Individual provider Active NPI

Navin Kumar Gupta, DPM

  • Podiatrist
  • West Des Moines, IA
National Provider Identifier
1659378917
Registry record updated Jul 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
00508 Issued in IA
Practice address
230 S 68TH St Ste 1208
West Des Moines, IA 50266-8176
Phone
(515) 226-2189
Fax
(515) 226-2199
NPI assigned
Jul 1, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 1, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 00508 IA Primary

Addresses

Primary practice location

230 S 68TH St Ste 1208
West Des Moines, IA 50266-8176

Mailing address

230 S 68TH St Ste 1208
West Des Moines, IA 50266-8176
Phone (515) 226-2189

Other identifiers 3

IdentifierTypeStateIssuer
1009688MedicaidIA
00968OtherIABC/BS OF IA
2009688MedicaidIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041108000951 IA Practitioner - Podiatry 9234192535 Practice locations: West Des Moines, IA

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
College of Podiatric Med and Surgery, Des Moines University, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

230 S 68TH St
Suite 1208
West Des Moines, IA 50266-8176
Phone (515) 226-2189

6053 SE 14TH St
Des Moines, IA 50320-1704

Hospital & facility affiliations

  • Mercyone Des Moines Medical Center Hospital, Des Moines, IA, CCN 160083

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue92
Removal of nail tissue844
Removal or shaving of skin growth384

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Anp Foot & Ankle Clinics, LLC Past Accepting new patients

Organizations & group practices 1

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.

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1120176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625097600000",
    "number": "1659378917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 S 68TH ST STE 1208",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502668176",
            "telephone_number": "515-226-2189",
            "fax_number": "515-226-2199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 S 68TH ST STE 1208",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502668176",
            "telephone_number": "515-226-2189",
            "fax_number": "515-226-2199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUPTA",
        "first_name": "NAVIN",
        "middle_name": "KUMAR",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-07-01",
        "last_updated": "2021-07-01",
        "certification_date": "2021-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "IA",
            "license": "00508",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1009688",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS OF IA",
            "identifier": "00968",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2009688",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Des Moines, IA

Sources for this page

Verify at the official NPI Registry.