Individual provider Active NPI

Alex Kartvelishvili, M.D.

  • Ophthalmology Physician
  • Iowa City, IA
National Provider Identifier
1215124706
Registry record updated Feb 15, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
42695 Issued in IA
Practice address
2225 Mormon Trek Blvd Ste 100
Iowa City, IA 52246-4407
Phone
(641) 754-6200
Fax
(641) 754-6245
NPI assigned
Sep 27, 2007
Sex
Male
Sole proprietor
No

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.

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
State University of New York Downstate Medical Center, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wolfe Clinic Inc 37 clinicians

Practice addresses (Care Compare)

2225 Mormon Trek Blvd
Suite 100
Iowa City, IA 52246-4407
Phone (319) 337-5770

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150715000824 IA Practitioner - Ophthalmology 4284809120 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
42695IAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Missouri Eye Institute of Joplin LLC Ophthalmology CurrentSince Dec 6, 2016 Accepting new patients
Wolfe Clinic Inc Ophthalmology CurrentSince Jan 29, 2024 Accepting new patients
Riley F Uglum, OD PC Past Accepting new patients
Floyd County Memorial Hospital Commission Past Accepting new patients
Wolfe Clinic Eye Centers LC PastSince Oct 1, 2016 Accepting new patients

Locations

516 Division St
Ste 120B
Cedar Falls, IA 50613
Phone (319) 277-0103

516 Division St
Ste 120
Cedar Falls, IA 50613
Phone (319) 266-0345

1195 Boyson Rd
Ste 200
Hiawatha, IA 52233
Phone (319) 362-8032

2225 Mormon Trek Blvd
Ste 100
Iowa City, IA 52246
Phone (319) 337-5770

309 E Church St
Marshalltown, IA 50158
Phone (515) 754-6200

8 E Spring St
New Hampton, IA 50659
Phone (641) 394-2326

1005 Pennsylvania Ave
Ste 110
Ottumwa, IA 52501
Phone (515) 682-8571

5900 E University Ave
Ste 202
Pleasant Hill, IA 50327
Phone (515) 262-3988

6200 Westown Pkwy
West Des Moines, IA 50266
Phone (515) 222-9880

112 Jefferson St
West Union, IA 52175
Phone (563) 422-3811

1905 W 32nd St
Ste 301
Joplin, MO 64804
Phone (417) 624-8408

1531 E Bradford Pkwy
Ste 100
Springfield, MO 65804

Interoperability endpoints

  • Direct secure messaging: akartvelishvili@wolfe.intellechartdirect.net
  • Direct secure messaging: alex.kartvelishvili@cernerdirect.coxhealth.com

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 42695 IA Primary
Retina Specialist (Ophthalmology) Physician 207WX0107X 42695 IA

Addresses

NPPES NPI Registry

Primary practice location

2225 Mormon Trek Blvd Ste 100
Iowa City, IA 52246-4407

Mailing address

309 E Church St
Marshalltown, IA 50158-2946
Phone (641) 754-6200

Other identifiers 2

NPPES NPI Registry
IdentifierTypeStateIssuer
1215124706OtherIAWELLMARK
1215124706MedicaidIA

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 15, 2018.

{
    "created_epoch": "1190851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1518652800000",
    "number": "1215124706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 E CHURCH ST",
            "city": "MARSHALLTOWN",
            "state": "IA",
            "postal_code": "501582946",
            "telephone_number": "641-754-6200",
            "fax_number": "641-754-6245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2225 MORMON TREK BLVD STE 100",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522464407",
            "telephone_number": "641-754-6200",
            "fax_number": "641-754-6245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KARTVELISHVILI",
        "first_name": "ALEX",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-27",
        "last_updated": "2018-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IA",
            "license": "42695",
            "primary": true
        },
        {
            "code": "207WX0107X",
            "taxonomy_group": "",
            "desc": "Ophthalmology, Retina Specialist",
            "state": "IA",
            "license": "42695",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK",
            "identifier": "1215124706",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1215124706",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Iowa City, IA

Sources for this page

Verify at the official NPI Registry.