NPIMap

Organization Active NPI

Catholic Health Initiatives-Iowa Corp

Doing business as MercyOne Iowa Heart Center

  • Clinical Cardiac Electrophysiology Physician
  • West Des Moines, IA
National Provider Identifier
1629301684
Registry record updated Oct 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X
Legal business name
CATHOLIC HEALTH INITIATIVES-IOWA CORP
Doing business as
MercyOne Iowa Heart Center
MercyOne Iowa Heart Center Ames
MercyOne Iowa Heart Center Ankeny9 more in Other names
Practice address
5880 University Ave
West Des Moines, IA 50266-8209
Phone
(515) 633-3600
Fax
(515) 288-0840
NPI assigned
Sep 9, 2009
Last updated
Oct 21, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2024

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

Authorized official

Name
Kurt Andersen
Title
President
Phone
(515) 358-9200

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0000X IA
Clinical Cardiac Electrophysiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RC0001X IA Primary
Interventional Cardiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RI0011X IA
Nuclear Cardiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207UN0901X IA
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X IA
Vascular Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2086S0129X IA
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208G00000X IA

Addresses

Primary practice location

5880 University Ave
West Des Moines, IA 50266-8209

Mailing address

PO Box 9170
Des Moines, IA 50306-9170
Phone (515) 633-3600

Other practice location 1

5880 University Ave
West Des Moines, IA 50266-8209
Phone (515) 633-3666

Other practice location 2

5880 University Ave
West Des Moines, IA 50266-8209
Phone (515) 633-3660

Other practice location 3

800 Kenyon Rd
Fort Dodge, IA 50501-5776
Phone (515) 574-6840

Other practice location 4

411 Laurel St Ste A250
Des Moines, IA 50314-3029
Phone (515) 235-5000

Other practice location 5

411 Laurel St Ste 1225
Des Moines, IA 50314-3017
Phone (515) 633-3770

Other practice location 6

405 S Clark St Ste 205
Carroll, IA 51401-3047
Phone (712) 792-6500

Other practice location 7

2006 N 4th St
Indianola, IA 50125-4500
Phone (515) 358-7660

Other practice location 8

540 E Jefferson St Ste 400
Iowa City, IA 52245-2479
Phone (319) 339-3400

Other practice location 9

312 E Main St Ste 2100
Marshalltown, IA 50158-1887
Phone (641) 754-5999

Other practice location 10

1005 Pennsylvania Ave Ste 207
Ottumwa, IA 52501-6414
Phone (641) 682-5349

Other practice location 11

300 N 4th Ave E Ste 160
Newton, IA 50208-3122
Phone (641) 841-1400

Other practice location 12

210 4th Ave
Grinnell, IA 50112-1898
Phone (641) 236-2301

Other practice location 13

2000 S Main St
Fairfield, IA 52556-9572
Phone (641) 472-4111

Other practice location 14

23019 Highway 149
Sigourney, IA 52591-8341
Phone (641) 622-2720

Other practice location 15

404 Jefferson St
Pella, IA 50219-1257
Phone (641) 628-3150

Other practice location 16

1449 NW 128th St Ste 100
Clive, IA 50325-7425
Phone (515) 224-3948

Other practice location 17

1816 Philadelphia St
Ames, IA 50010-8771
Phone (515) 232-2500

Other practice location 18

800 E 1st St Ste 2600
Ankeny, IA 50021-2077
Phone (515) 643-7777

Other practice location 19

300 W Hutchings St Ste 100
Winterset, IA 50273-2109
Phone (515) 462-2373

Other names 12

  • MercyOne Iowa Heart Center Doing business as
  • MercyOne Iowa Heart Center Ames Doing business as
  • MercyOne Iowa Heart Center Ankeny Doing business as
  • MercyOne Iowa Heart Center Carroll Doing business as
  • MercyOne Iowa Heart Center Des Moines Doing business as
  • MercyOne Iowa Heart Center Fort Dodge Doing business as
  • MercyOne Iowa Heart Center Indianola Doing business as
  • MercyOne Iowa Heart Center Iowa City Doing business as
  • MercyOne Iowa Heart Center Marshalltown Doing business as
  • MercyOne Iowa Heart Center Newton Doing business as
  • MercyOne Iowa Heart Center Ottumwa Doing business as
  • MercyOne Iowa Heart Center West Des Moines Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031118000163 IA Part B Supplier - Clinic/Group Practice 5698683142 Receives reassigned benefits from 152 practitioners
4 other NPIs on this enrollment
Practice locations: Greenfield, IA; Iowa City, IA; Indianola, IA; Knoxville, IA; Lake City, IA; Leon, IA; Manning, IA; Mt Pleasant, MO…

