Individual provider Active NPI

Michael L Reams, D.O.

  • Anesthesiology Physician
  • West Des Moines, IA
National Provider Identifier
1396795035
Registry record updated Aug 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
01447 Issued in IA
Practice address
5901 Westown Pkwy
Suite 210
West Des Moines, IA 50266-8218
Phone
(515) 221-9222
Fax
(515) 221-0575
NPI assigned
May 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 01447 IA Primary

Addresses

Primary practice location

5901 Westown Pkwy
Suite 210
West Des Moines, IA 50266-8218

Mailing address

5901 Westown Pkwy
Suite 210
West Des Moines, IA 50266-8218
Phone (515) 221-9222

Other identifiers 3

IdentifierTypeStateIssuer
50171OtherIAMEDICARE GROUP #
1017616MedicaidIA
50171OtherIAWELLMARK - GROUP #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280793600000",
    "number": "1396795035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5901 WESTOWN PKWY",
            "address_2": "SUITE 210",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502668218",
            "telephone_number": "515-221-9222",
            "fax_number": "515-221-0575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5901 WESTOWN PKWY",
            "address_2": "SUITE 210",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502668218",
            "telephone_number": "515-221-9222",
            "fax_number": "515-221-0575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REAMS",
        "first_name": "MICHAEL",
        "middle_name": "L",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-11",
        "last_updated": "2010-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IA",
            "license": "01447",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP #",
            "identifier": "50171",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1017616",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK - GROUP #",
            "identifier": "50171",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Des Moines, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.