Individual provider Active NPI

Nasredin A Dalil, M.D.

  • Family Medicine Physician
  • Cedar Rapids, IA
National Provider Identifier
1083650071
Registry record updated Feb 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD-38106 Issued in IA
Practice address
4325 Williams Blvd SW
Suite 100
Cedar Rapids, IA 52404
Phone
(319) 368-8400
Fax
(319) 368-8405
NPI assigned
Jun 20, 2006
Last updated
Feb 1, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X R7782 IA
Family Medicine Physician 207Q00000X MD-38106 IA Primary

Addresses

Primary practice location

4325 Williams Blvd SW
Suite 100
Cedar Rapids, IA 52404

Mailing address

4325 Williams Blvd SW
Suite 100
Cedar Rapids, IA 52404
Phone (319) 368-8400

Other identifiers 1

IdentifierTypeStateIssuer
R7782OtherIAIOWA RESIDENT LICENSE

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
I20081112000503 IA Practitioner - Family PracticePractitioner - Emergency Medicine 7719046242 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Progressive Rehabilitation Associates LLCGroup PAC ID 2961443072, 275 clinicians

Practice addresses (Care Compare)

1130 S Scott Blvd
Suite 1
Iowa City, IA 52240-2909
Phone (319) 354-2429

4325 Williams Blvd SW
Unity Point Clinic
Cedar Rapids, IA 52404-3436
Phone (319) 368-8400

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R7782IAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Luke's Methodist Hospital Current Accepting new patients
Iowa Physicians Clinic Medical Foundation Family Medicine CurrentSince Oct 12, 2020 Accepting new patients
Abbe Center for Community Mental Health, Inc PastSince Feb 7, 2021 Accepting new patients

Locations

4480 Utica Ridge Rd
Ste 160
Bettendorf, IA 52722
Phone (563) 742-5950

4480 Utica Ridge Rd
Ste 2230
Bettendorf, IA 52722
Phone (563) 742-5150

1015 Union St
Boone, IA 50036
Phone (515) 432-3140

4325 Williams Blvd SW
Cedar Rapids, IA 52404
Phone (319) 368-8400

4325 Williams Blvd SW
Ste 100
Cedar Rapids, IA 52404
Phone (319) 368-8400

201 E J Ave
Grundy Center, IA 50638
Phone (319) 824-5081

709 W Main St
Manchester, IA 52057
Phone (563) 927-3232

201 8th Ave SE
Oelwein, IA 50662
Phone (319) 283-4321

Interoperability endpoints

  • Direct secure messaging: ndalil128050@direct.unitypoint.org

Organizations & group practices 4

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

Hospital & facility affiliations 3

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": "1150761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612137600000",
    "number": "1083650071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4325 WILLIAMS BLVD SW",
            "address_2": "SUITE 100",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "52404",
            "telephone_number": "319-368-8400",
            "fax_number": "319-368-8405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4325 WILLIAMS BLVD SW",
            "address_2": "SUITE 100",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "52404",
            "telephone_number": "319-368-8400",
            "fax_number": "319-368-8405"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALIL",
        "first_name": "NASREDIN",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-20",
        "last_updated": "2021-02-01",
        "certification_date": "2021-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "R7782",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "MD-38106",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IOWA RESIDENT LICENSE",
            "identifier": "R7782",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Rapids, IA

Sources for this page

Verify at the official NPI Registry.