NPIMap

Individual provider Active NPI

Dhivya Sundaramurthy, M.D.

  • Nephrology Physician
  • Des Moines, IA
National Provider Identifier
1790073328
Registry record updated Aug 27, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
42133 Issued in IA
Practice address
1215 Pleasant St Ste 100
Des Moines, IA 50309
Phone
(515) 241-5710
Fax
(515) 241-8004
NPI assigned
Jul 17, 2011
Last updated
Aug 27, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 42133 IA Primary

Addresses

Primary practice location

1215 Pleasant St Ste 100
Des Moines, IA 50309

Mailing address

1215 Pleasant St Ste 100
Des Moines, IA 50309-1409
Phone (515) 241-5710

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
I20181109001755 IA Practitioner - NephrologyPractitioner - Internal Medicine 1052555471 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Iowa Kidney Physicians, P.C.Group PAC ID 7012806409, 15 clinicians
Trinity Regional Medical CenterGroup PAC ID 7315858529, 170 clinicians
Broadlawns Medical CenterGroup PAC ID 3678466166, 302 clinicians

Practice addresses (Care Compare)

1215 Pleasant St
Suite 100
Des Moines, IA 50309-1409
Phone (515) 241-5710

1801 Hickman Rd
Des Moines, IA 50314-1548
Phone (515) 282-2200

5500 Westown Pkwy
180 Iowa Kidney Physicians
West Des Moines, IA 50266-8202
Phone (515) 574-6800

802 Kenyon Rd
Fort Dodge, IA 50501-5740

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
42133IAMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Trinity Regional Medical Center CurrentSince Jan 1, 2025 Accepting new patients
Broadlawns Medical Center CurrentSince Nov 15, 2018 Accepting new patients
St Luke's Methodist Hospital Current Accepting new patients
Broadlawns Medical Center CurrentSince Nov 15, 2018 Accepting new patients

Locations

1801 Hickman Rd
Des Moines, IA 50314
Phone (515) 282-2200

1215 Pleasant St
Ste 100
Des Moines, IA 50309
Phone (515) 241-5710

802 Kenyon Rd
Fort Dodge, IA 50501
Phone (515) 574-6565

5500 Westown Pkwy
Ste 180
West Des Moines, IA 50266
Phone (515) 336-6557

Interoperability endpoints

  • Direct secure messaging: dsundaramurthy652057@direct.unitypoint.org
  • Direct secure messaging: dsundaramurthy3958943@direct.trinity-health.org

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 12

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": "1310860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1535328000000",
    "number": "1790073328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1215 PLEASANT ST STE 100",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503091409",
            "telephone_number": "515-241-5710",
            "fax_number": "515-241-8004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 PLEASANT ST STE 100",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "50309",
            "telephone_number": "515-241-5710",
            "fax_number": "515-241-8004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUNDARAMURTHY",
        "first_name": "DHIVYA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-17",
        "last_updated": "2018-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "IA",
            "license": "42133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Moines, IA

Sources for this page

Verify at the official NPI Registry.