NPIMap

Individual provider Active NPI

Adam Daniel Gliniewicz, M.D.

  • Radiation Oncology Physician
  • Des Moines, IA
National Provider Identifier
1669835914
Registry record updated Sep 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
MD-48530 Issued in IA
Practice address
411 Laurel St Ste C100
Des Moines, IA 50314-3026
Phone
(515) 643-8780
Fax
(515) 643-8962
NPI assigned
Apr 4, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Radiation Oncology Physician 2085R0001X MD-48530 IA Primary

Addresses

Primary practice location

411 Laurel St Ste C100
Des Moines, IA 50314-3026

Mailing address

PO Box 1475
Des Moines, IA 50305-1475
Phone (515) 643-8780

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
I20210826002792 IA Practitioner - Radiation Oncology 1456648559 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Clinics Inc 441 clinicians
Greater Regional Medical Center 48 clinicians

Practice addresses (Care Compare)

1111 6TH Ave
Des Moines, IA 50314-2613
Phone (515) 247-4240

12495 University Ave
Clive, IA 50325-8289
Phone (515) 358-9500

1700 W Townline St
Creston, IA 50801-1054
Phone (641) 782-7091

330 Laurel St
Suite 1200
Des Moines, IA 50314-3044
Phone (515) 643-6290

411 Laurel St
Des Moines, IA 50314-3026

800 E 1St St
Ankeny, IA 50021-2077

Hospital & facility affiliations

  • Mercyone Des Moines Medical Center Hospital, Des Moines, IA, CCN 160083
  • Greater Regional Medical Center Hospital, Creston, IA, CCN 161365
  • University of Iowa Hospital & Clinics Hospital, Iowa City, IA, CCN 160058
  • Unitypoint Health - Des Moines Iowa Methodist Medi Hospital, Des Moines, IA, CCN 160082
  • Pella Regional Health Center Hospital, Pella, IA, CCN 161367

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD-48530IAMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Greater Regional Medical Center CurrentSince Sep 14, 2021 Accepting new patients
Greater Regional Medical Center CurrentSince Sep 14, 2021 Accepting new patients
Mercy Clinics, Inc. CurrentSince Sep 1, 2021 Accepting new patients
Mercy Clinics, Inc. Current Accepting new patients
St Luke'S Methodist Hospital Current Accepting new patients
Mercy Clinics, Inc Radiation Oncology CurrentSince Sep 1, 2021 Accepting new patients

Locations

1700 W Townline St
Creston, IA 50801
Phone (641) 782-7091

330 Laurel St
Ste 1200
Des Moines, IA 50314
Phone (515) 643-5454

1111 6th Ave
Des Moines, IA 50314
Phone (515) 247-3121

411 Laurel St
Ste 3300
Des Moines, IA 50314
Phone (515) 270-1177

411 Laurel St
Ste C100
Des Moines, IA 50314
Phone (515) 643-5168

12495 University Ave
Des Moines, IA 50325
Phone (515) 358-9500

Interoperability endpoints

  • Direct secure messaging: agliniewicz932724@direct.unitypoint.org
  • Direct secure messaging: agliniewicz3945322@direct.trinity-health.org

Organizations & group practices 10

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 10

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": "1459728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630540800000",
    "number": "1669835914",
    "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": "515-643-8780",
            "fax_number": "515-643-8962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 LAUREL ST STE C100",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503143026",
            "telephone_number": "515-643-8780",
            "fax_number": "515-643-8962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLINIEWICZ",
        "first_name": "ADAM",
        "middle_name": "DANIEL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-04",
        "last_updated": "2021-09-02",
        "certification_date": "2021-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "IA",
            "license": "MD-48530",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Moines, IA

Sources for this page

Verify at the official NPI Registry.