Individual provider Active NPI

Shakuntala V Advani, M.D.

  • Cardiovascular Disease Physician
  • West Des Moines, IA
National Provider Identifier
1861473316
Registry record updated Jun 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
28119 Issued in 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
Last updated
Jun 14, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 28119 IA Primary

Addresses

Primary practice location

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

Mailing address

PO Box 9170
Des Moines, IA 50306-9170
Phone (515) 633-3600

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
I20090205000269 IA Practitioner - Cardiovascular Disease (Cardiology) 4082778006 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
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

Practice addresses (Care Compare)

1005 Pennsylvania Ave
Suite 207
Ottumwa, IA 52501-6414
Phone (641) 682-5349

1755 59TH PL
West Des Moines, IA 50266-7737
Phone (515) 358-8000

1816 Philadelphia St
Ames, IA 50010-8771
Phone (515) 232-2500

204 N 4TH Ave E
Newton, IA 50208-3135
Phone (641) 792-1273

411 Laurel St
Suite 1225
Des Moines, IA 50314-3017
Phone (515) 633-3770

5880 University Ave
West Des Moines, IA 50266-8209
Phone (515) 633-3600

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
28119IAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Adair County Memorial Hospital CurrentSince Feb 1, 2009 Accepting new patients
Adair County Memorial Hospital CurrentSince Feb 1, 2009 Accepting new patients
Catholic Health Initiatives-Iowa Corp Cardiovascular Disease CurrentSince Oct 1, 2009 Accepting new patients
Catholic Health Initiatives-Iowa Corp CurrentSince Oct 1, 2009 Accepting new patients
Iowa Heart Center PC Cardiovascular Disease Past Accepting new patients
Mercy Clinics, Inc. Past Accepting new patients

Locations

1816 Philadelphia St
Ames, IA 50010
Phone (515) 232-2500

515 Pacific Ave
Audubon, IA 50025
Phone (712) 563-2611

1 Saint Joseph Dr
Centerville, IA 52544
Phone (641) 437-3482

800 Mercy Dr
Ste 120
Council Bluffs, IA 51503
Phone (712) 388-2633

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

411 Laurel St
Ste 3100
Des Moines, IA 50314
Phone (515) 235-5000

411 Laurel St
Ste A250
Des Moines, IA 50314
Phone (515) 235-5000

800 Kenyon Rd
Fort Dodge, IA 50501
Phone (515) 574-6800

609 SE Kent St
Greenfield, IA 50849
Phone (641) 743-2123

3 S 4th Ave
Marshalltown, IA 50158
Phone (641) 754-5145

5880 University Ave
West Des Moines, IA 50266
Phone (515) 633-3600

5880 University Ave
Ste 102
West Des Moines, IA 50266
Phone (515) 633-3600

Interoperability endpoints

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

Organizations & group practices 6

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 5

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": "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": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Des Moines, IA

Sources for this page

Verify at the official NPI Registry.