Active NPI
Gagan Deep Kamal, MD
- Anesthesiology Physician
- Iowa City, IA
National Provider Identifier
1124090980
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 26117
- Practice address
- 500 E Market St
Iowa City, IA 52245-2689 - Phone
- (319) 354-2653
- Fax
- (319) 339-1364
- NPI assigned
- Feb 6, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 26117 | IA | Primary |
| Critical Care Medicine (Anesthesiology) Physician | 207LC0200X | 26117 | IA |
Addresses
Primary practice location
500 E Market St
Iowa City, IA 52245-2689
Mailing address
540 E Jefferson St
Ste 106
Iowa City, IA 52245-2479
Phone (319) 354-2653
Other practice location 1
200 Hawkins Dr
Iowa City, IA 52242-1009
Phone (319) 356-2633
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1252338 | Medicaid | IA |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Other, 1978
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
500 E Market St
Iowa City, IA 52245-2633
Phone (319) 339-0300
Merit-based Incentive Payment System (MIPS)
- Final score
- 80.02 of 100
- Quality
- 75.68
- Promoting interoperability
- 78
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.71 of 100
- Quality
- 83.42
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wound Care and Hyperbaric Physicians PLC | Anesthesiology | Current | Accepting new patients |
Locations
500 E Market St
Iowa City, IA 52245
Phone (319) 339-0300
Organizations & group practices 1
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.
-
- Anesthesiology Physician
- Iowa City, IA
- NPI 1386129039
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139184000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701907200000",
"number": "1124090980",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "540 E JEFFERSON ST",
"address_2": "STE 106",
"city": "IOWA CITY",
"state": "IA",
"postal_code": "522452479",
"telephone_number": "319-354-2653",
"fax_number": "319-339-1364"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 E MARKET ST",
"city": "IOWA CITY",
"state": "IA",
"postal_code": "522452689",
"telephone_number": "319-354-2653",
"fax_number": "319-339-1364"
}
],
"practiceLocations": [
{
"address_1": "200 Hawkins Dr",
"address_purpose": "LOCATION",
"city": "Iowa City",
"state": "IA",
"postal_code": "522421009",
"country_code": "US",
"telephone_number": "319-356-2633",
"fax_number": "319-356-2940",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KAMAL",
"first_name": "GAGAN",
"middle_name": "DEEP",
"name_prefix": "Mr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-06",
"last_updated": "2023-12-07",
"certification_date": "2023-12-07",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "IA",
"license": "26117",
"primary": true
},
{
"code": "207LC0200X",
"taxonomy_group": "",
"desc": "Anesthesiology, Critical Care Medicine",
"state": "IA",
"license": "26117",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1252338",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Iowa City, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.