Individual provider Active NPI

Genevieve Elaine Staudt, MD

  • Anesthesiology Physician
  • Des Moines, IA
National Provider Identifier
1790047595
Registry record updated Jun 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
MD-49971 Issued in IA
Practice address
1200 Pleasant St
Des Moines, IA 50309-1406
Phone
(515) 241-6372
NPI assigned
Jun 8, 2012
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 26, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 254977 MA
Pediatric Anesthesiology Physician 207LP3000X MD57664 TN
Anesthesiology Physician 207L00000X MD-49971 IA Primary

Addresses

Primary practice location

1200 Pleasant St
Des Moines, IA 50309-1406

Mailing address

4201 Westown Pkwy Ste 236
West Des Moines, IA 50266-6720
Phone (515) 988-3375

Other practice location 1

3601 The Vanderbilt Clinic
Nashville, TN 37232-2621
Phone (615) 322-3000

Other practice location 2

55 Fruit St
Gray-Bigelow 444
Boston, MA 02114-2621
Phone (617) 726-3030

Other practice location 3

55 Fruit St
Gray-Bigelow 444
Boston, MA 02114-2621
Phone (617) 726-3030

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address gstaudt89832@direct.vumc.org Direct

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
I20220802001130 IA Practitioner - Anesthesiology 4284862228 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
University of Iowa, RJ & L Carver College of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Associated Anesthesiologists PCGroup PAC ID 9638068307, 65 clinicians

Practice addresses (Care Compare)

1200 Pleasant St
Des Moines, IA 50309-1406
Phone (515) 401-1950

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD-49971IAMDAnesthesiology Physician
MD57664TNMDPediatric Anesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Waukee Surgery Center LLC CurrentSince Sep 26, 2022 Accepting new patients
St Luke'S Methodist Hospital Current Accepting new patients
Associated Anesthesiologists, P.C. Anesthesiology CurrentSince Sep 26, 2022 Accepting new patients
Associated Anesthesiologists, P.C. CurrentSince Sep 1, 2022 Accepting new patients

Locations

3625 N Ankeny Blvd
Ste J
Ankeny, IA 50023
Phone (515) 965-2200

700 E University Ave
Des Moines, IA 50316
Phone (515) 263-5120

1200 Pleasant St
Des Moines, IA 50309
Phone (515) 241-5926

1025 SE Tallgrass Ln
Waukee, IA 50263
Phone (515) 875-8000

4201 Westown Pkwy
Ste 236
West Des Moines, IA 50266
Phone (515) 401-1950

1750 60th St
West Des Moines, IA 50266
Phone (515) 273-5240

1600 60th St
West Des Moines, IA 50266
Phone (515) 224-5232

1660 60th St
West Des Moines, IA 50266
Phone (515) 241-2250

4100 International Plz
Ste 800
Ft Worth, TX 76109
Phone (855) 373-6862

Interoperability endpoints

  • Direct secure messaging: gstaudt34598@direct.unitypoint.org

Organizations & group practices 4

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 3

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": "1339113600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719360000000",
    "number": "1790047595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4201 WESTOWN PKWY STE 236",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502666720",
            "telephone_number": "515-988-3375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 PLEASANT ST",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503091406",
            "telephone_number": "515-241-6372"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3601 The Vanderbilt Clinic",
            "address_purpose": "LOCATION",
            "city": "Nashville",
            "state": "TN",
            "postal_code": "372322621",
            "country_code": "US",
            "telephone_number": "615-322-3000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "55 Fruit St",
            "address_2": "Gray-Bigelow 444",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "021142621",
            "country_code": "US",
            "telephone_number": "617-726-3030",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "55 Fruit St",
            "address_2": "Gray-Bigelow 444",
            "address_purpose": "LOCATION",
            "city": "Boston",
            "state": "MA",
            "postal_code": "021142621",
            "country_code": "US",
            "telephone_number": "617-726-3030",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STAUDT",
        "first_name": "GENEVIEVE",
        "middle_name": "ELAINE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-06-08",
        "last_updated": "2024-06-26",
        "certification_date": "2024-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "MA",
            "license": "254977",
            "primary": false
        },
        {
            "code": "207LP3000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pediatric Anesthesiology",
            "state": "TN",
            "license": "MD57664",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "IA",
            "license": "MD-49971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gstaudt89832@direct.vumc.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Health Information Service Provider",
            "address_1": "3601 The Vanderbilt Clinic",
            "city": "Nashville",
            "state": "TN",
            "country_code": "US",
            "postal_code": "372322621",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Des Moines, IA

Sources for this page

Verify at the official NPI Registry.