NPIMap

Individual provider Active NPI

Lucas Groben, DO

  • Cardiovascular Disease Physician
  • West Des Moines, IA
National Provider Identifier
1932310018
Registry record updated Dec 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
DO-04414 Issued in IA
Practice address
5950 University Ave Ste 231
West Des Moines, IA 50266-8233
Phone
(515) 875-9090
Fax
(515) 875-9312
NPI assigned
May 24, 2007
Last updated
Dec 21, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X DO-04414 IA Primary
Interventional Cardiology Physician 207RI0011X DO-04414 IA
Nuclear Cardiology Physician 207UN0901X DO-04414 IA

Addresses

Primary practice location

5950 University Ave Ste 231
West Des Moines, IA 50266-8233

Mailing address

PO Box 424
Des Moines, IA 50302-0424
Phone (515) 875-9925

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lucasgroben@tic.allscriptsdirect.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130805000644 IA Practitioner - Cardiovascular Disease (Cardiology) 2163610999 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Iowa Clinic PCGroup PAC ID 4082513742, 307 clinicians

Practice addresses (Care Compare)

5950 University Ave
Suite 231
West Des Moines, IA 50266-8233
Phone (515) 875-9100

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting56
Pacemaker insertion or repair37

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
DO-04414IAMDInterventional Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lucas County Heatlh Center CurrentSince Oct 12, 2022 Accepting new patients
St Luke's Methodist Hospital Current Accepting new patients
The Iowa Clinic PC Cardiovascular Disease CurrentSince Jul 1, 2013 Accepting new patients
Lucas County Health Center CurrentSince Oct 12, 2022 Accepting new patients
Lucas County Health Center Current Accepting new patients
The Iowa Clinic, PC CurrentSince Jul 1, 2013 Accepting new patients
Central Iowa Hospital Corporation Past Accepting new patients

Locations

509 N Madison St
Bloomfield, IA 52537
Phone (641) 664-2145

1200 N 7th St
Chariton, IA 50049
Phone (515) 774-3000

1005 Pennsylvania Ave
Ste 102A
Ottumwa, IA 52501
Phone (641) 684-2589

5950 University Ave
Ste 175
West Des Moines, IA 50266
Phone (515) 875-9908

5950 University Ave
Ste 231
West Des Moines, IA 50266
Phone (515) 875-9090

6800 Lake Dr
Ste 250
West Des Moines, IA 50266

7147 Vista Dr
Ste 150
West Des Moines, IA 50266
Phone (515) 875-9255

Interoperability endpoints

  • Direct secure messaging: lgroben148852@direct.unitypoint.org
  • Direct secure messaging: lucasgroben@tic.allscriptsdirect.net

Organizations & group practices 7

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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703116800000",
    "number": "1932310018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 424",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503020424",
            "telephone_number": "515-875-9925",
            "fax_number": "515-875-9923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5950 UNIVERSITY AVE STE 231",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502668233",
            "telephone_number": "515-875-9090",
            "fax_number": "515-875-9312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GROBEN",
        "first_name": "LUCAS",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-24",
        "last_updated": "2023-12-21",
        "certification_date": "2023-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IA",
            "license": "DO-04414",
            "primary": true
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "IA",
            "license": "DO-04414",
            "primary": false
        },
        {
            "code": "207UN0901X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine, Nuclear Cardiology",
            "state": "IA",
            "license": "DO-04414",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lucasgroben@tic.allscriptsdirect.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "5950 University Ave",
            "address_2": "Ste 231",
            "city": "West Des Moines",
            "state": "IA",
            "country_code": "US",
            "postal_code": "50266",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in West Des Moines, IA

Sources for this page

Verify at the official NPI Registry.