Individual provider Active NPI

Kevin Cong He, M.D.

  • Diagnostic Radiology Physician
  • Waterloo, IA
National Provider Identifier
1205260668
Registry record updated Jul 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MD186026 Issued in OR
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

Updated by the provider on Jul 1, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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, WI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190826003804 IA Practitioner - Diagnostic Radiology 7012271372 Reassigns benefits to 5 organizations
I20190828002942 WI Practitioner - Diagnostic Radiology 7012271372 Reassigns benefits to 1 organization

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
Riverside Radiology and Interventional Associates IncGroup PAC ID 8729976964, 251 clinicians
Lucidsolutions IncGroup PAC ID 0749603462, 84 clinicians

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

OrganizationSpecialtyStatusNew patients
Lucidsolutions, Inc. Diagnostic Radiology CurrentSince Jul 1, 2020 Accepting new patients
Milwaukee Radiologists LTD Diagnostic Radiology CurrentSince Jul 16, 2019 Accepting new patients
Radiology Associates of the Fox Valley, SC Diagnostic Radiology CurrentSince Jan 1, 2026 Accepting new patients
Beloit Radiology LTD Diagnostic Radiology CurrentSince Jan 1, 2022 Accepting new patients
Riverside Radiology and Interventional Associates Inc Diagnostic Radiology CurrentSince Nov 20, 2021 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

  • Direct secure messaging: khe3932341@direct.trinity-health.org
  • Direct secure messaging: 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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.