Individual provider Active NPI

Caleb Ifeoluwa Oluwadamisi, M.D

  • Family Medicine Physician
  • New Hampton, IA
National Provider Identifier
1366064560
Registry record updated Feb 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD-51074 Issued in IA
Practice address
308 N Maple Ave
New Hampton, IA 50659-1142
Phone
(641) 394-2151
NPI assigned
May 11, 2020
Last updated
Feb 18, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Family Medicine Physician 207Q00000X MD-51074 IA Primary

Addresses

Primary practice location

308 N Maple Ave
New Hampton, IA 50659-1142

Mailing address

308 N Maple Ave
New Hampton, IA 50659-1142
Phone (641) 394-2151

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address HIM@nhmhn.cernerdirect.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, IL, IN3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20230803002713 IA Practitioner - Emergency MedicinePractitioner - Family Practice 0840651097 Reassigns benefits to 11 organizations
I20251008003525 IL Practitioner - Family Practice 0840651097 Reassigns benefits to 4 organizations
I20251023003754 IN Practitioner - Family Practice 0840651097 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Medical Center New HamptonGroup PAC ID 9032006325, shared by 3 NPIs, 18 clinicians
Waterloo Emergency Physicians, LLCGroup PAC ID 5092246967, 21 clinicians
Cedar Falls Emergency Physicians, LLCGroup PAC ID 9739603507, 20 clinicians

Practice addresses (Care Compare)

238 S Congress St
Rushville, IL 62681-1465
Phone (217) 322-5296

308 N Maple Ave
New Hampton, IA 50659-1142

3421 W 9TH St
Waterloo, IA 50702-5401
Phone (319) 272-8000

515 College St
Cedar Falls, IA 50613-2500
Phone (319) 268-3000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.78 of 100Reported as apm
Quality
80.38
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD-51074IAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Schuyler County Hospital District CurrentSince Aug 2, 2025 Accepting new patients
St Luke's Methodist Hospital Current Accepting new patients
Buena Vista Regional Medical Center Current Accepting new patients
Virginia Gay Hospital, Inc CurrentSince Jul 14, 2025 Accepting new patients
Buena Vista Regional Medical Center CurrentSince Jun 14, 2025 Accepting new patients
Schuyler County Hospital District CurrentSince Aug 2, 2025 Accepting new patients
Cedar Falls Emergency Physicians, LLC CurrentSince Jun 10, 2025 Accepting new patients
Mercy Medical Center - New Hampton Family Medicine CurrentSince Jul 17, 2023 Accepting new patients
Waterloo Emergency Physicians, LLC CurrentSince Sep 1, 2025 Accepting new patients
Concord Company of Tennessee PLLC CurrentSince Sep 5, 2025 Accepting new patients
Mercy Medical Center New Hampton CurrentSince Jul 17, 2023 Accepting new patients
Mercy Medical Center New Hampton Current Accepting new patients
Buena Vista Regional Medical Center Current Accepting new patients
Buena Vista Regional Medical Center CurrentSince Jun 14, 2025 Accepting new patients
Floyd County Memorial Hospital Commission Family Medicine Past Accepting new patients

Locations

401 Cardinal Ave
Atkins, IA 52206
Phone (319) 446-6231

515 College St
Cedar Falls, IA 50613
Phone (319) 268-3000

308 N Maple Ave
New Hampton, IA 50659
Phone (641) 394-2151

211 Highland Ave
Sac City, IA 50583
Phone (712) 662-6379

1525 W 5th St
Storm Lake, IA 50588
Phone (712) 732-4030

502 N 9th Ave
Vinton, IA 52349
Phone (319) 472-6200

3421 W 9th St
Waterloo, IA 50702
Phone (319) 272-7050

238 S Congress St
Rushville, IL 62681
Phone (217) 322-4321

1400 E 9th St
Rochester, IN 46975
Phone (574) 223-2020

8885 State Road 237
Tell City, IN 47586
Phone (812) 547-0185

Interoperability endpoints

  • Direct secure messaging: coluwadamsi1195385@direct.unitypoint.org
  • Direct secure messaging: him@nhmhn.cernerdirect.com

Organizations & group practices 20

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.

View all 20

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1589155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739836800000",
    "number": "1366064560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 N MAPLE AVE",
            "city": "NEW HAMPTON",
            "state": "IA",
            "postal_code": "506591142",
            "telephone_number": "641-394-2151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 N MAPLE AVE",
            "city": "NEW HAMPTON",
            "state": "IA",
            "postal_code": "506591142",
            "telephone_number": "641-394-2151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OLUWADAMISI",
        "first_name": "CALEB",
        "middle_name": "IFEOLUWA",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-05-11",
        "last_updated": "2025-02-18",
        "certification_date": "2025-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "MD-51074",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "HIM@nhmhn.cernerdirect.com",
            "affiliation": "N",
            "endpointDescription": "MercyOne New Hampton Medical Center",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "308 N Maple Ave",
            "city": "New Hampton",
            "state": "IA",
            "country_code": "US",
            "postal_code": "506591142",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in New Hampton, IA

Sources for this page

Verify at the official NPI Registry.