Active NPI
Kinza Ali, M.D
- Family Medicine Physician
- Waterloo, IA
National Provider Identifier
1346867439
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- R-11752
- Practice address
- 2055 Kimball Avenue
Suite 101
Waterloo, IA 50702 - Phone
- (647) 505-0120
- Fax
- (319) 272-2107
- NPI assigned
- Jul 6, 2020
- Last updated
- Sep 23, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | R-11752 | IA | Primary |
Addresses
Primary practice location
2055 Kimball Avenue
Suite 101
Waterloo, IA 50702
Mailing address
2055 Kimball Avenue
Suite 101
Waterloo, IA 50702
Phone (647) 505-0120
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1593993600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600819200000",
"number": "1346867439",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2055 KIMBALL AVENUE",
"address_2": "SUITE 101",
"city": "WATERLOO",
"state": "IA",
"postal_code": "50702",
"telephone_number": "647-505-0120",
"fax_number": "319-272-2107"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2055 KIMBALL AVENUE",
"address_2": "SUITE 101",
"city": "WATERLOO",
"state": "IA",
"postal_code": "50702",
"telephone_number": "647-505-0120",
"fax_number": "319-272-2107"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALI",
"first_name": "KINZA",
"credential": "M.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-07-06",
"last_updated": "2020-09-23",
"certification_date": "2020-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IA",
"license": "R-11752",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Waterloo, IA
- Cassandra Alderman, TLMHC, CADC
- Christopher Michael Aldrich, DDS
- Judee Marie Alexander, LISW
- Alexandria McNamee LLC
- Alexandria Urology P.C.
- Sadia Ali, M.D.
- Emily K Allaire, LISW, CADC
- Laurie Beth Allbaugh, R.PH.
- Allen Memorial Hospital (United Med Park Clinic Pharmacy)
- Allen Memorial Hospital (Allen Memorial Hospital Medical Equipment Services)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.