Mary A Radia, DO

Primary specialty

Rheumatology PhysicianTaxonomy code 207RR0500X

License

01959 Issued in IA

Practice address

8421 Plum Dr
Des Moines, IA 50322-7356

Phone

(515) 643-9699

Fax

(515) 643-9698

NPI assigned

Aug 20, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Interoperability endpoints

• Direct secure messaging: mary.radia.p1@direct.iaoc.nextgenshare.com

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596585600000",
    "number": "1598870586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8421 PLUM DR",
            "city": "URBANDALE",
            "state": "IA",
            "postal_code": "503227356",
            "telephone_number": "515-270-7222",
            "fax_number": "515-270-7202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8421 PLUM DR",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503227356",
            "telephone_number": "515-643-9699",
            "fax_number": "515-643-9698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RADIA",
        "first_name": "MARY",
        "middle_name": "A",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-20",
        "last_updated": "2020-08-05",
        "certification_date": "2020-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "IA",
            "license": "01959",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5030650",
            "state": "IA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mary.radia@direct.iaoc.nextgenshare.com",
            "affiliation": "N",
            "address_1": "8421 Plum Dr",
            "city": "Des Moines",
            "state": "IA",
            "country_code": "US",
            "postal_code": "503227356",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Rheumatology Physician in Des Moines, IA
• Providers in Des Moines, IA by specialty
• Rheumatology Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2020; 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.