Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

DR. THOMAS A. MALLISEE III M.D.
NPI 1639167042
Radiology - Body Imaging in Des Moines, IA

Active since October 10, 2005PECOS Enrolled
1111 6TH AVE, DES MOINES, IA 50314(515) 643-2667(515) 643-2978 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Thomas A. Mallisee Iii M.d. NPPES

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

DR. THOMAS A. MALLISEE III M.D. (NPI 1639167042) is an individual body imaging provider in Des Moines, Iowa, licensed in Iowa (32854) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS, is affiliated with Mercyone Newton Medical Center, and is a graduate of University Of Nebraska College Of Medicine (1993).

NPPES Registry Identity

NPI1639167042
Entity TypeIndividualMale
Primary Taxonomy2085B0100X
Provider Legal NameDR. THOMAS A. MALLISEE IIICredential: M.D.
Location Address1111 6TH AVEDes Moines, IA 50314-2613
Mailing Address1111 6th AveDes Moines, IA 50314-2613 · (515) 643-2667 · Fax (515) 643-2978
Fax(515) 643-2978
Sole ProprietorNo
Medical School CMSUniversity Of Nebraska College Of MedicineGraduated 1993
Enumeration DateOctober 10, 2005
Last NPPES UpdateJuly 13, 2026
NPI 1639167042 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiology · Body ImagingAllopathic & Osteopathic Physicians
Taxonomy Code2085B0100X
License Licensed in IA · 32854
Definition

A Radiology doctor of Osteopathy that specializes in Body Imaging.

1111 6TH AVE, Des Moines, IA 50314

Other Identifiers 1

Medicaid0192344IA

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Thomas A. Mallisee Iii M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8628090933
PECOS Enrollment IDI20051230000248
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.

Areas of Expertise CMS Part B claims 73

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
544 services486 patients
Screening mammography 77067
Screening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.
530 services530 patients
Screening 3d breast mammography 77063
Screening 3D breast mammography is a procedure that uses low-dose X-rays to create detailed images of the breast. This allows for early detection of any unusual changes or growths. It's a non-invasive, outpatient procedure that typically takes about 30 minutes.
523 services523 patients
Ct scan of abdomen and pelvis with contrast 74177
A CT scan of the abdomen and pelvis with contrast is an imaging procedure. A special dye, called contrast, is used to make certain areas more visible. This can help identify issues such as infections, tumors, or other abnormalities. The procedure is painless and usually takes about 30 minutes.
402 services389 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
351 services347 patients
Screening mammography 77067
Screening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.
317 services317 patients

Hospital Affiliations CMS Care Compare 5

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Mercyone Newton Medical Center

Acute Care Hospitals · Newton, IA
OwnershipVoluntary non-profit - Private
CMS Certification Number160032
Location204 N 4th Ave ENewton, IA 50208 · Jasper County
Emergency services Birthing friendly

Mercyone Des Moines Medical Center

Acute Care Hospitals · Des Moines, IA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number160083
Location1111 6th AveDes Moines, IA 50314 · Polk County
Emergency services Birthing friendly

Davis County Hospital

Critical Access Hospitals · Bloomfield, IA
OwnershipGovernment - Local
CMS Certification Number161327
Location509 North Madison StreetBloomfield, IA 52537 · Davis County
Emergency services

Knoxville Hospital & Clinics

Critical Access Hospitals · Knoxville, IA
OwnershipVoluntary non-profit - Private
CMS Certification Number161355
Location1002 South Lincoln StreetKnoxville, IA 50138 · Marion County
Emergency services

Mercyone Centerville Medical Center

Critical Access Hospitals · Centerville, IA
OwnershipVoluntary non-profit - Private
CMS Certification Number161377
LocationOne St Joseph's DriveCenterville, IA 52544 · Appanoose County
Emergency services

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.

Pediatrics (Pediatric Critical Care Medicine)
1111 6TH AVE, MAIN 3
DES MOINES, IA 50314
Nurse Practitioner (Family)
1111 6TH AVE, MERCY MEDICAL CENTE ER
DES MOINES, IA 50314
Emergency Medicine
1111 6TH AVE, EMERGENCY MEDICINE
DES MOINES, IA 50314
Emergency Medicine
1111 6TH AVE, EMERGENCY DEPARTMENT
DES MOINES, IA 50314
Pediatrics (Pediatric Emergency Medicine)
1111 6TH AVE, PEDIATRIC EMERGENCY DEPARTMENT
DES MOINES, IA 50314
Emergency Medicine
1111 6TH AVE
DES MOINES, IA 50314
Emergency Medicine
1111 6TH AVE, MERCY HOSPITAL EMERGENCY PHYSICIANS
DES MOINES, IA 50314
Pediatrics (Neonatal-Perinatal Medicine)
1111 6TH AVE
DES MOINES, IA 50314

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1639167042, enumerated as an "individual" on October 10, 2005.

The provider is located at 1111 6TH AVE DES MOINES, IA 50314 and the phone number is (515) 643-2667.

Radiology with taxonomy code 2085B0100X and a focus in Body Imaging.

The provider might be accepting Accepts: Oscar Insurance Company, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.

Thomas Mallisee is affiliated with: MERCYONE NEWTON MEDICAL CENTER, MERCYONE DES MOINES MEDICAL CENTER, DAVIS COUNTY HOSPITAL, KNOXVILLE HOSPITAL & CLINICS and MERCYONE CENTERVILLE MEDICAL CENTER.