Individual provider Active NPI

Ankura Kadakia, DO

  • Pediatrics Physician
  • Dubuque, IA
National Provider Identifier
1235583956
Registry record updated Jul 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
OS17877 Issued in FL
Practice address
1500 Delhi St Ste 3500
Dubuque, IA 52001-6321
Phone
(563) 557-3900
NPI assigned
Apr 19, 2016
Last updated
Jul 11, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 11, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 06063 IA
Pediatrics Physician 208000000X OS17877 FL Primary

Addresses

Primary practice location

1500 Delhi St Ste 3500
Dubuque, IA 52001-6321

Mailing address

1515 Delhi St Ste 100
Dubuque, IA 52001-6320

Other practice location 1

145 Miami Ave E
Venice, FL 34285-2407
Phone (941) 261-0088

Other names 1

  • Ankura Patel Former name

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
I20220714001081 IA Practitioner - Pediatric Medicine 3870996614 Reassigns benefits to 1 organization
I20260505001454 WI Practitioner - Pediatric Medicine 3870996614 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
Western Un of HLTH Sciences, Col of Podiatric Med, 2018
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

800 Compassion Way
Dodgeville, WI 53533-1956

880 Independence LN
Sauk City, WI 53583-1381

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
06063IAMDEndodontist
OS17877FLMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Luke's Methodist Hospital Current Accepting new patients
Iowa Physicians Clinic Medical Foundation Pediatrics CurrentSince May 4, 2025 Accepting new patients

Locations

4480 Utica Ridge Rd
Ste 160
Bettendorf, IA 52722
Phone (563) 742-5950

4480 Utica Ridge Rd
Ste 2230
Bettendorf, IA 52722
Phone (563) 742-5150

1500 Delhi St
Ste 3500
Dubuque, IA 52001
Phone (563) 557-3900

1515 Delhi St
Ste 100
Dubuque, IA 52001
Phone (319) 557-9111

Interoperability endpoints

  • Direct secure messaging: akadakia911718@direct.unitypoint.org

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1461024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657497600000",
    "number": "1235583956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 DELHI ST STE 100",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520016320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 DELHI ST STE 3500",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520016321",
            "telephone_number": "563-557-3900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "145 Miami Ave E",
            "address_purpose": "LOCATION",
            "city": "Venice",
            "state": "FL",
            "postal_code": "342852407",
            "country_code": "US",
            "telephone_number": "941-261-0088",
            "fax_number": "941-480-0006",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KADAKIA",
        "first_name": "ANKURA",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-04-19",
        "last_updated": "2022-07-11",
        "certification_date": "2022-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IA",
            "license": "06063",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "OS17877",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANKURA",
            "last_name": "PATEL",
            "credential": "DO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Dubuque, IA

Sources for this page

Verify at the official NPI Registry.