Heidi R. Shreck, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

MD-36326 Issued in IA

Practice address

1200 University Ave Ste 120
Des Moines, IA 50314

Phone

(515) 248-1500

Fax

(515) 248-1510

NPI assigned

Feb 14, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: hshreck638701@direct.ochin.org

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.

• Primary Health Care, Inc.

  • Federally Qualified Health Center (FQHC)
  • Des Moines, IA
  • NPI 1588692487
  Medicare reassignment NPD
• Primary Health Care, Inc.

  • Federally Qualified Health Center (FQHC)
  • Des Moines, IA
  • NPI 1497522262
  NPD
• Primary Health Care, Inc.

  • Federally Qualified Health Center (FQHC)
  • Des Moines, IA
  • NPI 1417005919
  NPD (past)

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

{
    "created_epoch": "1139875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558483200000",
    "number": "1881668135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 UNIVERSITY AVE STE 200",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503142355",
            "telephone_number": "515-248-1447",
            "fax_number": "515-248-1440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 UNIVERSITY AVE STE 120",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "50314",
            "telephone_number": "515-248-1500",
            "fax_number": "515-248-1510"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1800 Grand Ave",
            "address_purpose": "LOCATION",
            "city": "Des Moines",
            "state": "IA",
            "postal_code": "503093310",
            "country_code": "US",
            "telephone_number": "515-242-6964",
            "fax_number": "515-242-8489",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHRECK",
        "first_name": "HEIDI",
        "middle_name": "R.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-14",
        "last_updated": "2019-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IA",
            "license": "MD-36326",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P01405468",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0478818",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nitin Prabhakar Shirodkar, M.D.
• Daniel M Shivapour, M.D.
• Ibrahim Shnati, PHARMD
• Anna Shook
• Lavanyaa Shralan-Schade, CADC
• Amy E. Shriver, MD
• Megan Shryack
• Julie Ann Shryock, DNP
• Abigail Shull, LMSW
• Donald Ray Shumate, D.O.

• Pediatrics Physician in Des Moines, IA
• Providers in Des Moines, IA by specialty
• Pediatrics Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.