Other NPIs with the same Medicare PAC ID 6

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 4

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

National Provider Directory

National Provider Directory

Locations

1449 NW 128th St
Ste 100
Des Moines, IA 50325
Phone (515) 224-3948

411 Laurel St
Ste 1225
Des Moines, IA 50314
Phone (515) 633-3770

Ownership & related parties

All facility ownership & control disclosures 7

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Mercyone Centerville Medical CenterCenterville, IA, CCN 161377 Hospital 5% Or Greater Indirect Ownership Interest (100%) Sep 1, 2022
Mercyone Centerville Medical CenterCenterville, IA, CCN 16Z377 Hospital 5% Or Greater Indirect Ownership Interest (100%) Sep 1, 2022
Mercyone Newton Medical CenterNewton, IA, CCN 160032 Hospital 5% Or Greater Direct Ownership Interest (100%) Sep 1, 2022
Mercyone Newton Medical Center-Swing BedNewton, IA, CCN 16U032 Hospital 5% Or Greater Direct Ownership Interest (100%) Sep 1, 2022
Mercy Rehabilitation HospitalClive, IA, CCN 163025 Hospital 5% Or Greater Direct Ownership Interest (51%) Apr 26, 2016
Clive Behavioral HealthClive, IA, CCN 164007 Hospital 5% Or Greater Direct Ownership Interest (48%) May 28, 2018
Mercyone Centerville Medical ClinicCenterville, IA, CCN 168533 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Sep 1, 2022

Owned or controlled facilities with NPI records 7

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Practitioners & affiliated clinicians

