NPIMap

Individual provider Active NPI

Lazaro Rabang, MD

  • Internal Medicine Physician
  • Urbandale, IA
National Provider Identifier
1649387697
Registry record updated Jan 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD-34793 Issued in IA
Practice address
4005 NW Urbandale
Urbandale, IA 50322-7914
Phone
(515) 643-9500
Fax
(515) 643-9525
NPI assigned
Aug 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 34793 IA
Internal Medicine Physician 207R00000X MD-34793 IA Primary

Addresses

Primary practice location

4005 NW Urbandale
Urbandale, IA 50322-7914

Mailing address

PO Box 1475
Des Moines, IA 50305-1475
Phone (515) 643-9500

Other identifiers 2

IdentifierTypeStateIssuer
0266189MedicaidIA
237429OtherIAMIDLANDS CHOICE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080115000753 IA Practitioner - Internal Medicine 3870674823 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Primary Health Care IncGroup PAC ID 8426966755, 72 clinicians
Mercy Clinics IncGroup PAC ID 7911810882, 441 clinicians

Practice addresses (Care Compare)

3509 E 29TH St
Des Moines, IA 50317-4253
Phone (515) 248-1600

411 Laurel St
Suite 3262
Des Moines, IA 50314-3027
Phone (515) 643-5203

Hospital & facility affiliations

  • Mercyone Des Moines Home Care Home health agency, Des Moines, IA, CCN 167133
  • Angels Care Home Health of Iowa Home health agency, Des Moines, IA, CCN 167436
  • Faith Home Health Care Home health agency, West Des Moines, IA, CCN 167428
  • Suncrest Home Health Home health agency, West Des Moines, IA, CCN 167433
  • Centerwell Home Health Home health agency, Urbandale, IA, CCN 167187
  • Hospice of the Midwest, LLC Hospice, Johnston, IA, CCN 161609
  • Suncrest Hospice, LLC Hospice, West Des Moines, IA, CCN 161608
  • Unitypoint Hospice Hospice, Urbandale, IA, CCN 161554
  • St Croix Hospice Hospice, Ankeny, IA, CCN 161583
  • Everystep Hospice, Des Moines, IA, CCN 161500
  • Mercyone Des Moines Medical Center Hospital, Des Moines, IA, CCN 160083
  • Unitypoint Health - Des Moines Iowa Methodist Medi Hospital, Des Moines, IA, CCN 160082
  • Ramsey Village Nursing home, Des Moines, IA, CCN 165514
  • Iowa Jewish Senior Life Center Nursing home, Des Moines, IA, CCN 165006

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34793IAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Health Care, Inc. CurrentSince May 9, 2017 Accepting new patients
Primary Health Care, Inc. CurrentSince May 9, 2017 Accepting new patients
Mercy Clinics, Inc. Current Accepting new patients

Locations

3509 E 29th St
Des Moines, IA 50317
Phone (515) 248-1600

1601 NW 114th St
Ste 240
Des Moines, IA 50325
Phone (515) 222-7700

405 SW 5th St
Ste E
Des Moines, IA 50309
Phone (515) 358-7259

2353 SE 14th St
Des Moines, IA 50320
Phone (515) 248-1400

Interoperability endpoints

  • Direct secure messaging: lrabang3955742@direct.trinity-health.org

Ownership & related parties

All facility ownership & control disclosures 1

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

FacilityTypeRoleSince
Iowa Jewish Senior Life CenterDes Moines, IA, CCN 165006 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jan 1, 2022
Jan 1, 2022

Owned or controlled facilities with NPI records 1

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

Organizations & group practices 14

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 14

Hospital & facility affiliations 19

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1156377600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421280000000",
    "number": "1649387697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1475",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503051475",
            "telephone_number": "515-643-9500",
            "fax_number": "515-643-9525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4005 NW URBANDALE",
            "city": "URBANDALE",
            "state": "IA",
            "postal_code": "503227914",
            "telephone_number": "515-643-9500",
            "fax_number": "515-643-9525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RABANG",
        "first_name": "LAZARO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-24",
        "last_updated": "2015-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IA",
            "license": "34793",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IA",
            "license": "MD-34793",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0266189",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MIDLANDS CHOICE",
            "identifier": "237429",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Urbandale, IA

Sources for this page

Verify at the official NPI Registry.