Individual provider Active NPI

Daniel J Krejchi, M.D.

  • Diagnostic Radiology Physician
  • Des Moines, IA
National Provider Identifier
1689669780
Registry record updated Dec 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MD-33366 Issued in IA
Practice address
1221 Pleasant St Ste 150
Des Moines, IA 50309-1417
Phone
(515) 875-9740
Fax
(515) 875-9672
NPI assigned
Sep 14, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X MD-33366 IA Primary

Addresses

Primary practice location

1221 Pleasant St Ste 150
Des Moines, IA 50309-1417

Mailing address

PO Box 424
Des Moines, IA 50302-0424
Phone (515) 875-9925

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041019000507 IA Practitioner - Diagnostic Radiology 6608836192 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Iowa, RJ & L Carver College of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Iowa Clinic PCGroup PAC ID 4082513742, 307 clinicians

Practice addresses (Care Compare)

1005 Pennsylvania Ave
Suite 102a
Ottumwa, IA 52501-6408
Phone (641) 684-2589

1215 Pleasant St
Des Moines, IA 50309-1419
Phone (515) 875-9100

1221 Pleasant St
Suite 150
Des Moines, IA 50309-1417
Phone (515) 875-9100

1410 SW Tradition Dr
Ankeny, IA 50023-9188

1504 N 1St St
Indianola, IA 50125-3702
Phone (515) 875-9100

5950 University Ave
West Des Moines, IA 50266-8231
Phone (515) 875-9100

5950 University Ave
West Des Moines, IA 50266-8233

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD-33366IAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Iowa Clinic PC Diagnostic Radiology CurrentSince Nov 26, 2001 Accepting new patients
The Iowa Clinic, PC CurrentSince Nov 26, 2001 Accepting new patients
Pet Co LLC CurrentSince Apr 11, 2017 Accepting new patients

Locations

509 N Madison St
Bloomfield, IA 52537
Phone (641) 664-2145

1221 Pleasant St
Ste 150A
Des Moines, IA 50309
Phone (515) 244-5109

1215 Pleasant St
Ste 210
Des Moines, IA 50309

1221 Pleasant St
Ste 150
Des Moines, IA 50309
Phone (515) 244-5107

710 N 12th St
Guthrie Ctr, IA 50115
Phone (641) 332-2201

1002 S Lincoln St
Knoxville, IA 50138
Phone (641) 842-1464

1005 Pennsylvania Ave
Ste 102A
Ottumwa, IA 52501
Phone (641) 684-2589

5950 University Ave
Ste 175
West Des Moines, IA 50266
Phone (515) 875-9908

7147 Vista Dr
Ste 160
West Des Moines, IA 50266

6800 Lake Dr
Ste 250
West Des Moines, IA 50266

7147 Vista Dr
Ste 150
West Des Moines, IA 50266
Phone (515) 875-9255

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1126656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703116800000",
    "number": "1689669780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 424",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503020424",
            "telephone_number": "515-875-9925",
            "fax_number": "515-875-9923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 PLEASANT ST STE 150",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503091417",
            "telephone_number": "515-875-9740",
            "fax_number": "515-875-9672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KREJCHI",
        "first_name": "DANIEL",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-14",
        "last_updated": "2023-12-21",
        "certification_date": "2023-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IA",
            "license": "MD-33366",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Moines, IA

Sources for this page

Verify at the official NPI Registry.