Active NPI
Planned Parenthood of the Heartland, Inc
- Family Medicine Physician
- Des Moines, IA
National Provider Identifier
1629025101
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 03119
- Legal business name
- PLANNED PARENTHOOD OF THE HEARTLAND, INC
- Practice address
- 1000 E. Army Post Rd
Des Moines, IA 50315-5939 - Phone
- (515) 953-7560
- Fax
- (515) 953-7549
- NPI assigned
- May 28, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Randy Drager
- Title
- Cfo
- Phone
- (651) 698-2406
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 03119 | IA | Primary |
| Family Medicine Physician | 207Q00000X | 24217 | IA |
Addresses
Primary practice location
1000 E. Army Post Rd
Des Moines, IA 50315-5939
Mailing address
671 Vandalia St
Attn: PPH
St. Paul, MN 55114-1312
Phone (515) 280-7004
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4029561 | Medicaid | IA | |
| 220459 | Medicaid | IA |
Other names 1
- Formerly: Planned Parenthood of Greater Iowa
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040311001463 | IA | Part B Supplier - Clinic/Group Practice | 6507755188 |
Receives reassigned benefits from 25 practitioners 2 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Des Moines, IA |
Other NPIs on the same Medicare enrollment 2
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Ambulatory Family Planning Facility
- Council Bluffs, IA
- NPI 1235218819
O20040311001463
-
- Non-Surgical Family Planning Clinic/Center
- Iowa City, IA
- NPI 1144260027
O20040311001463
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148774400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1723680000000",
"number": "1629025101",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "671 VANDALIA ST",
"address_2": "ATTN: PPH",
"city": "ST. PAUL",
"state": "MN",
"postal_code": "551141312",
"telephone_number": "515-280-7004",
"fax_number": "515-280-9525"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 E. ARMY POST RD",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503155939",
"telephone_number": "515-953-7560",
"fax_number": "515-953-7549"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PLANNED PARENTHOOD OF THE HEARTLAND, INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-28",
"last_updated": "2024-08-15",
"certification_date": "2024-08-02",
"status": "A",
"authorized_official_last_name": "DRAGER",
"authorized_official_first_name": "RANDY",
"authorized_official_title_or_position": "CFO",
"authorized_official_telephone_number": "651-698-2406"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "IA",
"license": "03119",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "IA",
"license": "24217",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4029561",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "220459",
"state": "IA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Formerly: Planned Parenthood of Greater Iowa",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Des Moines, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2024; 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.