Individual provider Active NPI

Victor R. Mujica, MD

  • Gastroenterology Physician
  • Cedar Falls, IA
National Provider Identifier
1003859877
Registry record updated Jul 16, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
30988 Issued in IA
Practice address
516 S Division St
Cedar Falls, IA 50613-2382
Phone
(319) 268-3550
Fax
(319) 268-3855
NPI assigned
Jun 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 30988 IA
Gastroenterology Physician 207RG0100X 30988 IA Primary

Addresses

Primary practice location

516 S Division St
Cedar Falls, IA 50613-2382

Mailing address

2101 Kimball Ave
LL14
Waterloo, IA 50702-5063
Phone (319) 272-1590

Other identifiers 1

IdentifierTypeStateIssuer
1152520MedicaidIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100607000936 IA Practitioner - GastroenterologyPractitioner - Internal Medicine 0749310498 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Covenant Medical Center IncGroup PAC ID 0244148732, 234 clinicians

Practice addresses (Care Compare)

226 Bluebell Rd
Cedar Falls, IA 50613-6328
Phone (319) 575-5800

2710 Saint Francis Dr
Waterloo, IA 50702-5619
Phone (319) 272-5000

2710 Saint Francis Dr
Suite 104
Waterloo, IA 50702-5633
Phone (319) 272-5000

3421 W 9TH St
Waterloo, IA 50702-5401

515 College St
Cedar Falls, IA 50613-2500

516 Division St
Suite 110
Cedar Falls, IA 50613-2381
Phone (319) 268-3550

516 S Division St
Cedar Falls, IA 50613-2381

Hospital & facility affiliations

  • Mercyone Waterloo Medical Center Hospital, Waterloo, IA, CCN 160067
  • Sartori Memorial Hospital, Inc Hospital, Cedar Falls, IA, CCN 160040
  • Mercyone Oelwein Medical Center Hospital, Oelwein, IA, CCN 161338
  • Waverly Health Center Hospital, Waverly, IA, CCN 161339

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy323
Upper gastrointestinal (GI) endoscopy for acid reflux459

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
30988IAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Covenant Medical Center, Inc. CurrentSince Sep 1, 1999 Accepting new patients
Covenant Medical Center Inc CurrentSince Sep 1, 1999 Accepting new patients
Floyd County Memorial Hospital Commission Past Accepting new patients

Locations

751 Main St
Arlington, IA 50606
Phone (563) 633-6965

516 Division St
Cedar Falls, IA 50613
Phone (319) 268-3550

226 Bluebell Rd
Cedar Falls, IA 50613
Phone (319) 575-5800

516 Division St
Ste 110
Cedar Falls, IA 50613
Phone (319) 268-3550

2710 Saint Francis Dr
Ste 104
Waterloo, IA 50702
Phone (319) 272-6733

3421 W 9th St
Waterloo, IA 50702
Phone (319) 272-7050

2101 Kimball Ave
#14
Waterloo, IA 50702

Interoperability endpoints

  • Direct secure messaging: vmujica3935111@direct.trinity-health.org

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184544000000",
    "number": "1003859877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 KIMBALL AVE",
            "address_2": "LL14",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507025063",
            "telephone_number": "319-272-1590",
            "fax_number": "319-272-1535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 S DIVISION ST",
            "city": "CEDAR FALLS",
            "state": "IA",
            "postal_code": "506132382",
            "telephone_number": "319-268-3550",
            "fax_number": "319-268-3855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUJICA",
        "first_name": "VICTOR",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-13",
        "last_updated": "2007-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IA",
            "license": "30988",
            "primary": false
        },
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "IA",
            "license": "30988",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1152520",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Falls, IA

Sources for this page

Verify at the official NPI Registry.