Accepting new patients | |
| Central Iowa Hospital Corporation | Current | Accepting new patients | |
| Central Iowa Hospital Corporation | Current | Accepting new patients | |
| Central Iowa Hospital Corporation | Past | Accepting new patients | |
| Parkside, Inc. | Past | Accepting new patients | |
| Parkside, Inc. | Past | Accepting new patients |
Locations
4480 Utica Ridge Rd
Ste 160
Bettendorf, IA 52722
Phone (563) 742-5950
4480 Utica Ridge Rd
Ste 2230
Bettendorf, IA 52722
Phone (563) 742-5150
700 E University Ave
#3W
Des Moines, IA 50316
Phone (515) 263-5153
1206 Pleasant St
Des Moines, IA 50309
Phone (515) 241-3434
700 E University Ave
Des Moines, IA 50316
Phone (515) 263-5120
1200 Pleasant St
Des Moines, IA 50309
Phone (515) 241-5926
Interoperability endpoints
- kmcdonald1207667@direct.unitypoint.org
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Family Medicine Physician
- Des Moines, IA
- NPI 1104879576
-
- General Practice Physician
- West Des Moines, IA
- NPI 1366425274
-
- Pharmacy
- Des Moines, IA
- NPI 1003352949
-
- Pediatrics Physician
- Des Moines, IA
- NPI 1144309188
-
- General Acute Care Hospital
- Cedar Rapids, IA
- NPI 1083708226
-
- General Acute Care Hospital
- Des Moines, IA
- NPI 1356433049
-
- Psychiatric Hospital Unit
- Tulsa, OK
- NPI 1346461688
-
- Psychiatric Hospital
- Tulsa, OK
- NPI 1437370772
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1528675200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755648000000",
"number": "1336632637",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1239 S TRENTON AVE",
"city": "TULSA",
"state": "OK",
"postal_code": "741205420"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 E UNIVERSITY AVE",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503162302",
"telephone_number": "515-263-5612"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCDONALD",
"first_name": "KEVIN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-06-11",
"last_updated": "2025-08-20",
"certification_date": "2025-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "OK",
"license": "42043",
"primary": false
},
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "IA",
"license": "MD-55403",
"primary": true
}
],
"identifiers": [],
"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 Aug 20, 2025; 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.