MercyOne Iowa Heart Center Carroll – Clinical Cardiac Electrophysiology Physician, NPI 1629301684
Clinical Cardiac Electrophysiology Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for MercyOne Iowa Heart Center Carroll
5880 University Ave
West Des Moines, IA 502668209
Phone: (515) 633-3666
Fax: (515) 280-4640
Type: Location
800 Kenyon Rd
Fort Dodge, IA 505015776
Phone: (515) 574-6840
Fax: (515) 576-7726
Type: Location
2006 N 4th St
Indianola, IA 501254500
Phone: (515) 358-7660
Fax: (515) 235-5130
Type: Location
540 E Jefferson St Ste 400
Iowa City, IA 522452479
Phone: (319) 339-3400
Fax: (515) 280-4618
Type: Location
312 E Main St Ste 2100
Marshalltown, IA 501581887
Phone: (641) 754-5999
Fax: (515) 241-8036
Type: Location
1816 Philadelphia St
Ames, IA 500108771
Phone: (515) 232-2500
Fax: (515) 246-4479
Type: Location
411 Laurel St Ste A250
Des Moines, IA 503143029
Phone: (515) 235-5000
Fax: (515) 288-6713
Type: Location
1005 Pennsylvania Ave Ste 207
Ottumwa, IA 525016414
Phone: (641) 682-5349
Fax: (515) 246-4474
Type: Location
405 S Clark St Ste 205
Carroll, IA 514013047
Phone: (712) 792-6500
Fax: (515) 246-4481
Type: Location
411 Laurel St Ste 1225
Des Moines, IA 503143017
Phone: (515) 633-3770
Fax: (515) 288-0840
Type: Location
300 N 4th Ave E Ste 160
Newton, IA 502083122
Phone: (641) 841-1400
Fax: (515) 362-4147
Type: Location
210 4th Ave
Grinnell, IA 501121898
Phone: (641) 236-2301
Fax: (515) 288-0840
Type: Location
2000 S Main St
Fairfield, IA 525569572
Phone: (641) 472-4111
Fax: (319) 339-3401
Type: Location
23019 Highway 149
Sigourney, IA 525918341
Phone: (641) 622-2720
Fax: (641) 622-1187
Type: Location
404 Jefferson St
Pella, IA 502191257
Phone: (641) 628-3150
Fax: (641) 621-2315
Type: Location
300 W Hutchings St Ste 100
Winterset, IA 502732109
Phone: (515) 462-2373
Fax: (515) 462-5132
Type: Location
1449 NW 128th St Ste 100
Clive, IA 503257425
Phone: (515) 224-3948
Fax: (515) 224-0469
Type: Location
800 E 1st St Ste 2600
Ankeny, IA 500212077
Phone: (515) 643-7777
Fax: (515) 643-7798
Type: Location
Des Moines Post Office, 1165, 2nd Avenue, Des Moines, Polk County, Iowa, 50318, United States
DES MOINES, IA 503069170
Phone: (515) 633-3600
Fax: (515) 633-3838
Type: Mailing
Iowa Heart Center, 5880, University Avenue, West Lakes Office Park, West Des Moines, Polk County, Iowa, 50266, United States
WEST DES MOINES, IA 502668209
Phone: (515) 633-3600
Fax: (515) 288-0840
Type: Location
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.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2003-11-18
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2024-07-31 (678 days ago).
Enrollment records
1
Earliest due date
2024-07-31
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20031118000163 | O | Clinic/Group Practice | IA | 2024-07-31 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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 50266)
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