Active NPI
Shubham Tayal
- Surgery Physician
- Des Moines, IA
National Provider Identifier
1649070434
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- R-13797
- Practice address
- 1415 Woodland Ave Ste 140
Des Moines, IA 50309-3203 - Phone
- (515) 241-4078
- NPI assigned
- Mar 19, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | R-13797 | IA | Primary |
Addresses
Primary practice location
1415 Woodland Ave Ste 140
Des Moines, IA 50309-3203
Mailing address
1415 Woodland Ave Ste 140
Des Moines, IA 50309-3203
Phone (515) 241-4078
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1742342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781654400000",
"number": "1649070434",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1415 WOODLAND AVE STE 140",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503093203",
"telephone_number": "515-241-4078"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1415 WOODLAND AVE STE 140",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503093203",
"telephone_number": "515-241-4078"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAYAL",
"first_name": "SHUBHAM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-03-19",
"last_updated": "2026-06-17",
"certification_date": "2026-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "IA",
"license": "R-13797",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}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 Jun 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.