Martin Jerome Fialkov, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

36314 Issued in IA

Practice address

1201 63Rd St
Des Moines, IA 50311-1943

Phone

(515) 225-6861

Fax

(515) 225-6864

NPI assigned

Feb 13, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 2

Other names 1

• Dr. Martin Jerome Fialkov Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Integrative Counseling Solutions Inc.

  dba Central Iowa Psychological Services

  • Community/Behavioral Health Agency
  • West Des Moines, IA
  • NPI 1942437231
  NPD (past)
• Monsour Medical Center

  • General Acute Care Hospital
  • Jeannette, PA
  • NPI 1093716060
  NPD (past)

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

{
    "created_epoch": "1139788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1186790400000",
    "number": "1629042288",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 63RD ST",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503111943",
            "telephone_number": "515-225-6861",
            "fax_number": "515-225-6864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 63RD ST",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503111943",
            "telephone_number": "515-225-6861",
            "fax_number": "515-225-6864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIALKOV",
        "first_name": "MARTIN",
        "middle_name": "JEROME",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-13",
        "last_updated": "2007-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IA",
            "license": "36314",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD024394E",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK",
            "identifier": "04327",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MIDLANDS CHOICE",
            "identifier": "248245",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARTIN",
            "last_name": "FIALKOV",
            "middle_name": "JEROME",
            "prefix": "DR.",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Sarah Fett, ARNP, FNP-C, MSN
• Kelley J Fetters, RPH.
• Sydnee Feuerhelm, LISW
• Amara Michelle Fey-Awan
• Sea A Fey, CNM
• Emily Fichter
• Brian Scott Fiedler, D.O.
• Emily Field
• Megan Fifield, AU.D.
• Fifth Avenue OB GYN PC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2007; 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.