Unknown Individual – Anesthesiology Physician, NPI 1205836327

Unknown Individual is a healthcare provider. based in Des moines, Iowa. specializing in Anesthesiology Physician. They hold a License No. 25549 (IA). The NPI Number for Unknown Individual is 1205836327

Main info

Organization
Inactive
41 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1205836327
Phone
(515) 283-0463
Address
411 LAUREL ST
Deactivation Date
18 September 2024

Doctor Profile

Medical School Name
UNIVERSITY OF IOWA, RJ & L CARVER COLLEGE OF MEDICINE
Secondary Phone
-
Graduation Year
1985 (41 years ago)
PAC ID
1759429350
Group Practice PAC ID
4082527270
Professional Enrollment ID
I20100818001038
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience19
Completeness75
Years active:0State licenses:1Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • 411, Laurel Street, Des Moines, Polk County, Iowa, 50314, United States

    SUITE 3170

    DES MOINES, IA 503143017

    Phone: (515) 283-0463

    Fax: (515) 283-0794

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 50314)

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Provider's Procedures

Unknown Individual performs procedures in Anesthesiology Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
ANESTHESIOLOGYIA36556Insertion of central venous catheter for infusion, patient 5 years or older1212

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4082527270View full group profile
NameSpecialtyState
-IA
Anesthesiology, Pain ManagementIL
-IA
-IA
Certified Registered Nurse Anesthetist (Crna)IA
A N E S T H E S I O L O G YIA
A N E S T H E S I O L O G YIA
A N E S T H E S I O L O G YIA
-PA
Certified Registered Nurse Anesthetist (Crna)NC

Reviews

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Frequently asked questions

What identifier follows Unknown Individual across health systems?
The NPI 1205836327 uniquely identifies Unknown Individual in U.S. healthcare data.
What happens when Unknown Individual's NPI is not active?
Public data lists Unknown Individual outside the active bucket for this identifier.
What services align with Unknown Individual's listing?
Unknown Individual's public classification highlights Anesthesiology Physician. Clinical services aligned with this taxonomy classification.
Can patients visit Unknown Individual in Des Moines, Iowa?
For routing, start with Des Moines, Iowa for Unknown Individual, then verify phone and hours locally.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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