Individual provider Active NPI

Krishna Theja Kakarla Reddy, MD

  • Cardiovascular Disease Physician
  • West Des Moines, IA
National Provider Identifier
1962964718
Registry record updated Nov 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
MD-55008 Issued in IA
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, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 23, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, IA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20240320001667 CA Practitioner - Internal Medicine 1951748490 Reassigns benefits to 2 organizations
I20251029000488 IA Practitioner - Internal Medicine 1951748490 Reassigns benefits to 3 organizations

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

LicenseStateTypeSpecialty
A177851CAMDInternal Medicine Physician
MD-55008IAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dallas County Hospital CurrentSince Oct 28, 2025 Accepting new patients
Acute Care Associates of California PC Internal Medicine CurrentSince Feb 18, 2024 Accepting new patients
Catholic Health Initiatives-Iowa Corp Cardiovascular Disease CurrentSince Sep 22, 2025 Accepting new patients
Dallas County Hospital CurrentSince Oct 28, 2025 Accepting new patients
Catholic Health Initiatives-Iowa Corp CurrentSince Sep 22, 2025 Accepting new patients
Dallas County Hospital Cardiovascular Disease CurrentSince Oct 28, 2025 Accepting new patients
Inpatient Specialists of California, PC Internal Medicine CurrentSince Feb 6, 2024 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 9

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": "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

Verify at the official NPI Registry.