Active NPI
Blair David Westerly, M.D.
- Pulmonary Disease Physician
- Des Moines, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- MD-42582
- Practice address
- 411 Laurel St Ste A120
Des Moines, IA 50314-3027 - Phone
- (515) 643-7900
- Fax
- (515) 643-7901
- NPI assigned
- Apr 9, 2009
- 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 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | MD-42582 | IA | |
| Pulmonary Disease Physician | 207RP1001X | 55829 | MN | |
| Pulmonary Disease Physician | 207RP1001X | 106190 | MN | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Pulmonary Disease Physician | 207RP1001X | MD-42582 | IA | Primary |
Addresses
Primary practice location
411 Laurel St Ste A120
Des Moines, IA 50314-3027
Mailing address
PO Box 1475
Des Moines, IA 50305-1475
Phone (515) 643-7900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ENROLLED | Medicaid | MN |
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
- Pulmonary Disease
- Education
- University of Missouri, Columbia School of Medicine, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1111 6TH Ave
Des Moines, IA 50314-2610
1111 6TH Ave
Des Moines, IA 50314-2613
Phone (515) 247-4240
1111 6TH Ave E Tower
Des Moines, IA 50314-2610
1755 59TH PL
West Des Moines, IA 50266-7737
Phone (515) 247-4240
204 N 4TH Ave E
Newton, IA 50208-3135
330 Laurel St
Suite 1200
Des Moines, IA 50314-3044
Phone (515) 643-6290
411 Laurel St
Des Moines, IA 50314-3027
800 E 1St St
Ankeny, IA 50021-2077
Hospital & facility affiliations
- Mercyone Des Moines Medical Center
- Mercyone Newton Medical Center
- Knoxville Hospital & Clinics
- Dallas County Hospital
- Pella Regional Health Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD-42582 | IA | MD | Critical Care Medicine (Internal Medicine) Physician |
| 55829 | MN | MD | Pulmonary Disease Physician |
| 106190 | MN | MD | Physical Rehabilitation Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Clinics, Inc. | Current | Accepting new patients | |
| Mercy Clinics, Inc | Current | Accepting new patients | |
| Mercy Clinics, Inc. | Current | Accepting new patients | |
| Catholic Health Initiatives-Iowa Corp | Past | Accepting new patients | |
| Floyd County Memorial Hospital Commission | Past | Accepting new patients |
Locations
330 Laurel St
Ste 1200
Des Moines, IA 50314
Phone (515) 643-5454
1601 NW 114th St
Ste 347
Des Moines, IA 50325
Phone (515) 222-7350
405 SW 5th St
Ste E
Des Moines, IA 50309
Phone (515) 358-7259
411 Laurel St
Ste 3300
Des Moines, IA 50314
Phone (515) 270-1177
411 Laurel St
Ste A120
Des Moines, IA 50314
Phone (515) 247-3970
1601 NW 114th St
Des Moines, IA 50325
Phone (515) 222-7000
300 N 4th Ave E
Ste 222
Newton, IA 50208
Phone (515) 358-0011
Interoperability endpoints
- bwesterly3961057@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 and National Provider Directory roles.
-
- Primary Care Clinic/Center
- Clive, IA
- NPI 1487670923
-
- Psychiatry Physician
- Des Moines, IA
- NPI 1457691842
-
- Obstetrics & Gynecology Physician
- Des Moines, IA
- NPI 1508741505
-
- General Acute Care Hospital
- Des Moines, IA
- NPI 1508964883
-
- Critical Access Hospital
- Charles City, IA
- NPI 1265402390
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- West Des Moines, IA
- NPI 1538395975
-
- Clinical Medical Laboratory
- Des Moines, IA
- NPI 1104982743
Hospital
-
- General Acute Care Hospital
- Des Moines, IA
- NPI 1508964883
-
- Mammography Clinic/Center
- Des Moines, IA
- NPI 1477984367
Hospital
-
- Critical Access Hospital
- Perry, IA
- NPI 1669477089
-
- Critical Access Hospital
- Knoxville, IA
- NPI 1922087915
-
- Medicare Defined Swing Bed Hospital Unit
- Knoxville, IA
- NPI 1952319840
-
- General Acute Care Hospital
- Newton, IA
- NPI 1003296179
-
- Critical Access Hospital
- Pella, IA
- NPI 1578520888
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1239235200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605052800000",
"number": "1366685190",
"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": "515-643-7900",
"fax_number": "515-643-7901"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "411 LAUREL ST STE A120",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503143027",
"telephone_number": "515-643-7900",
"fax_number": "515-643-7901"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WESTERLY",
"first_name": "BLAIR",
"middle_name": "DAVID",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-04-09",
"last_updated": "2020-11-11",
"certification_date": "2020-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "IA",
"license": "MD-42582",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "MN",
"license": "55829",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "MN",
"license": "106190",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "IA",
"license": "MD-42582",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "ENROLLED",
"state": "MN"
}
],
"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 11, 2020; 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.