Organization Active NPI

Fiat Family Medicine

  • Family Medicine Physician
  • Waterloo, IA
National Provider Identifier
1194238535
Registry record updated Nov 7, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD34769 Issued in IA
Legal business name
FIAT FAMILY MEDICINE
Practice address
220 Southbrooke Dr
Waterloo, IA 50702-5802
Phone
(319) 236-7751
Fax
(319) 236-7753
NPI assigned
Nov 7, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2017

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

Authorized official

Name
Dr. Robert Stephen Pranger, MDNPI 1972582856
Title
Physician
Phone
(319) 236-7751

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X MD34769 IA Primary

Addresses

Primary practice location

220 Southbrooke Dr
Waterloo, IA 50702-5802

Mailing address

220 Southbrooke Dr
Waterloo, IA 50702-5802
Phone (319) 236-7751

Other names 1

  • Kettman Pranger family Medicine, PLLC Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180109000851 IA Part B Supplier - Clinic/Group Practice 9739448267 Receives reassigned benefits from 2 practitioners
Practice locations: Waterloo, IA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
16D2008105Fiat Family Medicine220 Southbrooke Drive, Waterloo, IA 50702Provider-performed microscopyAug 22, 2026

National Provider Directory

National Provider Directory

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/16707/brand/1/csg/1/fhir/r4

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1510012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1510012800000",
    "number": "1194238535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 SOUTHBROOKE DR",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507025802",
            "telephone_number": "319-236-7751",
            "fax_number": "319-236-7753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 SOUTHBROOKE DR",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507025802",
            "telephone_number": "319-236-7751",
            "fax_number": "319-236-7753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIAT FAMILY MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-07",
        "last_updated": "2017-11-07",
        "status": "A",
        "authorized_official_last_name": "PRANGER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "STEPHEN",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "319-236-7751",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "MD34769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kettman Pranger family Medicine, PLLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Waterloo, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.