1. Home
  2. Directory
  3. Iowa
  4. West Des Moines
  5. Internal Medicine
  6. NPI Profile

KRISHNA THEJA KAKARLA REDDY MD
NPI 1962964718
Internal Medicine - Cardiovascular Disease in West Des Moines, IA

Active since April 02, 2019PECOS EnrolledAccepts Medicare Assignment
5880 UNIVERSITY AVE STE 102, WEST DES MOINES, IA 50266(515) 633-3600(515) 288-0840 Get Directions Write a Review

NPPES record last updated: November 23, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 23, 2025, Feb 11, 2025, Nov 15, 2023 and 1 more (4 updates tracked since 2019).

About Krishna Theja Kakarla Reddy Md NPPES

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

KRISHNA THEJA KAKARLA REDDY MD (NPI 1962964718) is an individual cardiovascular disease provider in West Des Moines, Iowa, licensed in Iowa (MD-55008) and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS, is affiliated with Mercyone Newton Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1962964718
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameKRISHNA THEJA KAKARLA REDDYCredential: MD
Location Address5880 UNIVERSITY AVE STE 102West Des Moines, IA 50266-8209
Mailing AddressPo Box 677080Dallas, TX 75267-7080 · (515) 633-3600 · Fax (515) 633-3838
Phone(515) 633-3600
Fax(515) 288-0840
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateApril 2, 2019
Last NPPES UpdateNovember 23, 20254 updates tracked since enumeration
NPPES CertifiedNovember 23, 2025
✔ NPI 1962964718 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in IA · MD-55008
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Also ListedInternal MedicineTaxonomy 207R00000X · License A177851 (CA)
5880 UNIVERSITY AVE STE 102, West Des Moines, IA 50266
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1UHS SoCal Medical Education Consortium,, 31700 Temecula Parkway, Parkway Suites # 2- GMETemecula, CA 92592 · Phone (951) 600-4337
Location 2411 Laurel St Ste A250Des Moines, IA 50314-3029 · Phone (515) 235-5000 · Fax (515) 288-6713

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Krishna Theja Kakarla Reddy Md 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 ID1951748490
PECOS Enrollment IDI20251029000488
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

4

Medicare enrollment records show Krishna Theja Reddy reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Catholic Health Initiatives-Iowa Corp
Same address
Clinical Cardiac Electrophysiology
5880 UNIVERSITY AVE
West Des Moines, IA 50266
  • Reassigned Medicare billing, Iowa enrollment
  • 133 clinicians in this Medicare group
NPI 1629301684 (515) 633-3600
Dallas County Hospital
23 mi
Emergency Medicine
610 10TH ST
Perry, IA 50220
  • Reassigned Medicare billing, Iowa enrollment
  • Also billed through NPI 1669477089 (Iowa)
  • 57 clinicians in this Medicare group
NPI 1861416307 (515) 465-3547
Inpatient Specialists Of California, PC
1,378 mi
Internal Medicine
2101 N WATERMAN AVE
San Bernardino, CA 92404
  • Reassigned Medicare billing, California enrollment
  • 1,216 clinicians in this Medicare group
NPI 1952792475 (615) 377-5658
Acute Care Associates Of California PC
1,394 mi
Internal Medicine
36485 INLAND VALLEY DR
Wildomar, CA 92595
  • Reassigned Medicare billing, California enrollment
  • 69 clinicians in this Medicare group
NPI 1194588392 (951) 677-1111

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

Areas of Expertise CMS Part B claims 2

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

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
56 services55 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
17 services14 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

Dallas County Hospital

Critical Access Hospitals · Perry, IA
OwnershipGovernment - Local
CMS Certification Number161322
Location610 Tenth StreetPerry, IA 50220 · Dallas County
Emergency services

Boone County Hospital

Critical Access Hospitals · Boone, IA
OwnershipGovernment - Local
CMS Certification Number161372
Location1015 Union StreetBoone, IA 50036 · Boone 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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 50266 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
$122.23 typical visit price
range $52.96 – $161.40
Typical copayment $30.55 (range $13.24 – $40.35)
Most-billed visit code 99204
Established Patient
$66.36 typical visit price
range $16.91 – $131.98
Typical copayment $16.59 (range $4.22 – $32.99)
Most-billed visit code 99213
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 12

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

RICHARD H MARCUS M.D.
Internal Medicine (Cardiovascular Disease)
5880 UNIVERSITY AVE STE 102
WEST DES MOINES, IA 50266
Dallas County (515) 633-3600
MICHELLE THORNTON DNP
Nurse Practitioner
5880 UNIVERSITY AVE STE 102
WEST DES MOINES, IA 50266
Dallas County (515) 633-3600
RANDOLPH R ROUGH M.D.
Internal Medicine (Cardiovascular Disease)
5880 UNIVERSITY AVE STE 102
WEST DES MOINES, IA 50266
Dallas County (515) 633-3600
DR. JARED MICHAEL ROUTH M.D.
Internal Medicine (Cardiovascular Disease)
5880 UNIVERSITY AVE STE 102
WEST DES MOINES, IA 50266
Dallas County (515) 633-3600
ERIC CHARLES RICHARD
Physician Assistant
5880 UNIVERSITY AVE STE 102
WEST DES MOINES, IA 50266
Dallas County (515) 633-3600
DR. JANA CATHERINE GALBREATH ARNP
Nurse Practitioner
5880 UNIVERSITY AVE STE 102
WEST DES MOINES, IA 50266
Dallas County (515) 633-3600
PHILIP A BEAR D.O.
Internal Medicine (Cardiovascular Disease)
5880 UNIVERSITY AVE STE 102
WEST DES MOINES, IA 50266
Dallas County (515) 633-3600
SHAKUNTALA V ADVANI M.D.
Internal Medicine (Cardiovascular Disease)
5880 UNIVERSITY AVE STE 102
WEST DES MOINES, IA 50266
Dallas County (515) 633-3600

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 Krishna Theja Reddy's NPI number?

The NPI number for Krishna Theja Reddy is 1962964718. It was assigned to this individual provider in the NPPES registry on April 2, 2019.

Where is Krishna Theja Reddy located?

Krishna Theja Reddy practices at 5880 University Ave Ste 102, West Des Moines, IA 50266. The listed phone number is (515) 633-3600.

What is Krishna Theja Reddy's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Krishna Theja Reddy enrolled in Medicare?

Yes. Krishna Theja Reddy is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Krishna Theja Reddy's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Krishna Theja Reddy reassigns Medicare benefits to 4 organizations: Catholic Health Initiatives-Iowa Corp (West Des Moines, IA), Dallas County Hospital (Perry, IA), Inpatient Specialists Of California, PC (San Bernardino, CA) and Acute Care Associates Of California PC (Wildomar, CA). 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 Krishna Theja Reddy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Krishna Theja Reddy accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and Oscar Health and 4 other insurers list Krishna Theja Reddy as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Krishna Theja Reddy affiliated with any hospitals?

According to CMS data, Krishna Theja Reddy is affiliated with Mercyone Newton Medical Center, Mercyone Des Moines Medical Center, Dallas County Hospital, Boone County Hospital and Mercyone Centerville Medical Center.

When was this NPI record last updated?

The NPPES record for Krishna Theja Reddy was last updated on November 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.