Individual provider Active NPI

Illa Chandani, MD

  • Family Medicine Physician
  • Pleasant Hill, IA
National Provider Identifier
1346256179
Registry record updated Apr 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
34321 Issued in IA
Practice address
5900 E University Ave
Suite 200
Pleasant Hill, IA 50327-8457
Phone
(515) 643-2400
Fax
(515) 643-4766
NPI assigned
Aug 1, 2006
Last updated
Apr 10, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 34321 IA Primary

Addresses

Primary practice location

5900 E University Ave
Suite 200
Pleasant Hill, IA 50327-8457

Mailing address

PO Box 1475
Des Moines, IA 50305-1475
Phone (515) 643-2400

Other identifiers 1

IdentifierTypeStateIssuer
3248781MedicaidIA

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
I20040909001405 IA Practitioner - Family Practice 8628044690 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Clinics IncGroup PAC ID 7911810882, 441 clinicians

Practice addresses (Care Compare)

5900 E University Ave
100 Mercyone Des Moines Diabetes Education
Pleasant Hill, IA 50327-8467
Phone (515) 643-5203

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal of nail tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34321IAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Clinics Inc CurrentSince Oct 1, 2015 Accepting new patients
Mercy Clinics, Inc. Family Medicine Current Accepting new patients
Mercy Clinics, Inc. CurrentSince Oct 1, 2015 Accepting new patients
Catholic Health Initiatives-Iowa Corp Past Accepting new patients
Mercy Clinics Inc Past Accepting new patients

Locations

2605 SW White Birch Dr
Ankeny, IA 50023
Phone (515) 643-7100

800 E 1st St
Ste 1700
Ankeny, IA 50021
Phone (515) 643-8100

1111 6th Ave
Des Moines, IA 50314
Phone (515) 247-3121

1350 Des Moines St
Ste 110
Des Moines, IA 50309
Phone (515) 358-6500

1601 NW 114th St
Ste 230
Des Moines, IA 50325
Phone (515) 222-7728

1601 NW 114th St
Ste 247
Des Moines, IA 50325
Phone (515) 222-7000

330 Laurel St
Ste 1200
Des Moines, IA 50314
Phone (515) 643-5454

405 SW 5th St
Ste E
Des Moines, IA 50309
Phone (515) 358-7259

411 Laurel St
Ste 3262
Des Moines, IA 50314
Phone (515) 643-5100

411 Laurel St
Ste 3300
Des Moines, IA 50314
Phone (515) 270-1177

307 E Scenic Valley Ave
Indianola, IA 50125
Phone (515) 961-8448

610 10th St
Perry, IA 50220
Phone (515) 465-3547

5900 E University Ave
Ste 100
Pleasant Hill, IA 50327
Phone (515) 643-2400

5900 E University Ave
Ste 200
Pleasant Hill, IA 50327
Phone (515) 643-2400

932 N Shadyview Blvd
Pleasant Hill, IA 50327
Phone (515) 266-6644

25 W Hickman Rd
Waukee, IA 50263
Phone (515) 358-0150

Interoperability endpoints

  • Direct secure messaging: ichandani3941768@direct.trinity-health.org

Organizations & group practices 5

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 5

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": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1239321600000",
    "number": "1346256179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1475",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503051475",
            "telephone_number": "515-643-2400",
            "fax_number": "515-643-4766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5900 E UNIVERSITY AVE",
            "address_2": "SUITE 200",
            "city": "PLEASANT HILL",
            "state": "IA",
            "postal_code": "503278457",
            "telephone_number": "515-643-2400",
            "fax_number": "515-643-4766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHANDANI",
        "first_name": "ILLA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-01",
        "last_updated": "2009-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "34321",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3248781",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pleasant Hill, IA

Sources for this page

Verify at the official NPI Registry.