Individual provider Active NPI

Siva Prasad Jagarlapudi, M.D.

  • Nephrology Physician
  • Des Moines, IA
National Provider Identifier
1770533952
Registry record updated Jan 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
29097 Issued in IA
Practice address
411 Laurel St
Suite 2350
Des Moines, IA 50314-3017
Phone
(515) 280-4700
Fax
(515) 280-4701
NPI assigned
May 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 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 29097 IA
Nephrology Physician 207RN0300X 29097 IA Primary

Addresses

Primary practice location

411 Laurel St
Suite 2350
Des Moines, IA 50314-3017

Mailing address

411 Laurel St Ste 2350
Des Moines, IA 50314-3026
Phone (515) 280-4700

Other identifiers 3

IdentifierTypeStateIssuer
1770533952OtherIAWELLMARK BCBS
P00329641OtherIARAILROAD MEDICARE
1770533952MedicaidIA

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
I20050615001093 IA Practitioner - HospitalistPractitioner - Internal MedicinePractitioner - Neurology 7517940943 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Internal Medicine
Education
Other, 1974
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Clinics IncGroup PAC ID 7911810882, 441 clinicians
Primary Health Care IncGroup PAC ID 8426966755, 72 clinicians

Practice addresses (Care Compare)

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

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

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

Hospital & facility affiliations

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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
29097IAMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Medical Center-Newton CurrentSince Jun 30, 2015 Accepting new patients
Mercy Clinics, Inc CurrentSince Jan 30, 2017 Accepting new patients
Primary Health Care, Inc. CurrentSince Jan 30, 2017 Accepting new patients
Mercy Clinics, Inc. Current Accepting new patients
Mercy Clinics, Inc. CurrentSince Jan 30, 2017 Accepting new patients
Primary Health Care, Inc. CurrentSince Jan 30, 2017 Accepting new patients
Catholic Health Initiatives-Iowa Corp Past Accepting new patients

Locations

411 Laurel St
Ste 2350
Des Moines, IA 50314
Phone (515) 280-4700

1111 6th Ave
Ste 510
Des Moines, IA 50314
Phone (515) 643-5275

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

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

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

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

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

910 N Eisenhower Ave
Mason City, IA 50401
Phone (641) 422-5437

404 Jefferson St
Pella, IA 50219
Phone (641) 628-3150

25 W Hickman Rd
Waukee, IA 50263
Phone (515) 358-0150

Interoperability endpoints

  • Direct secure messaging: sjagarlapudi3948111@direct.trinity-health.org

Organizations & group practices 7

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": "1147305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1420502400000",
    "number": "1770533952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 LAUREL ST STE 2350",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503143026",
            "telephone_number": "515-280-4700",
            "fax_number": "515-280-4701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 LAUREL ST",
            "address_2": "SUITE 2350",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503143017",
            "telephone_number": "515-280-4700",
            "fax_number": "515-280-4701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAGARLAPUDI",
        "first_name": "SIVA",
        "middle_name": "PRASAD",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-11",
        "last_updated": "2015-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IA",
            "license": "29097",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "IA",
            "license": "29097",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK BCBS",
            "identifier": "1770533952",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00329641",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1770533952",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Moines, IA

Sources for this page

Verify at the official NPI Registry.