Practitioners 181

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 181

NPI Registry JSON

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

{
    "created_epoch": "1252454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729468800000",
    "number": "1629301684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9170",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503069170",
            "telephone_number": "515-633-3600",
            "fax_number": "515-633-3838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5880 UNIVERSITY AVE",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502668209",
            "telephone_number": "515-633-3600",
            "fax_number": "515-288-0840"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5880 University Ave",
            "address_purpose": "LOCATION",
            "city": "West Des Moines",
            "state": "IA",
            "postal_code": "502668209",
            "country_code": "US",
            "telephone_number": "515-633-3666",
            "fax_number": "515-280-4640",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5880 University Ave",
            "address_purpose": "LOCATION",
            "city": "West Des Moines",
            "state": "IA",
            "postal_code": "502668209",
            "country_code": "US",
            "telephone_number": "515-633-3660",
            "fax_number": "515-362-4114",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "800 Kenyon Rd",
            "address_purpose": "LOCATION",
            "city": "Fort Dodge",
            "state": "IA",
            "postal_code": "505015776",
            "country_code": "US",
            "telephone_number": "515-574-6840",
            "fax_number": "515-576-7726",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "411 Laurel St Ste A250",
            "address_purpose": "LOCATION",
            "city": "Des Moines",
            "state": "IA",
            "postal_code": "503143029",
            "country_code": "US",
            "telephone_number": "515-235-5000",
            "fax_number": "515-288-6713",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "411 Laurel St Ste 1225",
            "address_purpose": "LOCATION",
            "city": "Des Moines",
            "state": "IA",
            "postal_code": "503143017",
            "country_code": "US",
            "telephone_number": "515-633-3770",
            "fax_number": "515-288-0840",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "405 S Clark St Ste 205",
            "address_purpose": "LOCATION",
            "city": "Carroll",
            "state": "IA",
            "postal_code": "514013047",
            "country_code": "US",
            "telephone_number": "712-792-6500",
            "fax_number": "515-246-4481",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2006 N 4th St",
            "address_purpose": "LOCATION",
            "city": "Indianola",
            "state": "IA",
            "postal_code": "501254500",
            "country_code": "US",
            "telephone_number": "515-358-7660",
            "fax_number": "515-235-5130",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "540 E Jefferson St Ste 400",
            "address_purpose": "LOCATION",
            "city": "Iowa City",
            "state": "IA",
            "postal_code": "522452479",
            "country_code": "US",
            "telephone_number": "319-339-3400",
            "fax_number": "515-280-4618",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "312 E Main St Ste 2100",
            "address_purpose": "LOCATION",
            "city": "Marshalltown",
            "state": "IA",
            "postal_code": "501581887",
            "country_code": "US",
            "telephone_number": "641-754-5999",
            "fax_number": "515-241-8036",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1005 Pennsylvania Ave Ste 207",
            "address_purpose": "LOCATION",
            "city": "Ottumwa",
            "state": "IA",
            "postal_code": "525016414",
            "country_code": "US",
            "telephone_number": "641-682-5349",
            "fax_number": "515-246-4474",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 N 4th Ave E Ste 160",
            "address_purpose": "LOCATION",
            "city": "Newton",
            "state": "IA",
            "postal_code": "502083122",
            "country_code": "US",
            "telephone_number": "641-841-1400",
            "fax_number": "515-362-4147",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "210 4th Ave",
            "address_purpose": "LOCATION",
            "city": "Grinnell",
            "state": "IA",
            "postal_code": "501121898",
            "country_code": "US",
            "telephone_number": "641-236-2301",
            "fax_number": "515-288-0840",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2000 S Main St",
            "address_purpose": "LOCATION",
            "city": "Fairfield",
            "state": "IA",
            "postal_code": "525569572",
            "country_code": "US",
            "telephone_number": "641-472-4111",
            "fax_number": "319-339-3401",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "23019 Highway 149",
            "address_purpose": "LOCATION",
            "city": "Sigourney",
            "state": "IA",
            "postal_code": "525918341",
            "country_code": "US",
            "telephone_number": "641-622-2720",
            "fax_number": "641-622-1187",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "404 Jefferson St",
            "address_purpose": "LOCATION",
            "city": "Pella",
            "state": "IA",
            "postal_code": "502191257",
            "country_code": "US",
            "telephone_number": "641-628-3150",
            "fax_number": "641-621-2315",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1449 NW 128th St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Clive",
            "state": "IA",
            "postal_code": "503257425",
            "country_code": "US",
            "telephone_number": "515-224-3948",
            "fax_number": "515-224-0469",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1816 Philadelphia St",
            "address_purpose": "LOCATION",
            "city": "Ames",
            "state": "IA",
            "postal_code": "500108771",
            "country_code": "US",
            "telephone_number": "515-232-2500",
            "fax_number": "515-246-4479",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "800 E 1st St Ste 2600",
            "address_purpose": "LOCATION",
            "city": "Ankeny",
            "state": "IA",
            "postal_code": "500212077",
            "country_code": "US",
            "telephone_number": "515-643-7777",
            "fax_number": "515-643-7798",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 W Hutchings St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Winterset",
            "state": "IA",
            "postal_code": "502732109",
            "country_code": "US",
            "telephone_number": "515-462-2373",
            "fax_number": "515-462-5132",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CATHOLIC HEALTH INITIATIVES-IOWA CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-09",
        "last_updated": "2024-10-21",
        "certification_date": "2024-10-21",
        "status": "A",
        "authorized_official_last_name": "ANDERSEN",
        "authorized_official_first_name": "KURT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "515-358-9200"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IA",
            "license": null,
            "primary": false
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "IA",
            "license": null,
            "primary": true
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "IA",
            "license": null,
            "primary": false
        },
        {
            "code": "207UN0901X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nuclear Medicine, Nuclear Cardiology",
            "state": "IA",
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "IA",
            "license": null,
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": "IA",
            "license": null,
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "IA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MercyOne Iowa Heart Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MercyOne Iowa Heart Center Ames",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MercyOne Iowa Heart Center Ankeny",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MercyOne Iowa Heart Center Ankeny",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MercyOne Iowa Heart Center Carroll",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MercyOne Iowa Heart Center Des Moines",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MercyOne Iowa Heart Center Fort Dodge",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MercyOne Iowa Heart Center Indianola",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MercyOne Iowa Heart Center Iowa City",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MercyOne Iowa Heart Center Marshalltown",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MercyOne Iowa Heart Center Newton",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MercyOne Iowa Heart Center Ottumwa",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MercyOne Iowa Heart Center West Des Moines",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Des Moines, IA

Sources for this page

Verify at the official NPI Registry.