Active NPI
Kevin Cong He, M.D.
- Diagnostic Radiology Physician
- Waterloo, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- MD186026
- Practice address
- 3712 Pheasant LN
Waterloo, IA 50701-5239 - Phone
- (503) 418-0990
- NPI assigned
- Aug 21, 2013
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | MD186026 | OR | Primary |
Addresses
Primary practice location
3712 Pheasant LN
Waterloo, IA 50701-5239
Mailing address
3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011
Phone (503) 418-0990
Other practice location 1
3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011
Phone (503) 494-6130
Other practice location 2
3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011
Phone (503) 418-0990
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA, WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- New York Medical College, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 University Way
Unit 114
Iowa City, IA 52246-1740
Phone (614) 340-7740
3421 W 9TH St
Waterloo, IA 50702-5401
Phone (319) 272-7070
3712 Pheasant LN
Waterloo, IA 50701-5239
Phone (614) 340-7740
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lucidsolutions, Inc. | Diagnostic Radiology | Current | Accepting new patients |
| Milwaukee Radiologists LTD | Diagnostic Radiology | Current | Accepting new patients |
| Radiology Associates of the Fox Valley, SC | Diagnostic Radiology | Current | Accepting new patients |
| Beloit Radiology LTD | Diagnostic Radiology | Current | Accepting new patients |
| Riverside Radiology and Interventional Associates Inc | Diagnostic Radiology | Current | Accepting new patients |
Locations
3421 W 9th St
Waterloo, IA 50702
Phone (319) 272-7050
200 E Ridgeway Ave
Waterloo, IA 50702
Phone (319) 272-2070
39856 Treasury Ctr
Chicago, IL 60694
3111 W Rawson Ave
Franklin, WI 53132
Phone (414) 325-4300
Interoperability endpoints
- khe3932341@direct.trinity-health.org
- khe811911@direct.bsmhealth.org
Organizations & group practices 5
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.
-
- Diagnostic Radiology Physician
- Columbus, OH
- NPI 1093718496
IA
-
- Diagnostic Radiology Physician
- Neenah, WI
- NPI 1477539443
IA
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Allen Hospital
- General Acute Care Hospital
- Waterloo, IA
- NPI 1336231091
-
dba MercyOne Waterloo Medical Center
- General Acute Care Hospital
- Waterloo, IA
- NPI 1700827896
-
dba MercyOne Oelwein Medical Center
- Critical Access Hospital
- Oelwein, IA
- NPI 1528009511
-
dba MercyOne Cedar Falls Medical Center
- General Acute Care Hospital
- Cedar Falls, IA
- NPI 1942241955
-
- Critical Access Hospital
- Waverly, IA
- NPI 1447299953
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1377043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782864000000",
"number": "1205260668",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3181 SW SAM JACKSON PARK RD",
"city": "PORTLAND",
"state": "OR",
"postal_code": "972393011",
"telephone_number": "503-418-0990",
"fax_number": "503-494-4982"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3712 PHEASANT LN",
"city": "WATERLOO",
"state": "IA",
"postal_code": "507015239",
"telephone_number": "503-418-0990"
}
],
"practiceLocations": [
{
"address_1": "3181 SW Sam Jackson Park Rd",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "OR",
"postal_code": "972393011",
"country_code": "US",
"telephone_number": "503-494-6130",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3181 SW Sam Jackson Park Rd",
"address_purpose": "LOCATION",
"city": "Portland",
"state": "OR",
"postal_code": "972393011",
"country_code": "US",
"telephone_number": "503-418-0990",
"fax_number": "503-494-4982",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HE",
"first_name": "KEVIN",
"middle_name": "CONG",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-08-21",
"last_updated": "2026-07-01",
"certification_date": "2026-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "OR",
"license": "MD186026",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Jul 1, 2026; 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.