Iowa Internists PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

IOWA INTERNISTS PC

Practice address

300 N 4TH Ave E
Suite 140B
Newton, IA 50208-3155

Phone

(641) 792-0377

Fax

(641) 792-3852

NPI assigned

Dec 6, 2006

Last updated

Jul 11, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Gautam Kakade, M.D.

Title

President

Phone

(641) 792-0377

Specialties & licenses 1

Addresses

Other identifiers 3

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

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215734400000",
    "number": "1285793588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 N 4TH AVE E",
            "address_2": "SUITE 140B",
            "city": "NEWTON",
            "state": "IA",
            "postal_code": "502083155",
            "telephone_number": "641-792-0377",
            "fax_number": "641-792-3852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 N 4TH AVE E",
            "address_2": "SUITE 140B",
            "city": "NEWTON",
            "state": "IA",
            "postal_code": "502083155",
            "telephone_number": "641-792-0377",
            "fax_number": "641-792-3852"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IOWA INTERNISTS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-06",
        "last_updated": "2008-07-11",
        "status": "A",
        "authorized_official_last_name": "KAKADE",
        "authorized_official_first_name": "GAUTAM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "641-792-0377",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1475806",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "26694",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MIDLANDS CHOICE",
            "identifier": "247850",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Newton, IA
• Providers in Newton, IA by specialty
• Internal Medicine Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.