Gary Joseph Kummet, MD - Medicare Pediatrics in Des Moines, IA

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Gary Joseph Kummet, MD is a medicare enrolled "Pediatrics - Neonatal-perinatal Medicine" physician in Des Moines, Iowa. His current practice location is 1111 6th Ave, Des Moines, Iowa. You can reach out to his office (for appointments etc.) via phone at (515) 358-4000.

Gary Joseph Kummet is licensed to practice in Iowa (license number 37903) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1467626051.

Contact Information

Gary Joseph Kummet, MD
1111 6th Ave,
Des Moines, IA 50314-2613
(515) 358-4000
Not Available

Map and Direction




Physician's Profile

Full NameGary Joseph Kummet
GenderMale
SpecialityPediatrics - Neonatal-perinatal Medicine
Location1111 6th Ave, Des Moines, Iowa
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1467626051
  • Provider Enumeration Date: 04/15/2008
  • Last Update Date: 04/15/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 5890935209
  • Enrollment ID: I20171102002485

Medical Identifiers

Medical identifiers for Gary Joseph Kummet such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1467626051NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2080N0001XPediatrics - Neonatal-perinatal Medicine 37903 (Iowa)Primary
208000000XPediatrics RL 10642 (North Dakota)Secondary
2080N0001XPediatrics - Neonatal-perinatal Medicine 14743 (North Dakota)Secondary
2080N0001XPediatrics - Neonatal-perinatal Medicine 4095-320 (Wisconsin)Secondary
2080N0001XPediatrics - Neonatal-perinatal Medicine 64824 (Minnesota)Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Gary Joseph Kummet allows following entities to bill medicare on his behalf.
Entity NameSt Alexius Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1205868429
PECOS PAC ID: 8426960865
Enrollment ID: O20031104000146

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Gary Joseph Kummet is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Gary Joseph Kummet, MD
1111 6th Ave,
Des Moines, IA 50314-2613

Ph: (515) 358-4000		Gary Joseph Kummet, MD
1111 6th Ave,
Des Moines, IA 50314-2613

Ph: (515) 358-4000

Reviews and Comments


Pediatrics Doctors in Des Moines, IA

Catherine P Mcneill, M.D.
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Phone: 515-241-6611    Fax: 515-241-6635
Dr. Lisa I Hardisty, M.D.
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Medicare: Medicare Enrolled
Practice Location: 1200 Pleasant St, Des Moines, IA 50309
Phone: 515-241-5926    Fax: 515-241-5127
Dr. Theresa Marie Wahlig, M.D.
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Practice Location: 1111 6th Ave, Des Moines, IA 50314
Phone: 515-643-8409    
Dr. Basaviah Chandramouli, M.D.
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Medicare: Not Enrolled in Medicare
Practice Location: 330 Laurel St, Suite 2200, Des Moines, IA 50314
Phone: 515-288-1097    Fax: 515-288-2847
Holley A Bzdega, MD
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Medicare: Not Enrolled in Medicare
Practice Location: 1200 Pleasant St, Neonatology, Des Moines, IA 50309
Phone: 515-241-4444    Fax: 515-241-5127
Lexy Shantel Powell, DO
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Medicare: Not Enrolled in Medicare
Practice Location: 1200 Pleasant St, Des Moines, IA 50309
Phone: 515-241-6636    
Richard S Robus, MD
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Medicare: Medicare Enrolled
Practice Location: 1221 Pleasant St, Suite 170, Des Moines, IA 50309
Phone: 515-241-4300    Fax: 515-241-4359

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.