Joud Ghassoub Dib, M.D.
Individual provider Active NPI Cardiovascular Disease Physician · Waterloo, IA
NPI 1033273628 · NPPES record last updated Mar 15, 2022
Key facts
- NPI
- 1033273628
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Cardiovascular Disease Physician 207RC0000X
- License
- 36972 (IA)
- Practice address
- 419 East Donald Street
Waterloo, IA 50703-1223 - Phone
- (319) 236-1911
- Fax
- (319) 287-5832
- NPI assigned
- Dec 20, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 13
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Other, 1996
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Cedar Valley Medical Specialists PC
Allen Memorial Hospital Corporation
Practice addresses (Care Compare)
1600 1St St E
Independence, IA 50644-3155
Phone (319) 334-6071
1753 W Ridgeway Ave
Waterloo, IA 50701-4588
1825 Logan Ave
Waterloo, IA 50703-1916
Phone (319) 235-3941
201 8TH Ave SE
Oelwein, IA 50662-2447
Phone (319) 283-6000
312 9TH St SW
Waverly, IA 50677-2929
Phone (319) 833-5954
419 E Donald St
Waterloo, IA 50703-1500
Phone (319) 236-1911
Hospital & facility affiliations
- Allen Hospital
- Waverly Health Center
- Buchanan County Health Center
- Mercyone Oelwein Medical Center
- Grundy County Memorial Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 46 |
| Pacemaker insertion or repair | 26 |
| Leg revascularization (restoring blood flow) | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070220000324 | IA | Practitioner - Cardiovascular Disease (Cardiology) |
9335241413 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36972 | IA | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Luke'S Methodist Hospital | Current | Accepting new patients | |
| Cedar Valley Medical Specialists PC | Family Medicine | Current |
Accepting new patients |
| Allen Memorial Hospital Corporation | Current | Accepting new patients | |
| Cedar Valley Medical Specialists PC | Current |
Accepting new patients | |
| Allen Memorial Hospital Corporation | Current |
Accepting new patients | |
| Floyd County Memorial Hospital Commission | Family Medicine | Past | Accepting new patients |
| Cedar Valley Medical Specialists PC | Past |
Accepting new patients | |
| Allen Memorial Hospital Corporation | Past | Accepting new patients |
Locations
1600 1st St E
Independence, IA 50644
Phone (319) 332-0999
201 8th Ave SE
Oelwein, IA 50662
Phone (319) 283-4321
2405 Rock Island Rd
Oelwein, IA 50662
Phone (319) 283-2651
1753 W Ridgeway Ave
Ste 107
Waterloo, IA 50701
Phone (319) 833-5907
419 E Donald St
Waterloo, IA 50703
Phone (319) 888-7604
4150 Kimball Ave
Waterloo, IA 50701
Phone (319) 235-5390
1825 Logan Ave
Waterloo, IA 50703
Phone (319) 235-3886
312 9th St SW
Ste 3400
Waverly, IA 50677
Phone (319) 483-4029
Interoperability endpoints
- jdib108192@direct.unitypoint.org
- joud.dib@cvms.eclinicaldirectplus.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 36972 | IA | Yes |
Addresses
Primary practice location
419 East Donald Street
Waterloo, IA 50703-1223
Mailing address
PO Box 2758
Waterloo, IA 50704-2758
Phone (319) 235-5390
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 421417307M4 | Other | JOHN DEERE HEALTH CARE | |
| 0749192 | Medicaid | IA | |
| 30680 | Other | WELLMARK HEALTH CARE |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jdib108192@direct.unitypoint.org | Direct | Allen Memorial Hospital Corporation |
Other providers in Waterloo, IA
- Kelli Deserano
- Michael L Deters
- Mary Ellen Deutmeyer
- Devotion Transport LLC
- Laura Dewey
- Jason Dibben
- Jennifer Diemer
- Diercks Senior Care LLC
- Candace Lee Diercks
- Rodney Dieser
All providers in Waterloo, IA · Cardiovascular Disease Physician in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 15, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.