NPIMap

Individual provider Active NPI

Padmanabhan Priyesh, MD

  • Internal Medicine Physician
  • Springfield, MA
National Provider Identifier
1598078552
Registry record updated Jan 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
244976 Issued in MA
Practice address
759 Chestnut St
Springfield, MA 01199-1001
Phone
(413) 770-6162
NPI assigned
Jul 20, 2010
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 28, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 244976 MA Primary

Addresses

Primary practice location

759 Chestnut St
Springfield, MA 01199-1001

Mailing address

50 Holy Family Rd Apt 318
Holyoke, MA 01040-2782
Phone (413) 770-6162

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160623002127 IA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 9133355860 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Iowa Hospital CorporationGroup PAC ID 1052229275, 233 clinicians

Practice addresses (Care Compare)

1301 Penn Ave
Suite 100
Des Moines, IA 50316-2364
Phone (515) 263-2400

2103 Ingersoll Ave
Des Moines, IA 50312-5227

2515 Grand Prairie Pkwy
Waukee, IA 50263-8966
Phone (515) 644-9000

2515 SE State St
Ankeny, IA 50023-7079

2720 8TH St SW
Altoona, IA 50009-1028
Phone (515) 967-0133

301 E Hillcrest Ave
Family Med Indi
Indianola, IA 50125-9027
Phone (515) 961-3700

305 S US Hwy 69
Family Med Huxley
Huxley, IA 50124-8095
Phone (515) 597-2600

4480 Utica Ridge Rd
Bettendorf, IA 52722-1644

4480 Utica Ridge Rd
Suite 160
Bettendorf, IA 52722-1637
Phone (563) 742-5950

6400 Hickman Rd
Windsor Heights, IA 50324-5001
Phone (515) 274-3551

700 E Uinversity Ave
Des Moines, IA 50316-2302

840 E University Ave
FM East Des Moines
Des Moines, IA 50316-2304
Phone (515) 265-4211

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St Luke's Methodist Hospital Current Accepting new patients
Central Iowa Hospital Corporation CurrentSince Dec 21, 2020 Accepting new patients
Central Iowa Hospital Corporation Family Medicine CurrentSince Dec 21, 2020 Accepting new patients
Central Iowa Hospital Corporation Past Accepting new patients

Locations

909 SW Oralabor Rd
Ankeny, IA 50023
Phone (515) 963-4400

410 NW Ash Dr
Ankeny, IA 50023
Phone (515) 964-1101

1200 Pleasant St
Ste S228
Des Moines, IA 50309

1301 Pennsylvania Ave
Ste 100
Des Moines, IA 50316
Phone (515) 263-2400

1215 Pleasant St
Ste 414
Des Moines, IA 50309
Phone (515) 241-5700

8101 Birchwood Ct
Unit R
Urbandale, IA 50131
Phone (515) 471-9363

Interoperability endpoints

  • Direct secure messaging: ppriyesh408659@direct.unitypoint.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1279584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453939200000",
    "number": "1598078552",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 HOLY FAMILY RD APT 318",
            "city": "HOLYOKE",
            "state": "MA",
            "postal_code": "010402782",
            "telephone_number": "413-770-6162",
            "fax_number": "413-447-2088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "759 CHESTNUT ST",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011991001",
            "telephone_number": "413-770-6162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRIYESH",
        "first_name": "PADMANABHAN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-07-20",
        "last_updated": "2016-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "244976",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, MA

Sources for this page

Verify at the official NPI Registry.