Active NPI
Maksym Puliaiev, M.D.
- Pulmonary Disease Physician
- Des Moines, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- MD-47940
- Practice address
- 411 Laurel St Ste A120
Des Moines, IA 50314-3027 - Phone
- (515) 643-7900
- Fax
- (515) 643-7901
- NPI assigned
- Jun 19, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | R-11081 | IA | |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | R-11081 | IA | |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | MD-47940 | IA | |
| Pulmonary Disease Physician | 207RP1001X | R-11081 | IA | |
| Pulmonary Disease Physician | 207RP1001X | MD-47940 | IA | Primary |
Addresses
Primary practice location
411 Laurel St Ste A120
Des Moines, IA 50314-3027
Mailing address
PO Box 1475
Des Moines, IA 50305-1475
Phone (515) 643-7900
Other practice location 1
200 Hawkins Dr
Iowa City, IA 52242
Phone (319) 356-1616
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pulmonary Disease
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1111 6TH Ave
Des Moines, IA 50314-2610
1111 6TH Ave
Des Moines, IA 50314-2613
Phone (515) 247-4240
1111 6TH Ave E Tower
Des Moines, IA 50314-2610
1755 59TH PL
West Des Moines, IA 50266-7737
Phone (515) 247-4240
2006 N 4TH St
Indianola, IA 50125-4500
204 N 4TH Ave E
Newton, IA 50208-3135
330 Laurel St
Suite 1200
Des Moines, IA 50314-3044
Phone (515) 643-6290
411 Laurel St
Des Moines, IA 50314-3027
800 E 1St St
Ankeny, IA 50021-2077
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R-11081 | IA | MD | Critical Care Medicine (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Clinics, Inc. | Current | Accepting new patients | |
| Mercy Clinics, Inc. | Current | Accepting new patients | |
| Mercy Clinics, Inc. | Critical Care Medicine | Current | Accepting new patients |
| Catholic Health Initiatives-Iowa Corp | Past | Accepting new patients |
Locations
330 Laurel St
Ste 1200
Des Moines, IA 50314
Phone (515) 643-5454
405 SW 5th St
Ste E
Des Moines, IA 50309
Phone (515) 358-7259
411 Laurel St
Ste 3300
Des Moines, IA 50314
Phone (515) 270-1177
411 Laurel St
Ste A120
Des Moines, IA 50314
Phone (515) 247-3970
300 N 4th Ave E
Ste 222
Newton, IA 50208
Phone (515) 358-0011
Interoperability endpoints
- mpuliaiev3955155@direct.trinity-health.org
Organizations & group practices 4
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 Care Clinic/Center
- Clive, IA
- NPI 1487670923
-
- Endocrinology, Diabetes & Metabolism Physician
- Des Moines, IA
- NPI 1457691941
Critical Care Medicine
-
- Obstetrics & Gynecology Physician
- Des Moines, IA
- NPI 1508741505
-
- General Acute Care Hospital
- Des Moines, IA
- NPI 1508964883
Hospital & facility affiliations 10
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Boone, IA
- NPI 1467434225
-
- General Acute Care Hospital
- West Des Moines, IA
- NPI 1538395975
-
- Clinical Medical Laboratory
- Des Moines, IA
- NPI 1104982743
Hospital
-
- General Acute Care Hospital
- Des Moines, IA
- NPI 1508964883
-
- Mammography Clinic/Center
- Des Moines, IA
- NPI 1477984367
Hospital
-
- Critical Access Hospital
- Perry, IA
- NPI 1669477089
-
- Critical Access Hospital
- Knoxville, IA
- NPI 1922087915
-
- Medicare Defined Swing Bed Hospital Unit
- Knoxville, IA
- NPI 1952319840
-
- General Acute Care Hospital
- Newton, IA
- NPI 1003296179
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1403136000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1628726400000",
"number": "1902210651",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1475",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503051475",
"telephone_number": "515-643-7900",
"fax_number": "515-643-7901"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "411 LAUREL ST STE A120",
"city": "DES MOINES",
"state": "IA",
"postal_code": "503143027",
"telephone_number": "515-643-7900",
"fax_number": "515-643-7901"
}
],
"practiceLocations": [
{
"address_1": "200 Hawkins Dr",
"address_purpose": "LOCATION",
"city": "Iowa City",
"state": "IA",
"postal_code": "52242",
"country_code": "US",
"telephone_number": "319-356-1616",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PULIAIEV",
"first_name": "MAKSYM",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-06-19",
"last_updated": "2021-08-12",
"certification_date": "2021-08-12",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IA",
"license": "R-11081",
"primary": false
},
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "IA",
"license": "R-11081",
"primary": false
},
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "IA",
"license": "MD-47940",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "IA",
"license": "R-11081",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "IA",
"license": "MD-47940",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Des Moines, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2021; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.