Shakuntala V Advani, M.D.

Key facts

NPI

1861473316

Entity type

Individual (NPI type 1)

Primary specialty

Cardiovascular Disease Physician 207RC0000X

License

28119 (IA)

Practice address

5880 University Ave Ste 102
West Des Moines, IA 50266-8209

Phone

(515) 633-3600

Fax

(515) 288-0840

NPI assigned

Nov 10, 2005

Sex

Female

Sole proprietor

No

Organizations & group practices 12

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.

• Catholic Health Initiatives-Iowa Corp Clinical Cardiac Electrophysiology Physician · West Des Moines, IA · NPI 1629301684
  Medicare reassignment Care Compare group NPD CARDIOVASCULAR DISEASE · IA
• Adair County Memorial Hospital Emergency Medicine Physician · Greenfield, IA · NPI 1366531345
  Medicare reassignment NPD IA
• Catholic Health Initiatives-Iowa Corp General Acute Care Hospital · Des Moines, IA · NPI 1508964883
  Care Compare group
• Catholic Health Initiatives-Iowa Corp Community/Retail Pharmacy · Ankeny, IA · NPI 1538163399
  Care Compare group
• Catholic Health Initiatives-Iowa Corp Community/Retail Pharmacy · Clive, IA · NPI 1619952926
  Care Compare group
• Catholic Health Initiatives-Iowa Corp Diagnostic Radiology Physician · Clive, IA · NPI 1720145840
  Care Compare group
• Catholic Health Initiatives-Iowa Corp Community/Retail Pharmacy · Des Moines, IA · NPI 1740220490
  Care Compare group
• Catholic Health Initiatives-Iowa Corp Diagnostic Radiology Physician · Ankeny, IA · NPI 1871658948
  Care Compare group
• Adair County Memorial Hospital Public Health or Welfare Agency · Greenfield, IA · NPI 1285614818
  NPD
• Catholic Health Initiatives-Iowa Corp Hematology & Oncology Physician · Newton, IA · NPI 1841039856
  NPD
• Iowa Heart Center PC Cardiovascular Disease Physician · West Des Moines, IA · NPI 1164410932
  NPD (past) CARDIOVASCULAR DISEASE
• Mercy Clinics, Inc. Obstetrics & Gynecology Physician · Des Moines, IA · NPI 1508741505
  NPD (past)

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Catholic Health Initiatives - Iowa Corp General Acute Care Hospital · West Des Moines, IA · NPI 1538395975
  Care Compare affiliation Hospital
• Catholic Health Initiatives-Iowa Corp Clinical Medical Laboratory · Des Moines, IA · NPI 1104982743
  Care Compare affiliation Hospital
• Catholic Health Initiatives-Iowa Corp General Acute Care Hospital · Des Moines, IA · NPI 1508964883
  Care Compare affiliation Hospital
• Catholic Health Initiatives, Ia-Corp Mammography Clinic/Center · Des Moines, IA · NPI 1477984367
  Care Compare affiliation Hospital
• Mercy Medical Center-Newton General Acute Care Hospital · Newton, IA · NPI 1003296179
  Care Compare affiliation Hospital

Medicare Care Compare profile

Specialty

Cardiovascular Disease (Cardiology)

Education

University of Southern California Keck School of Medicine, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Catholic Health Initiatives-Iowa Corp (111 clinicians)

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mercyone Des Moines Medical Center Hospital · Des Moines, IA · CCN 160083
• Mercyone Newton Medical Center Hospital · Newton, IA · CCN 160032

Medicare participation

Medicare fee-for-service enrollment

Enrolled in IA

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: shakuntala.advani.p1@direct.iowaheart.nextgenshare.com
• Direct secure messaging: sadvani3938443@direct.trinity-health.org
• FHIR API: https://fhir-myrecord.cerner.com/r4/f904b187-16a4-4582-8ea3-887d87de0011/

Specialties & licenses

Addresses

Other identifiers

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 14, 2020.

{
    "created_epoch": "1131580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592092800000",
    "number": "1861473316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9170",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503069170",
            "telephone_number": "515-633-3600",
            "fax_number": "515-633-3838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5880 UNIVERSITY AVE STE 102",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502668209",
            "telephone_number": "515-633-3600",
            "fax_number": "515-288-0840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ADVANI",
        "first_name": "SHAKUNTALA",
        "middle_name": "V",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-10",
        "last_updated": "2020-06-14",
        "certification_date": "2020-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IA",
            "license": "28119",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0071365",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "060020315",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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