Randolph R Rough, MD - Medicare Cardiovascular Disease (cardiology) in West Des Moines, IA

Randolph R Rough, MD is a medicare enrolled "Internal Medicine - Cardiovascular Disease" physician in West Des Moines, Iowa. He graduated from medical school in 1977 and has 47 years of diverse experience with area of expertise as Cardiovascular Disease (cardiology). He is a member of the group practice Broadlawns Medical Center, Catholic Health Initiatives-iowa Corp and his current practice location is 5880 University Ave Ste 102, West Des Moines, Iowa. You can reach out to his office (for appointments etc.) via phone at (515) 633-3600.

Randolph R Rough is licensed to practice in Iowa (license number 23764) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1376525196.

Contact Information

Randolph R Rough, MD
5880 University Ave Ste 102,
West Des Moines, IA 50266-8209
(515) 633-3600
(515) 288-0840



Physician's Profile

Full NameRandolph R Rough
GenderMale
SpecialityCardiovascular Disease (cardiology)
Experience47 Years
Location5880 University Ave Ste 102, West Des Moines, Iowa
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Randolph R Rough graduated from medical school in 1977
  NPI Data:
  • NPI Number: 1376525196
  • Provider Enumeration Date: 11/17/2005
  • Last Update Date: 06/14/2020
  Medicare PECOS Information:
  • PECOS PAC ID: 1850437849
  • Enrollment ID: I20091005000718

Medical Identifiers

Medical identifiers for Randolph R Rough such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1376525196NPI-NPPES
0206607MedicaidIA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RC0000XInternal Medicine - Cardiovascular Disease 23764 (Iowa)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Mercyone Des Moines Medical CenterDes moines, IAHospital
Mercyone Newton Medical CenterNewton, IAHospital
Mercyone Centerville Medical CenterCenterville, IAHospital
Audubon County Memorial HospitalAudubon, IAHospital
Broadlawns Medical CenterDes moines, IAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Broadlawns Medical Center3678466166207
Catholic Health Initiatives-iowa Corp5698683142112

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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. Randolph R Rough allows following entities to bill medicare on his behalf.
Entity NameCatholic Health Initiatives-iowa Corp
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1508964883
PECOS PAC ID: 5698683142
Enrollment ID: O20031118000163

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Entity NameBroadlawns Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1467447508
PECOS PAC ID: 3678466166
Enrollment ID: O20040206000913

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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. Randolph R Rough 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
Randolph R Rough, MD
Po Box 9170,
Des Moines, IA 50306-9170

Ph: (515) 633-3600
Randolph R Rough, MD
5880 University Ave Ste 102,
West Des Moines, IA 50266-8209

Ph: (515) 633-3600

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Internal Medicine Doctors in West Des Moines, IA

Kevin James Cunningham, M.D.
Cardiovascular Disease
Medicare: Accepting Medicare Assignments
Practice Location: 5950 University Ave, Ste 151, West Des Moines, IA 50266
Phone: 515-875-9192    Fax: 515-875-9193
Terri L Bunting, A.R.N.P
Cardiovascular Disease
Medicare: Not Enrolled in Medicare
Practice Location: 555 S 51st St, West Des Moines, IA 50265
Phone: 515-440-0304    Fax: 515-440-4623
Jeffrey D Stahl, MD
Cardiovascular Disease
Medicare: Medicare Enrolled
Practice Location: 1300 37th St, Ste 5, West Des Moines, IA 50266
Phone: 515-225-4051    Fax: 515-225-2265
Richard H Marcus, M.D.
Cardiovascular Disease
Medicare: Accepting Medicare Assignments
Practice Location: 5880 University Ave Ste 102, West Des Moines, IA 50266
Phone: 515-633-3600    Fax: 515-288-0840
Mark A Tannenbaum, M.D.
Cardiovascular Disease
Medicare: Accepting Medicare Assignments
Practice Location: 5880 University Ave Ste. 102, West Des Moines, IA 50266
Phone: 515-633-3600    Fax: 515-288-0840
Magdi G.h. Ghali, M.D.
Cardiovascular Disease
Medicare: Accepting Medicare Assignments
Practice Location: 5880 University Ave Ste. 102, West Des Moines, IA 50266
Phone: 515-633-3600    Fax: 515-288-0840
Mark D Mcgaughey, M.D.
Cardiovascular Disease
Medicare: Accepting Medicare Assignments
Practice Location: 5880 University Ave Ste. 102, West Des Moines, IA 50266
Phone: 515-633-3600    Fax: 515-288-0840

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