BUENA VISTA REGIONAL MEDICAL CENTER DEPT OF EKG
NPI 1780755728
Radiology - Diagnostic Radiology in Storm Lake, IA

Active since November 13, 2006
1525 W 5TH ST, STORM LAKE, IA 50588(712) 732-4030(712) 213-1233 Get Directions Write a Review

NPPES record last updated: December 10, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Dec 10, 2024, Jun 25, 2024, Nov 26, 2019 and 1 more (4 updates tracked since 2017).

About Buena Vista Regional Medical Center Dept Of Ekg NPPES

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

BUENA VISTA REGIONAL MEDICAL CENTER DEPT OF EKG (NPI 1780755728) is a healthcare organization registered as a diagnostic radiology in Storm Lake, Iowa and active in the NPI registry since November 2006. The organization lists Krista L Ketcham, Cfo, as its authorized official.

NPPES Registry Identity

NPI1780755728
Entity TypeOrganization
Primary Taxonomy2085R0202X
Legal Business NameBUENA VISTA REGIONAL MEDICAL CENTER
Location Address1525 W 5TH STStorm Lake, IA 50588-3027
Mailing Address1525 W 5th St, Po Box 309Storm Lake, IA 50588-3027 · (712) 732-4030 · Fax (712) 213-1233
Fax(712) 213-1233
Organization SubpartNo
Authorized OfficialKrista L KetchamCfo · (712) 213-8603
Enumeration DateNovember 13, 2006
Last NPPES UpdateDecember 10, 20244 updates tracked since enumeration
NPPES CertifiedDecember 10, 2024
✔ NPI 1780755728 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 12

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License✔ Licensed in IN · 166H
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X · License 166H (IA)
Also ListedOrthopaedic SurgeryTaxonomy 207X00000X
Also ListedSurgeryTaxonomy 208600000X · License 110166H (IA)
Also ListedUrologyTaxonomy 208800000X
Also ListedHospitalistTaxonomy 208M00000X
Also ListedPodiatristTaxonomy 213E00000X
Also ListedPhysician AssistantTaxonomy 363A00000X
Also ListedNurse PractitionerTaxonomy 363L00000X
Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X · License 110166H (IA)
Also ListedNurse Anesthetist, Certified RegisteredTaxonomy 367500000X
1525 W 5TH ST, Storm Lake, IA 50588

Other Names 1

Other NameBuena Vista Regional Medical Center Dept Of Ekg

Other Identifiers 2

Medicaid0078782IA
Other30564IA · Wellmark Group Number

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Buena Vista Regional Medical Center Dept Of Ekg is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

66

Medicare enrollment records show 66 clinicians reassign Medicare billing to Buena Vista Regional Medical Center Dept Of Ekg, which bills Medicare for the services they deliver. Of these, 9 practice at this address and 16 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 10

Certified Registered Nurse Anesthetist (CRNA)27
Emergency Medicine11
Family Practice11
General Surgery4
Nurse Practitioner4
Orthopedic Surgery3
Internal Medicine2
Podiatry2
2 other specialties2

Nearest to this location (20)

See all 66
Certified Registered Nurse Anesthetist (CRNA)
NPI 1114542834
1525 W 5TH ST
Storm Lake, IA 50588
(573) 686-5550
✔ PECOS✔ Accepts MedicareSame address
Orthopedic Surgery
NPI 1194036525
1525 W 5TH ST POD C
Storm Lake, IA 50588
(712) 213-8050
✔ PECOSSame address
Certified Registered Nurse Anesthetist (CRNA)
NPI 1457713828
1525 W 5TH ST
Storm Lake, IA 50588
(712) 732-4030
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1457002669
1525 W 5TH ST
Storm Lake, IA 50588
(712) 213-8656
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1659711349
1525 W 5TH ST
Storm Lake, IA 50588
(712) 213-8676
✔ PECOSSame address
Nurse Practitioner
NPI 1073822151
1525 W 5TH ST
Storm Lake, IA 50588
(712) 732-4030
✔ PECOS✔ Accepts MedicareSame address
Certified Registered Nurse Anesthetist (CRNA)
NPI 1063263408
1525 W 5TH ST OFC 1
Storm Lake, IA 50588
(308) 430-5025
✔ PECOS✔ Accepts MedicareSame address
Certified Registered Nurse Anesthetist (CRNA)
NPI 1275599730
1525 WEST 5TH ST
Storm Lake, IA 50588
(712) 732-4030
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1881261402
1525 W 5TH ST
Storm Lake, IA 50588
(712) 213-8663
✔ PECOSSame address
Family Practice
NPI 1033747365
620 NORTHWESTERN DR
Storm Lake, IA 50588
(712) 732-5030
✔ PECOS0.1 mi
Podiatry
NPI 1669055182
620 NORTHWESTERN DR POD 4
Storm Lake, IA 50588
(712) 213-8050
✔ PECOS0.1 mi
Family Practice
NPI 1982124103
620 NORTHWESTERN DR
Storm Lake, IA 50588
(712) 732-5030
✔ PECOS0.1 mi
Nurse Practitioner
NPI 1770333957
715 W MILWAUKEE AVE
Storm Lake, IA 50588
(712) 213-0109
✔ PECOS0.7 mi
Family Practice
NPI 1346358991
715 W MILWAUKEE AVE
Storm Lake, IA 50588
(712) 213-0109
✔ PECOS0.7 mi
General Surgery
NPI 1487948824
210 EAST 5TH ST
Storm Lake, IA 50588
(712) 213-4750
✔ PECOS✔ Accepts Medicare1.2 mi
General Surgery
NPI 1477675940
210 E 5TH ST
Storm Lake, IA 50588
(712) 213-4750
✔ PECOS✔ Accepts Medicare1.2 mi
Certified Registered Nurse Anesthetist (CRNA)
NPI 1740867241
1200 1ST AVE E
Spencer, IA 51301
(712) 264-6198
✔ PECOS✔ Accepts Medicare35 mi
Podiatry
NPI 1902869803
1200 1ST AVE E STE C
Spencer, IA 51301
(712) 262-7511
✔ PECOS✔ Accepts Medicare35 mi
Orthopedic Surgery
NPI 1306144464
1200 1ST AVE E STE C
Spencer, IA 51301
(712) 262-7511
✔ PECOS✔ Accepts Medicare35 mi
Emergency Medicine
NPI 1285604728
2700 23RD ST STE C
Spirit Lake, IA 51360
(712) 336-3750
✔ PECOS✔ Accepts Medicare54 mi
See all 66 clinicians

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

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 Buena Vista Regional Medical Center's NPI number?

The NPI number for Buena Vista Regional Medical Center is 1780755728. It was assigned to this organization in the NPPES registry on November 13, 2006. The provider is also known as Buena Vista Regional Medical Center Dept Of Ekg.

Where is Buena Vista Regional Medical Center located?

Buena Vista Regional Medical Center is located at 1525 W 5th St, Storm Lake, IA 50588. The listed phone number is (712) 732-4030.

What is Buena Vista Regional Medical Center's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Buena Vista Regional Medical Center enrolled in Medicare?

Yes. Buena Vista Regional Medical Center is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Buena Vista Regional Medical Center?

According to the CMS Revalidation Reassignment List (October 2026 release), 66 clinicians in 10 Medicare specialties reassign their Medicare billing to Buena Vista Regional Medical Center. A 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 the clinician's services. The largest specialties are Certified Registered Nurse Anesthetist (CRNA) (27), Emergency Medicine (11) and Family Practice (11). Of these, 9 practice at this address and 16 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Buena Vista Regional Medical Center was last updated on December 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.