Active NPI
Krishna Theja Kakarla Reddy, MD
- Cardiovascular Disease Physician
- West Des Moines, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- MD-55008
- Practice address
- 5880 University Ave Ste 102
West Des Moines, IA 50266-8209 - Phone
- (515) 633-3600
- Fax
- (515) 288-0840
- NPI assigned
- Apr 2, 2019
- Last updated
- Nov 23, 2025
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A177851 | CA | |
| Cardiovascular Disease Physician | 207RC0000X | MD-55008 | IA | Primary |
Addresses
Primary practice location
5880 University Ave Ste 102
West Des Moines, IA 50266-8209
Mailing address
PO Box 677080
Dallas, TX 75267-7080
Phone (515) 633-3600
Other practice location 1
UHS SoCal Medical Education Consortium,
31700 Temecula Parkway, Parkway Suites # 2- GME
Temecula, CA 92592
Phone (951) 600-4337
Other practice location 2
411 Laurel St Ste A250
Des Moines, IA 50314-3029
Phone (515) 235-5000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, IA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
411 Laurel St
Suite A250
Des Moines, IA 50314-3029
Phone (515) 235-5000
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A177851 | CA | MD | Internal Medicine Physician |
| MD-55008 | IA | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dallas County Hospital | Current | Accepting new patients | |
| Acute Care Associates of California PC | Internal Medicine | Current | Accepting new patients |
| Catholic Health Initiatives-Iowa Corp | Cardiovascular Disease | Current | Accepting new patients |
| Dallas County Hospital | Current | Accepting new patients | |
| Catholic Health Initiatives-Iowa Corp | Current | Accepting new patients | |
| Dallas County Hospital | Cardiovascular Disease | Current | Accepting new patients |
| Inpatient Specialists of California, PC | Internal Medicine | Current | Accepting new patients |
| Iowa Heart Center PC | Cardiovascular Disease | Past | Accepting new patients |
Locations
25500 Medical Center Dr
Murrieta, CA 92562
Phone (951) 696-6000
38600 Medical Center Dr
Palmdale, CA 93551
Phone (661) 382-5000
1805 Medical Center Dr
Sn Bernrdno, CA 92411
Phone (909) 877-6333
2101 N Waterman Ave
Sn Bernrdno, CA 92404
Phone (909) 881-4305
31700 Temecula Pkwy
#2
Temecula, CA 92592
Phone (951) 331-2535
36485 Inland Valley Dr
Wildomar, CA 92595
Phone (909) 677-9778
1816 Philadelphia St
Ames, IA 50010
Phone (515) 232-2500
411 Laurel St
Ste A250
Des Moines, IA 50314
Phone (515) 235-5000
610 10th St
Perry, IA 50220
Phone (515) 465-3547
5880 University Ave
Ste 102
West Des Moines, IA 50266
Phone (515) 633-3600
Interoperability endpoints
- kreddy4565028@direct.trinity-health.org
Organizations & group practices 8
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.
-
dba MercyOne Iowa Heart Center
- Clinical Cardiac Electrophysiology Physician
- West Des Moines, IA
- NPI 1629301684
Cardiovascular Disease
-
- Critical Access Hospital
- Perry, IA
- NPI 1669477089
-
- Internal Medicine Physician
- Wildomar, CA
- NPI 1194588392
-
- Internal Medicine Physician
- San Bernardino, CA
- NPI 1952792475
-
dba MercyOne Des Moines Cancer and Infusion Care-Newton
- Hematology & Oncology Physician
- Newton, IA
- NPI 1841039856
-
dba DCH Family Medicine Dallas Center
- Rural Health Clinic/Center
- Dallas Center, IA
- NPI 1194412478
-
- Cardiovascular Disease Physician
- West Des Moines, IA
- NPI 1164410932
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Boone, IA
- NPI 1467434225
-
dba Boone County Family Medicine North Walk In
- Primary Care Clinic/Center
- Boone, IA
- NPI 1942664602
Hospital
-
dba MercyOne West Des Moines Medical Center
- General Acute Care Hospital
- West Des Moines, IA
- NPI 1538395975
-
dba MercyOne Des Moines Laboratory
- Clinical Medical Laboratory
- Des Moines, IA
- NPI 1104982743
Hospital
-
dba MercyOne Des Moines Medical Center
- General Acute Care Hospital
- Des Moines, IA
- NPI 1508964883
-
dba Mercy Medical Mammography Center
- Mammography Clinic/Center
- Des Moines, IA
- NPI 1477984367
Hospital
-
- Critical Access Hospital
- Perry, IA
- NPI 1669477089
-
dba Mercyone Centerville Medical Center
- Critical Access Hospital
- Centerville, IA
- NPI 1356391635
-
dba MercyOne Newton Medical Center
- 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": "1554163200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1763856000000",
"number": "1962964718",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 677080",
"city": "DALLAS",
"state": "TX",
"postal_code": "752677080",
"telephone_number": "515-633-3600",
"fax_number": "515-633-3838"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5880 UNIVERSITY AVE STE 102",
"city": "WEST DES MOINES",
"state": "IA",
"postal_code": "502668209",
"telephone_number": "515-633-3600",
"fax_number": "515-288-0840"
}
],
"practiceLocations": [
{
"address_1": "UHS SoCal Medical Education Consortium,",
"address_2": "31700 Temecula Parkway, Parkway Suites # 2- GME",
"address_purpose": "LOCATION",
"city": "Temecula",
"state": "CA",
"postal_code": "92592",
"country_code": "US",
"telephone_number": "951-600-4337",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "411 Laurel St Ste A250",
"address_purpose": "LOCATION",
"city": "Des Moines",
"state": "IA",
"postal_code": "503143029",
"country_code": "US",
"telephone_number": "515-235-5000",
"fax_number": "515-288-6713",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "REDDY",
"first_name": "KRISHNA THEJA",
"middle_name": "KAKARLA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-04-02",
"last_updated": "2025-11-23",
"certification_date": "2025-11-23",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "A177851",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "IA",
"license": "MD-55008",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Des Moines, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2025; 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.