Darryl K. Mozena, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

19199 Issued in IA

Practice address

1515 Delhi Street
Suite 100
Dubuque, IA 52001-6389

Phone

(563) 557-9111

Fax

(563) 589-4046

NPI assigned

Mar 16, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Dubuque Internal Medicine PC

  dba Grand River Medical Group, PC

  • Internal Medicine Physician
  • Dubuque, IA
  • NPI 1568427524
  NPD

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

{
    "created_epoch": "1142467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1261008000000",
    "number": "1023087590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 DELHI STREET",
            "address_2": "SUITE 100",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520016389",
            "telephone_number": "563-557-9111",
            "fax_number": "563-589-4046"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 DELHI STREET",
            "address_2": "SUITE 100",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520016389",
            "telephone_number": "563-557-9111",
            "fax_number": "563-589-4046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOZENA",
        "first_name": "DARRYL",
        "middle_name": "K.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-16",
        "last_updated": "2009-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IA",
            "license": "19199",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0126250",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "31348200",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0180372079",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cheryl L Morgan-Ihrig, M.D.
• Katrina D Morgan, PHARM.D.M BCGP
• Charles Harvey Morrow, M.D.
• Garrett Filas Mortensen, MD
• Patricia Moser, MSW
• Gabrielle Mueller
• Kevin Robert Mueller, D.C.
• McKenzie Mae Mueller
• Sheila A Mueller, CRNA
• Julie Muenster, ARNP

• Internal Medicine Physician in Dubuque, IA
• Providers in Dubuque, IA by specialty
• Internal Medicine Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.