Individual provider Active NPI

Vandana Jain, M.D.

  • Radiation Oncology Physician
  • Waterloo, IA
National Provider Identifier
1083684757
Registry record updated Aug 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
29916 Issued in IA
Practice address
200 E Ridgeway Ave
Waterloo, IA 50702-5060
Phone
(319) 272-2800
Fax
(319) 272-2807
NPI assigned
Jan 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X 29916 IA Primary

Addresses

Primary practice location

200 E Ridgeway Ave
Waterloo, IA 50702-5060

Mailing address

PO Box 2910
Waterloo, IA 50704-2910
Phone (319) 233-3044

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
I20110323000827 IA Practitioner - Radiation Oncology 2062450703 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
Other, 1990
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)

200 E Ridgeway Ave
Suite CTC
Waterloo, IA 50702-5060
Phone (319) 272-2800

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
29916IAMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Medical Center-Dubuque CurrentSince Jan 18, 2026 Accepting new patients
St Luke's Methodist Hospital Current Accepting new patients
Mercy Medical Center-Dubuque CurrentSince Jan 18, 2026 Accepting new patients
Covenant Medical Center Inc CurrentSince Sep 3, 2019 Accepting new patients
Covenant Medical Center, Inc. CurrentSince Sep 3, 2019 Accepting new patients
Floyd County Memorial Hospital Commission Past Accepting new patients

Locations

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

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

250 Mercy Dr
Dubuque, IA 52001
Phone (563) 589-8000

200 E Ridgeway Ave
Ste Ctc
Waterloo, IA 50702
Phone (319) 272-2800

200 E Ridgeway Ave
Waterloo, IA 50702
Phone (319) 272-2070

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

Interoperability endpoints

  • Direct secure messaging: vjain108322@direct.unitypoint.org

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1138147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409097600000",
    "number": "1083684757",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2910",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507042910",
            "telephone_number": "319-233-3044",
            "fax_number": "319-233-0722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 E RIDGEWAY AVE",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507025060",
            "telephone_number": "319-272-2800",
            "fax_number": "319-272-2807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAIN",
        "first_name": "VANDANA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-25",
        "last_updated": "2014-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "IA",
            "license": "29916",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterloo, IA

Sources for this page

Verify at the official NPI Registry.