Ahmad Yasser Al-Shash, M.D.
Individual provider Active NPI Allergy & Immunology Physician · West Des Moines, IA
NPI 1881607786 · NPPES record last updated Oct 4, 2007
Key facts
- NPI
- 1881607786
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Allergy & Immunology Physician 207K00000X
- License
- 20153 (IA)
- Practice address
- 1701 22ND St
Suite 207
West Des Moines, IA 50266-1443 - Phone
- (515) 223-8622
- Fax
- (515) 223-5324
- NPI assigned
- Aug 14, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20153 | IA | MD | Allergy & Immunology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Core Physical Therapy Inc | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy & Immunology Physician | 207K00000X | 20153 | IA | Yes |
Addresses
Primary practice location
1701 22ND St
Suite 207
West Des Moines, IA 50266-1443
Mailing address
1701 22ND St
Suite 207
West Des Moines, IA 50266-1443
Phone (515) 223-8622
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 41071 | Other | IA | BLUE CROSS & BLUE SHIELD |
| 66865 | Other | IA | COVENTRY HEALTHCARE |
| 326929 | Other | IA | HEALTHLINK |
| IA0101 | Other | IA | JOHN DEERE HEALTHCARE |
| 0141341 | Medicaid | IA | |
| 030004047 | Other | IA | RAILROAD MEDICARE WDM |
| 8814 | Other | IA | MIDLANDS CHOICE |
Other providers in West Des Moines, IA
- David Michael Agey
- Mehwish Ahmed
- Karen Rae Ahrens
- Melanie Jean Akers
- Al Adl LLC
- Alex Albright
- Leeann Albright
- Alex Albright Therapy LLC
- Kathleen Alexander
- Muna Abdulkhalek Alghanem
All providers in West Des Moines, IA · Allergy & Immunology Physician in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 4, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.