Organization Active NPI

Iowa Surgery Center, P.C.

  • Surgery Physician
  • West Des Moines, IA
National Provider Identifier
1720256035
Registry record updated Jun 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
IOWA SURGERY CENTER, P.C.
Practice address
1000 73Rd St Ste 17
West Des Moines, IA 50265-1321
Phone
(515) 223-2383
Fax
(515) 225-8679
NPI assigned
Feb 20, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2024

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

Authorized official

Name
Mr. Deepak Mansukhani, MS,MBA
Title
Business Manager
Phone
(847) 924-5530

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X IA Primary

Addresses

Primary practice location

1000 73Rd St Ste 17
West Des Moines, IA 50265-1321

Mailing address

1000 73Rd St Ste 17
West Des Moines, IA 50265-1321
Phone (515) 223-2383

Other identifiers 1

IdentifierTypeStateIssuer
1118091MedicaidIA

National Provider Directory

National Provider Directory

Locations

1000 73rd St
Ste 17
West Des Moines, IA 50265
Phone (972) 962-2000

974 73rd St
Ste 25
West Des Moines, IA 50265
Phone (515) 724-7637

NPI Registry JSON

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

{
    "created_epoch": "1203465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717372800000",
    "number": "1720256035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 73RD ST STE 17",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502651321",
            "telephone_number": "515-223-2383",
            "fax_number": "515-225-8679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 73RD ST STE 17",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502651321",
            "telephone_number": "515-223-2383",
            "fax_number": "515-225-8679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IOWA SURGERY CENTER, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-20",
        "last_updated": "2024-06-03",
        "certification_date": "2024-06-03",
        "status": "A",
        "authorized_official_last_name": "MANSUKHANI",
        "authorized_official_first_name": "DEEPAK",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "847-924-5530",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MS,MBA"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "IA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1118091",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West 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 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.