Individual provider Active NPI

Alladdin Moh. Elhadi Abosaida, M.D

  • Pediatric Pulmonology Physician
  • West Des Moines, IA
National Provider Identifier
1376777524
Registry record updated Nov 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Pulmonology PhysicianTaxonomy code 2080P0214X
License
MD-40526 Issued in IA
Practice address
2001 Westown Pkwy Ste 107
West Des Moines, IA 50265-1540
Phone
(515) 223-8622
Fax
(515) 223-5324
NPI assigned
May 2, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Pulmonology Physician 2080P0214X MD-40526 IA Primary

Addresses

Primary practice location

2001 Westown Pkwy Ste 107
West Des Moines, IA 50265-1540

Mailing address

2001 Westown Pkwy Ste 107
West Des Moines, IA 50265-1540
Phone (515) 223-8622

Other practice location 1

3720 N Ankeny Blvd Ste 100
Ankeny, IA 50023-4618
Phone (515) 223-8622

Other identifiers 1

IdentifierTypeStateIssuer
1376777524MedicaidIA

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
I20121018000752 IA Practitioner - Pediatric Medicine 1052561503 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Allergy Institute PCGroup PAC ID 8325030901, 3 clinicians

Practice addresses (Care Compare)

2001 Westown Pkwy
Suite 107
West Des Moines, IA 50265-1540
Phone (515) 223-8622

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD-40526IAMDPediatric Pulmonology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Trinity Regional Medical Center CurrentSince Dec 24, 2017 Accepting new patients
Central Iowa Hospital Corporation Pediatric Pulmonology CurrentSince Oct 1, 2012 Accepting new patients
Allergy Institute, P.C. CurrentSince Oct 1, 2023 Accepting new patients
Central Iowa Hospital Corporation CurrentSince Oct 1, 2012 Accepting new patients
Central Iowa Hospital Corporation Current Accepting new patients
Core Physical Therapy Inc CurrentSince Oct 1, 2023 Accepting new patients

Locations

3720 N Ankeny Blvd
Ste 100
Ankeny, IA 50023
Phone (515) 223-8622

1200 Pleasant St
Rm 236
Des Moines, IA 50309
Phone (515) 241-6228

1200 Pleasant St
Des Moines, IA 50309
Phone (515) 241-5926

1212 Pleasant St
Ste 204
Des Moines, IA 50309
Phone (515) 241-6003

804 Kenyon Rd
Ste D
Fort Dodge, IA 50501
Phone (515) 574-6141

802 Kenyon Rd
Fort Dodge, IA 50501
Phone (515) 574-6565

300 N 4th Ave E
Newton, IA 50208
Phone (515) 644-3400

2001 Westown Pkwy
Ste 107
West Des Moines, IA 50265
Phone (515) 223-8622

Interoperability endpoints

  • Direct secure messaging: aabosaida3963094@direct.trinity-health.org

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1241222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699833600000",
    "number": "1376777524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2001 WESTOWN PKWY STE 107",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502651540",
            "telephone_number": "515-223-8622",
            "fax_number": "515-223-5324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 WESTOWN PKWY STE 107",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502651540",
            "telephone_number": "515-223-8622",
            "fax_number": "515-223-5324"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3720 N Ankeny Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Ankeny",
            "state": "IA",
            "postal_code": "500234618",
            "country_code": "US",
            "telephone_number": "515-223-8622",
            "fax_number": "515-223-5324",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ABOSAIDA",
        "first_name": "ALLADDIN",
        "middle_name": "MOH. ELHADI",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-05-02",
        "last_updated": "2023-11-13",
        "certification_date": "2023-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0214X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Pulmonology",
            "state": "IA",
            "license": "MD-40526",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1376777524",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Des Moines, IA

Sources for this page

Verify at the official NPI Registry.