Stephen James Mooradian, M.D.

Primary specialty

Pediatric Cardiology PhysicianTaxonomy code 2080P0202X

License

MD-33317 Issued in IA

Practice address

330 Laurel St
Suite 2200
Des Moines, IA 50314-3034

Phone

(515) 288-1097

Fax

(515) 288-2847

NPI assigned

Nov 17, 2005

Last updated

Jan 12, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Pediatric Cardiology, P.C.

  • Pediatric Cardiology Physician
  • Des Moines, IA
  • NPI 1083696793
  NPD (past)

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

{
    "created_epoch": "1132185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610409600000",
    "number": "1902888613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 HAWKINS DR",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522421009",
            "telephone_number": "515-288-1097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 LAUREL ST",
            "address_2": "SUITE 2200",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503143034",
            "telephone_number": "515-288-1097",
            "fax_number": "515-288-2847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOORADIAN",
        "first_name": "STEPHEN",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-17",
        "last_updated": "2021-01-12",
        "certification_date": "2021-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IA",
            "license": "MD-33317",
            "primary": false
        },
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "IA",
            "license": "33317",
            "primary": false
        },
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "IA",
            "license": "MD-33317",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0206342",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lorie A. Montag, M.D.
• Andrea Joy Montgomery, DDS
• Brianna Mooers, DPT
• Kenneth H Moon Jr, DO
• Moonstone Counseling PLLC
• Alexander Duncan Moore, M.D.
• Amanda Fowler Moore, M.A., CCC-SLP
• Cole Douglas Moore, DO
• Joni Renae Moore, CRNA
• Kathleen Moore, LISW

• Pediatric Cardiology Physician in Des Moines, IA
• Providers in Des Moines, IA by specialty
• Pediatric Cardiology Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.