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Deactivated NPI 1265056444 Deactivated / Inactive NPI Male Practitioner

Dr. Danilo Sebastian Noboa Gallardo , MD

Pediatrics • Des Moines, IA

✓ Accepts Medicare Assignment
⚠️

Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Danilo Noboa Gallardo has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 03, 2020
NPI Deactivation Date January 18, 2022
Total Practice Duration ~7 Years of Practice (2015 – 2022)

Professional Overview & Biography Verified Profile Summary

Dr. Danilo Noboa Gallardo, MD was a registered Pediatrics practicing in Des Moines, IA. Throughout an active medical career spanning 7 years, Dr. Noboa Gallardo provided care at the practice location at 330 LAUREL ST STE 2100 until profile deactivation on 2022-01-18.

Dr. Noboa Gallardo was affiliated with Mercy Clinics Inc and accepted Medicare assignment.

Practice Location & Contact Primary Location

Practice Address

330 Laurel St Ste 2100

Des Moines, IA 503143068

Telephone 5156438611
Fax 5156438812
Associated Practice Facility / Clinic
🏢 Mercy Clinics Inc Facility NPI 1407036262

Medicare Profile & Education

Medical School

Other

Graduation Year

2015

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Des Moines, IA

Established Specialist (10-20 Yrs)
Practitioner Clinical Experience
11 Yrs -6.4 yrs vs City Avg
City Avg: 17.4 Yrs
State Avg: 19.9 Yrs
Regional Practice Density
106 Specialists

Practicing in Des Moines, IA (522 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Noboa Gallardo (11 Years) 11 Yrs
Des Moines Specialty Average (17.4 Years) 17.4 Yrs

Medical Specialties & State Licenses

CMS Verified: 2023-09-05
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License IA MD-51329

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.

Student in an Organized Health Care Education/Training Program

NUCC Taxonomy Code: 390200000X

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Hospital & Practice Group Affiliations

Mercy Clinics Inc

330 Laurel St, Des Moines, IA 503143044

Phone: 5156436290

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

14 Associated Practitioners
NPI 1164530358

Doctor of Medicine (M.D.)

NPI 1225089287

Doctor of Medicine (M.D.)

NPI 1306954391

Doctor of Osteopathic Medicine (D.O.)

NPI 1306954516

Doctor of Medicine (M.D.)

NPI 1336257351

Doctor of Osteopathic Medicine (D.O.)

Shamrae Kemmet , ARNP

Nurse Practitioner - Pediatrics

NPI 1467560318

Advanced Registered Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

11 Historical Events
📍
Updated Practice Location September 05, 2023

Registered at 330 LAUREL ST STE 2100, DES MOINES, IA 503143068 (Tel: 5156438611)

📍
Updated Business Mailing Address September 05, 2023

Registered at PO BOX 1475, DES MOINES, IA 503051475 (Tel: 5156438611)

👤
Provider Name / Credentials Updated September 05, 2023

Recorded as DANILO NOBOA GALLARDO, MD

🔄
NPI Profile Reactivated February 08, 2022

Record officially reactivated for active practice on February 08, 2022

⚠️
NPI Profile Deactivated January 18, 2022

Record deactivated on January 18, 2022

NPI Profile Active June 03, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location June 03, 2020

Registered at 1400 S COULTER, AMARILLO, TX 79106 (Tel: 8064149654)

📍
Updated Business Mailing Address June 03, 2020

Registered at NUNEZ DE VELA Y COREA N36-121 EDF KAROLINA 2000 APT. 38, QUITO, PICHINCHA 170135

👤
Provider Name / Credentials Updated June 03, 2020

Recorded as DANILO NOBOA GALLARDO, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 03, 2020

Student in an Organized Health Care Education/Training Program

🟢
Initial NPI Registration & Enumeration June 03, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1265056444
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 03, 2020
Last Update: September 05, 2023
Deactivation Date: January 18, 2022
Sole Proprietor: No

Mailing Address

Po Box 1475

Des Moines, IA 503051475

Phone: 5156438611

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.