Individual provider Active NPI

Eugene J Cherny, M.D.

  • Specialist
  • Des Moines, IA
National Provider Identifier
1376679357
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
26965 Issued in IA
Practice address
10611 Hickman Rd
Des Moines, IA 50322-3731
Phone
(515) 254-2265
Fax
(515) 254-2272
NPI assigned
Feb 26, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 26965 IA Primary

Addresses

Primary practice location

10611 Hickman Rd
Des Moines, IA 50322-3731

Mailing address

10611 Hickman Rd
Des Moines, IA 50322-3731
Phone (515) 254-2265

Other identifiers 1

IdentifierTypeStateIssuer
0272732MedicaidIA

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
I20040528000843 IA Practitioner - Plastic and Reconstructive Surgery 0244222529 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
Rush Medical College of Rush University, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

10611 Hickman Rd
Urbandale, IA 50322-3731
Phone (515) 254-2265

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy1-10
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Heartland Surgical Suites, Inc Current Accepting new patients
Heartland Plastic and Reconstructive Surgery P.C. Specialist CurrentSince Aug 22, 1990 Accepting new patients

Locations

10611 Hickman Rd
Urbandale, IA 50322
Phone (515) 223-0119

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.

NPI Registry JSON

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1376679357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10611 HICKMAN RD",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503223731",
            "telephone_number": "515-254-2265",
            "fax_number": "515-254-2272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10611 HICKMAN RD",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503223731",
            "telephone_number": "515-254-2265",
            "fax_number": "515-254-2272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHERNY",
        "first_name": "EUGENE",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "IA",
            "license": "26965",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0272732",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Moines, IA

Sources for this page

Verify at the official NPI Registry.