NPIMap

Organization Active NPI

Central Iowa Hospital Corporation

  • Internal Medicine Physician
  • Des Moines, IA
National Provider Identifier
1992737258
Registry record updated Mar 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
CENTRAL IOWA HOSPITAL CORPORATION
Practice address
1440 Pleasant Street
Suite 1
Des Moines, IA 50314-1728
Phone
(515) 309-6011
Fax
(515) 309-6014
NPI assigned
Jul 7, 2006
Organization subpart
Yes
Parent organization
CENTRAL IOWA HOSPITAL CORPORATIONAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 19, 2019

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

Authorized official

Name
Michael J Dewerff
Title
Cfo
Phone
(515) 241-6507

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207R00000X Primary
Maternal & Fetal Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207VM0101X
Women's Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LW0102X
Advanced Practice MidwifeGroup: 193200000X MULTI-SPECIALTY GROUP 367A00000X

Addresses

Primary practice location

1440 Pleasant Street
Suite 1
Des Moines, IA 50314-1728

Mailing address

1440 Pleasant Street
Suite 1
Des Moines, IA 50314-1728
Phone (515) 471-9243

Other identifiers 1

IdentifierTypeStateIssuer
0234112MedicaidIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040128001102 IA Part B Supplier - Clinic/Group Practice 1052229275 Receives reassigned benefits from 561 practitioners
20 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment

Other NPIs on the same Medicare enrollment 20

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 20

National Provider Directory

National Provider Directory
Part of
Methodist Hospital

Locations

1200 Pleasant St
#206
Des Moines, IA 50309
Phone (515) 241-5100

1212 Pleasant St
Ste 307
Des Moines, IA 50309

1215 Pleasant St
Ste 500
Des Moines, IA 50309
Phone (515) 241-3560

1200 Pleasant St
Ste 126
Des Moines, IA 50309

700 E University Ave
Ste 109A
Des Moines, IA 50316
Phone (515) 263-5255

1215 Pleasant St
Ste 612
Des Moines, IA 50309
Phone (515) 241-6435

1215 Pleasant St
Ste 303
Des Moines, IA 50309
Phone (515) 241-4311

1200 Pleasant St
Ste 509
Des Moines, IA 50309
Phone (515) 241-3218

1200 Pleasant St
#1
Des Moines, IA 50309

8101 Birchwood Ct
Ste S
Johnston, IA 50131

6010 Mills Civic Pkwy
Ste 100
West Des Moines, IA 50266
Phone (515) 221-7800

1455 29th St
West Des Moines, IA 50266
Phone (515) 267-1800

105 Valley West Dr
West Des Moines, IA 50265
Phone (515) 223-4368

2109 Mermaid Ave
Brooklyn, NY 11224
Phone (718) 946-1084

Practitioners & affiliated clinicians

Practitioners 83

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 83

NPI Registry JSON

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

{
    "created_epoch": "1152230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552953600000",
    "number": "1992737258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1440 PLEASANT STREET",
            "address_2": "SUITE 1",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503141728",
            "telephone_number": "515-471-9243",
            "fax_number": "515-471-9319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1440 PLEASANT STREET",
            "address_2": "SUITE 1",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503141728",
            "telephone_number": "515-309-6011",
            "fax_number": "515-309-6014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL IOWA HOSPITAL CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CENTRAL IOWA HOSPITAL CORPORATION",
        "enumeration_date": "2006-07-07",
        "last_updated": "2019-03-19",
        "status": "A",
        "authorized_official_last_name": "DEWERFF",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "515-241-6507"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207VM0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Women's Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Advanced Practice Midwife",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0234112",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Moines, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.