Individual provider Active NPI

David E Puk, MD

  • Ophthalmology Physician
  • Cedar Rapids, IA
National Provider Identifier
1124076518
Registry record updated Aug 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
31231 Issued in IA
Practice address
1650 1St Ave NE
Cedar Rapids, IA 52402-5431
Phone
(319) 362-3937
Fax
(319) 362-2900
NPI assigned
May 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 31231 IA Primary

Addresses

Primary practice location

1650 1St Ave NE
Cedar Rapids, IA 52402-5431

Mailing address

1650 1St Ave NE
Cedar Rapids, IA 52402-5431
Phone (319) 362-3937

Other identifiers 2

IdentifierTypeStateIssuer
1141952MedicaidIA
41549OtherIABCBS OF IOWA

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
I20100427000395 IA Practitioner - Ophthalmology 8123155967 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Iowa, RJ & L Carver College of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Iowa Eye PCGroup PAC ID 2668361940, 8 clinicians

Practice addresses (Care Compare)

1650 1St Ave NE
Cedar Rapids, IA 52402-5431
Phone 3193623937340

Merit-based Incentive Payment System (MIPS)

Final score
89.45 of 100Reported as group
Quality
93.61
Improvement activities
40
Cost
73.36

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery165

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
31231IAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Iowa Eye PC Ophthalmology CurrentSince Feb 1, 1998 Accepting new patients
Iowa Eye PC Ophthalmology CurrentSince Feb 1, 1998 Accepting new patients

Locations

1650 1st Ave NE
Cedar Rapids, IA 52402
Phone (319) 362-3937

Interoperability endpoints

  • Direct secure messaging: david.puk.p1@direct.iowaeyecenter.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 2

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": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690848000000",
    "number": "1124076518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1650 1ST AVE NE",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524025431",
            "telephone_number": "319-362-3937",
            "fax_number": "319-362-2900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 1ST AVE NE",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524025431",
            "telephone_number": "319-362-3937",
            "fax_number": "319-362-2900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PUK",
        "first_name": "DAVID",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-05",
        "last_updated": "2023-08-01",
        "certification_date": "2023-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IA",
            "license": "31231",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1141952",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF IOWA",
            "identifier": "41549",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Rapids, IA

Sources for this page

Verify at the official NPI Registry.