David Emil Blankenship II, DO
Individual provider Active NPI Internal Medicine Physician · Des Moines, IA
NPI 1982309324 · NPPES record last updated Jun 12, 2023
Key facts
- NPI
- 1982309324
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- R-12864 (IA)
- Practice address
- 1111 6TH Ave
Des Moines, IA 50314-2613 - Phone
- (515) 643-2261
- Fax
- (515) 643-5802
- NPI assigned
- Apr 4, 2023
- Sex
- Male
- Sole proprietor
- No
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Des Moines University of Osteopathic Medicine and Health Sciences, 2023
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1901 Campus PL
Louisville, KY 40299-2308
500 W Jefferson St
Suite 2310
Louisville, KY 40202-2881
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230616001475 | IA | Order and Referring Only - Internal Medicine |
0244698660 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R-12864 | IA | MD | Internal Medicine Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Internal Medicine Physician | 207R00000X | R-12864 | IA | Yes |
Addresses
Primary practice location
1111 6TH Ave
Des Moines, IA 50314-2613
Mailing address
PO Box 1475
Des Moines, IA 50305-1475
Phone (515) 643-2261
Other providers in Des Moines, IA
- Geral Thomas Blanchard
- Joanna Blanchard
- Sylena Danielle Blanchard
- Barbara Lee Blando
- Blank Cancer & Blood Disorders Center
- James A Blasco
- Nicholas James Blasco
- Amber J Blass
- Kenzie Rose Blau
- Nicole Blazek
All providers in Des Moines, IA · Internal Medicine Physician in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 12, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.