NPIMap

Individual provider Active NPI

Joe Moonjely, MD

  • Internal Medicine Physician
  • Coralville, IA
National Provider Identifier
1215021753
Registry record updated Apr 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD-35090 Issued in IA
Practice address
2769 Heartland Dr Ste 205
Coralville, IA 52241-2732
Phone
(319) 887-2900
Fax
(319) 887-2904
NPI assigned
Oct 2, 2006
Last updated
Apr 18, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD-35090 IA Primary

Addresses

Primary practice location

2769 Heartland Dr Ste 205
Coralville, IA 52241-2732

Mailing address

200 Hawkins Dr
Iowa City, IA 52242-1009
Phone (319) 887-2900

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101109001409 IA Practitioner - Internal Medicine 0042405607 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Progressive Rehabilitation Associates LLCGroup PAC ID 2961443072, 275 clinicians
State University of IowaGroup PAC ID 7618884230, 1,886 clinicians

Practice addresses (Care Compare)

1130 S Scott Blvd
Suite 1
Iowa City, IA 52240-2909
Phone (319) 354-2429

2769 Heartland Dr
Suite 205
Coralville, IA 52241-2732
Phone (319) 887-2900

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.02 of 100Reported as group
Quality
75.68
Promoting interoperability
78
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD-35090IAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
State University of Iowa Internal Medicine CurrentSince Jan 31, 2024 Accepting new patients
Mercy Hospital, Iowa City, Iowa Current Accepting new patients
State University of Iowa Past Accepting new patients
Genesee Valley Group Health Association Past Accepting new patients

Locations

200 Hawkins Dr
Iowa City, IA 52242
Phone (319) 356-1616

200 Hawkins Dr
#H
Iowa City, IA 52242
Phone (319) 356-1616

269 N 1st Ave
Iowa City, IA 52245
Phone (319) 339-3541

2769 Heartland Dr
Ste 205
Iowa City, IA 52241
Phone (319) 688-7400

Interoperability endpoints

  • Direct secure messaging: joemoonjely@mic.allscriptsdirect.net

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

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": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713398400000",
    "number": "1215021753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 HAWKINS DR",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522421009",
            "telephone_number": "319-887-2900",
            "fax_number": "319-887-2904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2769 HEARTLAND DR STE 205",
            "city": "CORALVILLE",
            "state": "IA",
            "postal_code": "522412732",
            "telephone_number": "319-887-2900",
            "fax_number": "319-887-2904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOONJELY",
        "first_name": "JOE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2024-04-18",
        "certification_date": "2024-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IA",
            "license": "MD-35090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Coralville, IA

Sources for this page

Verify at the official NPI Registry.