Individual provider Active NPI

Andrew Michael Wishy, DO

  • Vascular Surgery Physician
  • West Des Moines, IA
National Provider Identifier
1619389939
Registry record updated Sep 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
2024026870 Issued in MO
Practice address
5950 University Ave Ste 231
West Des Moines, IA 50266-8233
Phone
(515) 875-9090
NPI assigned
May 21, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X DO-55564 IA
Vascular Surgery Physician 2086S0129X 2024026870 MO Primary

Addresses

Primary practice location

5950 University Ave Ste 231
West Des Moines, IA 50266-8233

Mailing address

PO Box 424
Des Moines, IA 50302-0424
Phone (515) 875-9178

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address andrewwishy@tic.allscriptsdirect.net Health Information Exchange (HIE)
FHIR URL https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ Washington University

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, MS, SC, IL, MO, IA6 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 6

Enrollment IDStateProvider typePAC IDDetails
I20210303001180 TX Practitioner - Vascular SurgeryPractitioner - General Surgery 8527332337 Reassigns benefits to 2 organizations
I20220321000037 MS Practitioner - Vascular Surgery 8527332337 Reassigns benefits to 2 organizations
I20221114000918 SC Practitioner - Vascular Surgery 8527332337 Reassigns benefits to 1 organization
I20230919002463 IL Practitioner - Vascular Surgery 8527332337 Reassigns benefits to 2 organizations
I20240722003855 MO Practitioner - Vascular Surgery 8527332337 Reassigns benefits to 1 organization
I20260430001777 IA Practitioner - Vascular Surgery 8527332337 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
Kansas City University of Med & Biosciences, College of Osteo Med, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Washington UniversityGroup PAC ID 9830008770, 2,968 clinicians
Swedishamerican HospitalGroup PAC ID 5799698346, 386 clinicians

Practice addresses (Care Compare)

1 Barnes Jew Hosp PLZ
Saint Louis, MO 63110-1003
Phone (314) 273-7373

1401 E State St
Rockford, IL 61104-2315
Phone (815) 489-4400

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal1-10
Leg revascularization (restoring blood flow)15
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
14481CAMDClinical Social Worker
2024026870MOMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Washington University CurrentSince Jul 22, 2024 Accepting new patients
Lexington Health Inc CurrentSince Nov 15, 2022 Accepting new patients
Christus Trinity Clinic Texas CurrentSince Feb 2, 2024 Accepting new patients
Singing River Health System CurrentSince Jul 31, 2023 Accepting new patients
Washington University CurrentSince Jul 22, 2024 Accepting new patients
Forrest County General Hospital Current Accepting new patients
Christus Trinity Clinic Texas CurrentSince Feb 2, 2024 Accepting new patients
Rockford Health Physicians CurrentSince Aug 8, 2023 Accepting new patients
The University of Texas Health Science Center at San Antonio CurrentSince Nov 28, 2020 Accepting new patients
Forrest County General Hospital CurrentSince Apr 21, 2022 Accepting new patients
Lexington Health Inc Current Accepting new patients
Forrest County General Hospital CurrentSince Apr 21, 2022 Accepting new patients
University of Texas Health Science Center at San Antonio CurrentSince Nov 28, 2020 Accepting new patients
Swedishamerican Hospital Current Accepting new patients
RMH Pathologists, LTD Current Accepting new patients
University of Texas Health Science Center at San Antonio Current Accepting new patients
Swedishamerican Hospital CurrentSince Sep 8, 2023 Accepting new patients
Lexington Health Inc Vascular Surgery CurrentSince Nov 15, 2022 Accepting new patients
Swedishamerican Hospital CurrentSince Sep 8, 2023 Accepting new patients
Barnes Jewish Hospital Past Accepting new patients
Familycare Associates,PA Past Accepting new patients
Ozarks Medical Center Past Accepting new patients

Locations

1 Memorial Dr
Alton, IL 62002
Phone (618) 463-7240

29624 Network Pl
Chicago, IL 60673
Phone (608) 741-7652

1401 E State St
Rockford, IL 61104
Phone (815) 489-4267

8201 E Riverside Blvd
Rockford, IL 61114
Phone (815) 971-4066

2300 N Rockton Ave
Rockford, IL 61103
Phone (815) 971-5510

6824 Newburg Rd
Rockford, IL 61108
Phone (779) 696-7610

1050 W 10th St
Ste 500
Rolla, MO 65401
Phone (573) 308-1301

1 Barnes Jewish Hospital Plz
Saint Louis, MO 63110
Phone (314) 362-1700

1 Barnes Hospital Plz
Saint Louis, MO 63110
Phone (314) 362-9170

660 S Euclid Ave
#8109
Saint Louis, MO 63110
Phone (314) 362-7841

4921 Parkview Pl
Saint Louis, MO 63110
Phone (314) 747-4850

6051 U S Highway 49
Hattiesburg, MS 39401
Phone (601) 288-2690

3603 Bienville Blvd
Ste 203
Ocean Springs, MS 39564
Phone (228) 872-8768

4300 Hospital St
Ste 105
Pascagoula, MS 39581
Phone (228) 474-4610

811 W Main St
Ste 101
Lexington, SC 29072
Phone (803) 936-7230

2728 Sunset Blvd
Ste 400
West Columbia, SC 29169
Phone (803) 936-7095

7703 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 450-3700

8300 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 450-9300

4502 Medical Dr
San Antonio, TX 78229
Phone (210) 358-3555

630 S Fleishel Ave
Tyler, TX 75701
Phone (903) 510-8888

Interoperability endpoints

  • Direct secure messaging: awishy350848@christushealth.direct-ci.net
  • Direct secure messaging: andrew.wishy.1@1928.direct.athenahealth.com
  • Direct secure messaging: awishy354739@ahs.direct-ci.com
  • FHIR API: https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/

Organizations & group practices 23

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.

View all 23

Hospital & facility affiliations 3

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": "1400630400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788307200000",
    "number": "1619389939",
    "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": "515-875-9178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5950 UNIVERSITY AVE STE 231",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502668233",
            "telephone_number": "515-875-9090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WISHY",
        "first_name": "ANDREW",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-05-21",
        "last_updated": "2026-09-02",
        "certification_date": "2026-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "IA",
            "license": "DO-55564",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "MO",
            "license": "2024026870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "andrewwishy@tic.allscriptsdirect.net",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "5950 University Ave Ste 231",
            "city": "West Des Moines",
            "state": "IA",
            "country_code": "US",
            "postal_code": "502668233",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicproxy.et0965.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
            "affiliation": "Y",
            "affiliationName": "Washington University",
            "address_1": "1 Barnes Jewish Hospital Plz",
            "address_2": "Div Surg Vascular",
            "city": "Saint Louis",
            "state": "MO",
            "country_code": "US",
            "postal_code": "631101003",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in West Des Moines, IA

Sources for this page

Verify at the official NPI Registry.