Active NPI
Carla J Springer, M.D.
- Family Medicine Physician
- Waterloo, IA
National Provider Identifier
1356382923
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 37633
- Practice address
- 1015 S Hackett Rd
Suite 100
Waterloo, IA 50701-3500 - Phone
- (319) 274-1000
- Fax
- (319) 292-6526
- NPI assigned
- Jun 8, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | R7503 | IA | |
| Family Medicine Physician | 207Q00000X | 37633 | IA | Primary |
Addresses
Primary practice location
1015 S Hackett Rd
Suite 100
Waterloo, IA 50701-3500
Mailing address
1015 S Hackett Rd
Suite 100
Waterloo, IA 50701-3500
Phone (319) 374-1000
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0469924 | Medicaid | IA | |
| 1356382923 | Medicaid | IA | |
| P00819893 | Other | IA | RR MEDICARE |
Other names 1
- Carla J Riley
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4480 Utica Ridge Rd
Bettendorf, IA 52722-1644
4480 Utica Ridge Rd
Suite 160
Bettendorf, IA 52722-1637
Phone (563) 742-5950
5100 Prairie Pkwy
Cedar Falls, IA 50613-8155
Hospital & facility affiliations
- Unitypoint at Home
- Cedar Valley Hospice
- Allen Hospital
- The Suites at Western Home Communities
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 37633 | IA | MD | Family Medicine Physician |
| R7503 | IA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Luke'S Methodist Hospital | Current | Accepting new patients | |
| Floyd County Memorial Hospital Commission | Family Medicine | Past | Accepting new patients |
Interoperability endpoints
- cspringer108419@direct.unitypoint.org
Organizations & group practices 3
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.
-
- General Practice Physician
- West Des Moines, IA
- NPI 1366425274
-
- General Acute Care Hospital
- Cedar Rapids, IA
- NPI 1083708226
-
- Critical Access Hospital
- Charles City, IA
- NPI 1265402390
Family Medicine
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Waterloo, IA
- NPI 1336231091
-
- Community Based Hospice Care Agency
- Waterloo, IA
- NPI 1730304619
-
- Home Health Agency
- Waterloo, IA
- NPI 1154623460
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1320019200000",
"number": "1356382923",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1015 S HACKETT RD",
"address_2": "SUITE 100",
"city": "WATERLOO",
"state": "IA",
"postal_code": "507013500",
"telephone_number": "319-374-1000",
"fax_number": "319-292-6526"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1015 S HACKETT RD",
"address_2": "SUITE 100",
"city": "WATERLOO",
"state": "IA",
"postal_code": "507013500",
"telephone_number": "319-274-1000",
"fax_number": "319-292-6526"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPRINGER",
"first_name": "CARLA",
"middle_name": "J",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-08",
"last_updated": "2011-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IA",
"license": "R7503",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IA",
"license": "37633",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0469924",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1356382923",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P00819893",
"state": "IA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "CARLA",
"last_name": "RILEY",
"middle_name": "J",
"credential": "M.D.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Waterloo, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.