MR. PRASAD R PALAKURTHY (NPI# 1114909058) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114909058 |
| Entity Type | Individual |
| Full Name | MR. PRASAD R PALAKURTHY |
| Credential | M.D. |
| Practice Address |
1301 Penn Ave Ste 100 Des Moines IA 50316-2350 |
| Practice Telephone | 5152632400 |
| Practice Fax Number | 5152632540 |
| Mailing Telephone | 5152632400 |
| Mailing Fax Number | 5152632540 |
| Enumeration Date | 2005-11-16 |
| Last Update Date | 2012-08-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
26154 | IA | Allopathic & Osteopathic Physicians |
| Y | 207RC0001X |
Internal Medicine Specialization: Clinical Cardiac Electrophysiology |
26154 | IA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 2043836 | 05 | |
| IA | 1114909058 | 05 | |
| MO | GROUP MISSOURI MEDICARE | 000014459 | 01 |
| Street Address |
1301 PENN AVE STE 100 |
| City | DES MOINES |
| State | IA |
| Zip Code | 50316-2350 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912901257 | Marc Alan Ewers | Specialist | 1301 Penn Ave, Ste 406, Des Moines, IA 50316-2350 | 2005-06-01 |
| 1548716954 | Amy Jimenez | Nurse Practitioner | 1301 Penn Ave, Ste 100, Des Moines, IA 50316-2350 | 2016-08-27 |
| 1720414006 | Jill Nesset | Physician Assistant | 1301 Penn Ave, Des Moines, IA 50316-2350 | 2013-09-18 |
| 1932544137 | Des Moines Anesthesia and Pain Management | Anesthesiology | 1301 Penn Ave, Suite 304, Des Moines, IA 50316-2350 | 2013-05-02 |
| 1750517694 | Jennifer Jane Pate | Emergency Medicine | 1301 Penn Ave, Ste 417, Des Moines, IA 50316-2350 | 2009-06-05 |
| 1982838249 | Albrecht Foot and Ankle PC | Podiatrist | 1301 Penn Ave, Suite 115, Des Moines, IA 50316-2350 | 2009-05-14 |
| 1811094089 | Timothy P Mayfield | Surgery | 1301 Penn Ave, Ste 411, Des Moines, IA 50316-2350 | 2006-09-20 |
| 1598869620 | David Melvin Hall | Internal Medicine | 1301 Penn Ave, Suite 100, Des Moines, IA 50316-2350 | 2006-09-11 |
| 1376658237 | Steven A Cahalan | Surgery | 1301 Penn Ave, Ste 411, Des Moines, IA 50316-2350 | 2006-08-20 |
| 1598713588 | Iowa Physicians Clinic Medical Foundation | Durable Medical Equipment & Medical Supplies | 1301 Penn Ave, Suite 408, Des Moines, IA 50316-2367 | 2006-05-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124626320 | Restoration Behavioral Health Center, Inc. | Clinic/Center | 1235 Sampson Street, Des Moines, IA 50316 | 2020-10-12 |
| 1154928497 | Yeshua Reentry and Recovery Center Inc | Community Health Worker | 1235 Sampson St, Des Moines, IA 50316 | 2020-10-08 |
| 1639594484 | Tripti Kaul | Dentist | 1345 E. University Avenue, #302, Des Moines, IA 50316 | 2014-03-03 |
| 1184979023 | Ashley Marie Mundt | Physical Therapist | 710 Riverview Street, Des Moines, IA 50316 | 2012-07-17 |
| 1942562020 | Angela Maria Runkel | Nurse Practitioner | 1201 Penn Avenue, Penn Avenue Internal Medicine, Des Moines, IA 50316 | 2012-06-13 |
| 1821390121 | Recovercare LLC | Durable Medical Equipment & Medical Supplies | 2117 Dixon St, Des Moines, IA 50316 | 2010-11-19 |
| 1588838841 | Leenu Mishra | Psychiatry & Neurology | 700 East University Ave 3 West, Blank Childrens Psychiatry, Des Moines, IA 50316 | 2008-04-17 |
| 1477721686 | Kristin K Horning | Pharmacist | 840 East University Avenue, Des Moines, IA 50316 | 2008-02-11 |
| 1770695488 | Terrance O Kurtz | Internal Medicine | 2100 Dixon, Suite E Concentra Clinic, Des Moines, IA 50316 | 2006-08-31 |
| 1487281085 | Timothy Andrew Flynn | Behavioral Analyst | 1301 Pennsylvania Ave, Suite #305, Des Moines, IA 50316 | 2020-03-24 |
| Find all providers in zip 50316 | ||||
| Taxonomy Code | 207RC0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Clinical Cardiac Electrophysiology |
| A field of special interest within the subspecialty of cardiovascular disease, specialty of Internal Medicine, which involves intricate technical procedures to evaluate heart rhythms and determine appropriate treatment for them. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164410932 | Iowa Heart Center PC | Internal Medicine | 5880 University Ave, West Des Moines, IA 50266-8220 | 2005-10-06 |
| 1023427820 | Kanishk Agnihotri | Internal Medicine | 200 Hawkins Dr Dept Of, Iowa City, IA 52242-1009 | 2014-08-05 |
| 1750518478 | Jason Meyers | Internal Medicine | 5880 University Ave Ste 112, West Des Moines, IA 50266-8209 | 2009-06-20 |
| 1184737876 | St. Luke's Methodist Hospital | Internal Medicine | 1026 A Ave Ne, Suite 5000, Cedar Rapids, IA 52402-5036 | 2006-08-16 |
| 1336128354 | Michael C Giudici | Internal Medicine | 200 Hawkins Dr, Iowa City, IA 52242-1009 | 2006-01-10 |
| 1881673721 | Kent J Van Why | Internal Medicine | 1236 E Rusholme St, Suite 300, Davenport, IA 52803-2473 | 2006-01-10 |
| 1750360616 | Blair W Foreman | Internal Medicine | 1236 E Rusholme St, Suite 300, Davenport, IA 52803-2473 | 2006-01-10 |
| City | DES MOINES |
| Zip Code | 50316 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.