Active NPI
Rosanna Kao, M.D.
- Family Medicine Physician
- Coralville, IA
National Provider Identifier
1033157482
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 33336
- Practice address
- 920 E 2ND Ave Ste 201a&B
Coralville, IA 52241-2219 - Phone
- (319) 467-2000
- Fax
- (319) 384-7688
- NPI assigned
- Jun 4, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 33336 | IA | Primary |
Addresses
Primary practice location
920 E 2ND Ave Ste 201a&B
Coralville, IA 52241-2219
Mailing address
200 Hawkins Dr
Iowa City, IA 52242-1009
Phone (319) 384-7222
Other practice location 1
200 Hawkins Dr
Iowa City, IA 52242-1009
Phone (319) 384-7222
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1248062 | Medicaid | IA | |
| P00265451 | Other | IA | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33336 | IA | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149379200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1641859200000",
"number": "1033157482",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 HAWKINS DR",
"city": "IOWA CITY",
"state": "IA",
"postal_code": "522421009",
"telephone_number": "319-384-7222",
"fax_number": "319-384-7688"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "920 E 2ND AVE STE 201A&B",
"city": "CORALVILLE",
"state": "IA",
"postal_code": "522412219",
"telephone_number": "319-467-2000",
"fax_number": "319-384-7688"
}
],
"practiceLocations": [
{
"address_1": "200 Hawkins Dr",
"address_purpose": "LOCATION",
"city": "Iowa City",
"state": "IA",
"postal_code": "522421009",
"country_code": "US",
"telephone_number": "319-384-7222",
"fax_number": "319-384-7688",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KAO",
"first_name": "ROSANNA",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-04",
"last_updated": "2022-01-11",
"certification_date": "2022-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IA",
"license": "33336",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1248062",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00265451",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Coralville, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.