NPIMap

Organization Active NPI

Central States Medicine, PLLC

  • Interventional Pain Medicine Physician
  • Ankeny, IA
National Provider Identifier
1871333450
Registry record updated May 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
Legal business name
CENTRAL STATES MEDICINE, PLLC
Practice address
1105 N Ankeny Blvd Ste 101
Ankeny, IA 50023-4003
Phone
(515) 991-6790
Fax
(515) 401-1313
NPI assigned
May 30, 2024
Last updated
May 30, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 30, 2024

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

Authorized official

Name
Dr. Andrzej Szczepanek, MDNPI 1134397565
Title
Owner
Phone
(515) 267-1819

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Pain Medicine Physician 208VP0014X Primary

Addresses

Primary practice location

1105 N Ankeny Blvd Ste 101
Ankeny, IA 50023-4003

Mailing address

2425 Westown Pkwy Ste 100
West Des Moines, IA 50266-1425
Phone (515) 991-6790

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240919002813 IA DME Supplier - Physician - Interventional Pain ManagementDME Supplier - Physician - Anesthesiology 3173746435 Practice locations: Ankeny, IA

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory

Locations

1300 37th St
Ste 34
West Des Moines, IA 50266
Phone (515) 267-1819

230 S 68th St
Ste 1202
West Des Moines, IA 50266
Phone (515) 335-8035

Practitioners & affiliated clinicians

Practitioners 16

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 16

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1717027200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717027200000",
    "number": "1871333450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2425 WESTOWN PKWY STE 100",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502661425",
            "telephone_number": "515-991-6790",
            "fax_number": "515-401-1313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1105 N ANKENY BLVD STE 101",
            "city": "ANKENY",
            "state": "IA",
            "postal_code": "500234003",
            "telephone_number": "515-991-6790",
            "fax_number": "515-401-1313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL STATES MEDICINE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-30",
        "last_updated": "2024-05-30",
        "certification_date": "2024-05-30",
        "status": "A",
        "authorized_official_last_name": "SZCZEPANEK",
        "authorized_official_first_name": "ANDRZEJ",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "515-267-1819",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ankeny, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.