1. Home
  2. Directory
  3. Iowa
  4. Des Moines
  5. Pediatrics
  6. NPI Profile

DR. BERNADETTE C. ANTONYRAJAH MD
NPI 1295997666
Pediatrics in Des Moines, IA

Active since June 27, 2008PECOS Enrolled
1111 6TH AVE, DES MOINES, IA 50314(515) 247-3330(515) 643-8839 Get Directions Write a Review

NPPES record last updated: January 15, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 8, 2022, Nov 22, 2019, Aug 23, 2017 and 1 more (4 updates tracked since 2017).

About Dr. Bernadette C. Antonyrajah Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. BERNADETTE C. ANTONYRAJAH MD (NPI 1295997666) is an individual pediatrics provider in Des Moines, Iowa, licensed in Florida (ME113647) and active in the NPI registry since June 2008. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1295997666
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. BERNADETTE C. ANTONYRAJAHCredential: MD
Location Address1111 6TH AVEDes Moines, IA 50314-2613
Mailing AddressPo Box 917770Orlando, FL 32891-0001 · (813) 821-8038 · Fax (813) 974-4325
Phone(515) 247-3330
Fax(515) 643-8839
Sole ProprietorNo
Enumeration DateJune 27, 2008
Last NPPES UpdateJanuary 15, 20244 updates tracked since enumeration
NPPES CertifiedJanuary 15, 2024
✔ NPI 1295997666 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in FL · ME113647
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedEmergency Medicine · Pediatric Emergency MedicineTaxonomy 207PP0204X · License ME113647 (FL)
Also ListedPediatrics · Pediatric Critical Care MedicineTaxonomy 2080P0203X · License ME113647 (FL), MD-43932 (IA)
1111 6TH AVE, Des Moines, IA 50314
Open in Google Maps ↗

Secondary Practice Locations 2

Location 12 Tampa General CirTampa, FL 33606-3571 · Phone (813) 821-8038 · Fax (813) 974-4325
Location 298 Terra Mango Loop Ste 12Orlando, FL 32835-8515 · Phone (407) 612-4007 · Fax (407) 612-4017

Other Identifiers 2

Medicaid006240200FL
Other14LE6FL · Blue Cross Blue Shield

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Bernadette C. Antonyrajah Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

3

Medicare enrollment records show Bernadette Antonyrajah reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Hospital Physician Services Of Florida PA
843 mi
Hospitalist
8383 N DAVIS HWY
Pensacola, FL 32514
  • Reassigned Medicare billing, Florida enrollment
  • 601 clinicians in this Medicare group
NPI 1558718635 (850) 494-4000
The Nemours Foundation
1,025 mi
Multi-Specialty
807 CHILDRENS WAY
Jacksonville, FL 32207
  • Reassigned Medicare billing, Florida enrollment
  • 703 clinicians in this Medicare group
NPI 1265585806 (904) 697-3600
Halifax Healthcare Systems Inc
1,108 mi
Family Medicine
303 N CLYDE MORRIS BLVD
Daytona Beach, FL 32114
  • Reassigned Medicare billing, Florida enrollment
  • 786 clinicians in this Medicare group
NPI 1245283530 (386) 254-4000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 50314 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$81.84 typical visit price
range $52.96 – $161.40
Typical copayment $20.46 (range $13.24 – $40.35)
Most-billed visit code 99203
Established Patient
$94.05 typical visit price
range $16.91 – $131.98
Typical copayment $23.51 (range $4.22 – $32.99)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MERCY CLINICS, INC
Psychiatry & Neurology (Neurology)
1111 6TH AVE, EAST TOWER SUITE A100
DES MOINES, IA 50314
Polk County (515) 358-0011
TODD EBERLE DO
Family Medicine
1111 6TH AVE
DES MOINES, IA 50314
Polk County (515) 643-8678
JOSEPH JANSKY DO
Family Medicine
1111 6TH AVE
DES MOINES, IA 50314
Polk County (515) 612-9595
MYLES KAWAMURA DO
Emergency Medicine
1111 6TH AVE, EMERGENCY DEPARTMENT
DES MOINES, IA 50314
Polk County (515) 247-3211
DR. CODY BRUNCLIK DO
Internal Medicine
1111 6TH AVE
DES MOINES, IA 50314
Polk County (515) 643-2261
TYLER MUMM DO
Internal Medicine
1111 6TH AVE
DES MOINES, IA 50314
Polk County (515) 643-2261
DR. MITCHELL R. ERICKSON M.D.
Radiology (Neuroradiology)
1111 6TH AVE
DES MOINES, IA 50314
Polk County (515) 643-2667
DR. THERESA MARIE WAHLIG M.D.
Pediatrics (Neonatal-Perinatal Medicine)
1111 6TH AVE
DES MOINES, IA 50314
Polk County (515) 643-8409

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Bernadette Antonyrajah's NPI number?

The NPI number for Bernadette Antonyrajah is 1295997666. It was assigned to this individual provider in the NPPES registry on June 27, 2008.

Where is Bernadette Antonyrajah located?

Bernadette Antonyrajah practices at 1111 6th Ave, Des Moines, IA 50314. The listed phone number is (515) 247-3330.

What is Bernadette Antonyrajah's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Bernadette Antonyrajah enrolled in Medicare?

Yes. Bernadette Antonyrajah is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Bernadette Antonyrajah's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Bernadette Antonyrajah reassigns Medicare benefits to 3 organizations: Hospital Physician Services Of Florida PA (Pensacola, FL), The Nemours Foundation (Jacksonville, FL) and Halifax Healthcare Systems Inc (Daytona Beach, FL). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Bernadette Antonyrajah's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Bernadette Antonyrajah was last updated on January 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.