Active NPI
Gary L Haynes, D.O.
- Diagnostic Radiology Physician
- Des Moines, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- DO-02971
- Practice address
- 1221 Pleasant St Ste 150
Des Moines, IA 50309-1417 - Phone
- (515) 875-9740
- Fax
- (515) 875-9672
- NPI assigned
- Sep 9, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | DO-02971 | IA | Primary |
Addresses
Primary practice location
1221 Pleasant St Ste 150
Des Moines, IA 50309-1417
Mailing address
PO Box 424
Des Moines, IA 50302-0424
Phone (515) 875-9925
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
- Diagnostic Radiology
- Education
- Des Moines University of Osteopathic Medicine and Health Sciences, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1221 Pleasant St
Suite 150a
Des Moines, IA 50309-1423
Phone (515) 875-9767
5950 University Ave
Suite 145
West Des Moines, IA 50266-8233
Phone (515) 875-9100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 02917 | IA | MD | Family Medicine Physician |
| DO-02971 | IA | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Iowa Clinic, PC | Current | Accepting new patients | |
| Pet Co LLC | Current | Accepting new patients | |
| The Iowa Clinic PC | Diagnostic Radiology | Current | Accepting new patients |
Locations
509 N Madison St
Bloomfield, IA 52537
Phone (641) 664-2145
1221 Pleasant St
Ste 150
Des Moines, IA 50309
Phone (515) 244-5107
1221 Pleasant St
Ste 150A
Des Moines, IA 50309
Phone (515) 244-5109
710 N 12th St
Guthrie Ctr, IA 50115
Phone (641) 332-2201
1005 Pennsylvania Ave
Ste 102A
Ottumwa, IA 52501
Phone (641) 684-2589
6001 Westown Pkwy
West Des Moines, IA 50266
Phone (515) 224-1414
5950 University Ave
Ste 175
West Des Moines, IA 50266
Phone (515) 875-9908
5950 University Ave
Ste 145
West Des Moines, IA 50266
Phone (515) 244-5109
6800 Lake Dr
Ste 250
West Des Moines, IA 50266
7147 Vista Dr
Ste 150
West Des Moines, IA 50266
Phone (515) 875-9255
Organizations & group practices 3
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.
-
- Body Imaging Physician
- Des Moines, IA
- NPI 1285627943
-
- Family Medicine Physician
- West Des Moines, IA
- NPI 1346233178
Diagnostic Radiology
-
- Durable Medical Equipment & Medical Supplies
- West Des Moines, IA
- NPI 1871451328
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126224000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1703116800000",
"number": "1477547917",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 424",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503020424",
"telephone_number": "515-875-9925",
"fax_number": "515-875-9923"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1221 PLEASANT ST STE 150",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503091417",
"telephone_number": "515-875-9740",
"fax_number": "515-875-9672"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAYNES",
"first_name": "GARY",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-09",
"last_updated": "2023-12-21",
"certification_date": "2023-12-21",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "IA",
"license": "DO-02971",
"primary": true
}
],
"identifiers": [],
"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 Dec 21, 2023; 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.