Kristina Elizabethann Cook, MD
Individual provider Active NPI Pediatrics Physician · Des Moines, IA
NPI 1396367355 · NPPES record last updated May 13, 2020
Key facts
- NPI
- 1396367355
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- R-11744 (IA)
- Practice address
- 1200 Pleasant St
Des Moines, IA 50309-1453 - Phone
- (515) 241-4497
- NPI assigned
- May 13, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230623002777 | IA | Practitioner - Pediatric Medicine | 5991163826 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R-11744 | IA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Iowa Physicians Clinic Medical Foundation | Pediatrics | Current |
Accepting new patients |
| St Luke'S Methodist Hospital | Current | Accepting new patients | |
| Allen Memorial Hospital Corporation | Past | Accepting new patients |
Locations
4480 Utica Ridge Rd
Ste 2230
Bettendorf, IA 52722
Phone (563) 742-5150
4480 Utica Ridge Rd
Ste 160
Bettendorf, IA 52722
Phone (563) 742-5950
1200 Pleasant St
Des Moines, IA 50309
Phone (515) 241-5926
2140 Logan Ave
Ste D
Waterloo, IA 50703
Phone (319) 226-8480
2140 Logan Ave
Ste A
Waterloo, IA 50703
Phone (319) 226-8430
Interoperability endpoints
- kcook746083@direct.unitypoint.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | R-11744 | IA | Yes |
Addresses
Primary practice location
1200 Pleasant St
Des Moines, IA 50309-1453
Mailing address
1200 Pleasant St
Des Moines, IA 50309-1453
Phone (515) 241-4497
Other providers in Des Moines, IA
- Control Installations of Iowa, Inc.
- Louise M Convery
- Jamie Renee Cook
- Jennifer S Cook
- Joshua Benjamin Cook
- Lindsay Cook
- Ryan Douglas Cook
- Shane Cook
- Sara Marie Coon
- Amanda Eileen Cooney
All providers in Des Moines, IA · Pediatrics Physician in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 13, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.