NPIMap

Organization Active NPI

Metro Anesthesia & Pain Mngmt LLP

  • Anesthesiology Physician
  • West Des Moines, IA
National Provider Identifier
1609925627
Registry record updated Nov 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
METRO ANESTHESIA & PAIN MNGMT LLP
Practice address
5901 Westown Pkwy Ste 210
West Des Moines, IA 50266-8297
Phone
(515) 221-9222
Fax
(515) 221-9222
NPI assigned
Jan 9, 2007
Last updated
Nov 14, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2018

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

Authorized official

Name
David Victor Ross, MS
Title
Administrator
Phone
(515) 221-9222

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X NU
Anesthesiology Physician 207L00000X NU Primary
Pain Medicine (Anesthesiology) Physician 207LP2900X NU

Addresses

Primary practice location

5901 Westown Pkwy Ste 210
West Des Moines, IA 50266-8297

Mailing address

5901 Westown Pkwy Ste 210
West Des Moines, IA 50266-8297
Phone (515) 221-9222

Other identifiers 2

IdentifierTypeStateIssuer
120741MedicaidIA
CD9106OtherIARAILROAD MEDICARE

Other names 1

  • Metro Anesthesia LLP Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040330000579 IA Part B Supplier - Clinic/Group Practice 1456343763 Receives reassigned benefits from 34 practitioners
1 other NPI on this enrollment
Practice locations: Des Moines, IA; West Des Moines, IA

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Metro Anesthesia Pain Mngmt LLP3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 46

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 46

NPI Registry JSON

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1542153600000",
    "number": "1609925627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5901 WESTOWN PKWY STE 210",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502668297",
            "telephone_number": "515-221-9222",
            "fax_number": "515-221-9222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5901 WESTOWN PKWY STE 210",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502668297",
            "telephone_number": "515-221-9222",
            "fax_number": "515-221-9222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METRO ANESTHESIA & PAIN MNGMT LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-09",
        "last_updated": "2018-11-14",
        "status": "A",
        "authorized_official_last_name": "ROSS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "VICTOR",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "515-221-9222",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "120741",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CD9106",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Metro Anesthesia LLP",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Metro Anesthesia LLP",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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 Nov 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.