NPIMap

Individual provider Active NPI

Vignesh Viswanathan, MD

  • Nephrology Physician
  • Des Moines, IA
National Provider Identifier
1477905602
Registry record updated Jun 1, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
49201 Issued in IA
Practice address
1215 Pleasant St Ste 100
Des Moines, IA 50309-1409
Phone
(515) 336-6557
Fax
(515) 461-2223
NPI assigned
Jul 12, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 1, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 49201 IA Primary

Addresses

Primary practice location

1215 Pleasant St Ste 100
Des Moines, IA 50309-1409

Mailing address

414 Water St Apt 2707
Baltimore, MD 21202-3292

Other practice location 1

1830 E Monument St Ste 416
Baltimore, MD 21287-0020
Phone (410) 502-7070

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, AL2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220617000403 IA Practitioner - Nephrology 6002100518 Reassigns benefits to 2 organizations
I20250829003052 AL Practitioner - Nephrology 6002100518 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

619 19TH St S
Birmingham, AL 35246-0001
Phone (205) 934-3460

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
49201IAMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Trinity Regional Medical Center CurrentSince Jan 1, 2025 Accepting new patients
University of Alabama Health Services Foundation, PC. CurrentSince Aug 1, 2025 Accepting new patients
St Luke'S Methodist Hospital Current Accepting new patients
Broadlawns Medical Center CurrentSince Sep 6, 2024 Accepting new patients
Broadlawns Medical Center CurrentSince Sep 6, 2024 Accepting new patients

Locations

619 19th St S
Birmingham, AL 35249

619 19th St S
Birmingham, AL 35233
Phone (205) 934-6405

1801 Hickman Rd
Bldg First
Des Moines, IA 50314

1801 Hickman Rd
Des Moines, IA 50314
Phone (515) 282-2200

1215 Pleasant St
Ste 100
Des Moines, IA 50309
Phone (515) 241-5710

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

5500 Westown Pkwy
Ste 180
West Des Moines, IA 50266
Phone (515) 336-6557

Interoperability endpoints

  • Direct secure messaging: vviswanathan893531@direct.unitypoint.org
  • Direct secure messaging: vviswanathan3960939@direct.trinity-health.org

Organizations & group practices 5

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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1468281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654041600000",
    "number": "1477905602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 WATER ST APT 2707",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212023292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 PLEASANT ST STE 100",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503091409",
            "telephone_number": "515-336-6557",
            "fax_number": "515-461-2223"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1830 E Monument St Ste 416",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212870020",
            "country_code": "US",
            "telephone_number": "410-502-7070",
            "fax_number": "410-367-2258",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VISWANATHAN",
        "first_name": "VIGNESH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-07-12",
        "last_updated": "2022-06-01",
        "certification_date": "2022-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "IA",
            "license": "49201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Moines, IA

Sources for this page

Verify at the official NPI Registry.