Individual provider Active NPI

Cornelius Jason Gucfa, M.D.

  • Psychiatry Physician
  • West Des Moines, IA
National Provider Identifier
1942274626
Registry record updated Mar 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD-34440 Issued in IA
Practice address
6600 Westown Pkwy
Suite 200
West Des Moines, IA 50266-7707
Phone
(515) 283-1221
Fax
(515) 283-2017
NPI assigned
Feb 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MD-34440 IA Primary
Psychiatry Physician 2084P0800X 45155 WI

Addresses

Primary practice location

6600 Westown Pkwy
Suite 200
West Des Moines, IA 50266-7707

Mailing address

6600 Westown Pkwy
Suite 200
West Des Moines, IA 50266-7707
Phone (515) 283-1221

Other identifiers 2

IdentifierTypeStateIssuer
34467000MedicaidWI
1942274626MedicaidIA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100708000814 IA Practitioner - Psychiatry 9032240015 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Central Iowa Hospital CorporationGroup PAC ID 1052229275, 233 clinicians

Practice addresses (Care Compare)

6000 University Ave
Suite 200
West Des Moines, IA 50266-8201
Phone (515) 241-2440

6600 Westown Pkwy
Suite 200
West Des Moines, IA 50266-7742
Phone (515) 283-1221

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD-34440IAMDPsychiatry Physician
45155WIMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Iowa Physicians Clinic Medical Foundation CurrentSince Jan 1, 2012 Accepting new patients
St Luke's Methodist Hospital Current Accepting new patients
Central Iowa Hospital Corporation Psychiatry CurrentSince Dec 18, 2023 Accepting new patients
Prohealth Medical Group Inc Past Accepting new patients

Locations

410 NW Ash Dr
Ankeny, IA 50023
Phone (515) 964-1101

4480 Utica Ridge Rd
Ste 2230
Bettendorf, IA 52722
Phone (563) 742-5150

4480 Utica Ridge Rd
Ste 160
Bettendorf, IA 52722
Phone (563) 742-5950

700 E University Ave
Des Moines, IA 50316
Phone (515) 263-5120

8101 Birchwood Ct
Unit R
Urbandale, IA 50131
Phone (515) 471-9363

6600 Westown Pkwy
Ste 220
West Des Moines, IA 50266
Phone (515) 241-2250

6600 Westown Pkwy
Ste 200
West Des Moines, IA 50266
Phone (515) 283-1221

6000 University Ave
Ste 200
West Des Moines, IA 50266
Phone (515) 241-2300

Interoperability endpoints

  • Direct secure messaging: cgucfa12730@direct.unitypoint.org

Organizations & group practices 5

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.

Hospital & facility affiliations 3

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": "1140134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426032000000",
    "number": "1942274626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6600 WESTOWN PKWY",
            "address_2": "SUITE 200",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502667707",
            "telephone_number": "515-283-1221",
            "fax_number": "515-283-2017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6600 WESTOWN PKWY",
            "address_2": "SUITE 200",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502667707",
            "telephone_number": "515-283-1221",
            "fax_number": "515-283-2017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUCFA",
        "first_name": "CORNELIUS",
        "middle_name": "JASON",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-17",
        "last_updated": "2015-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IA",
            "license": "MD-34440",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "WI",
            "license": "45155",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "34467000",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1942274626",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Des Moines, IA

Sources for this page

Verify at the official NPI Registry.