Caleb Ifeoluwa Oluwadamisi, M.D
Individual provider Active NPI Family Medicine Physician · New Hampton, IA
NPI 1366064560 · NPPES record last updated Feb 18, 2025
Key facts
- NPI
- 1366064560
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- MD-51074 (IA)
- Practice address
- 308 N Maple Ave
New Hampton, IA 50659-1142 - Phone
- (641) 394-2151
- NPI assigned
- May 11, 2020
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 25
Hospital & facility affiliations 8
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Schuyler County Hospital District
Mercy Medical Center New Hampton
Waterloo Emergency Physicians, LLC
Cedar Falls Emergency Physicians, LLC
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
- Chickasaw Co Public Health & Home Care Services
- St Croix Hospice
- Mercy Medical Center-New Hampton
- Sartori Memorial Hospital, Inc
- Mercyone Waterloo Medical Center
- Sarah D Culbertson Memorial Hospital
- Hansen Family Hospital
- Mercy Medical Center-New Hampton
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.78 of 100
- Quality
- 80.38
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (3 enrollments) in IA, IL, IN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230803002713 | IA | Practitioner - Emergency Medicine |
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 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD-51074 | IA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Buena Vista Regional Medical Center | Current |
Accepting new patients | |
| Mercy Medical Center New Hampton | Current | Accepting new patients | |
| Cedar Falls Emergency Physicians, LLC | Current |
Accepting new patients | |
| St Luke'S Methodist Hospital | Current | Accepting new patients | |
| Schuyler County Hospital District | Current |
Accepting new patients | |
| Schuyler County Hospital District | Current |
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 | Current | Accepting new patients | |
| Concord Company of Tennessee PLLC | Current |
Accepting new patients | |
| Waterloo Emergency Physicians, LLC | Current |
Accepting new patients | |
| Mercy Medical Center - New Hampton | Family Medicine | Current |
Accepting new patients |
| Buena Vista Regional Medical Center | Current |
Accepting new patients | |
| Virginia Gay Hospital, Inc | Current |
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) 662-7105
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
- him@nhmhn.cernerdirect.com
- coluwadamsi1195385@direct.unitypoint.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Family Medicine Physician | 207Q00000X | MD-51074 | IA | Yes |
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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | HIM@nhmhn.cernerdirect.com | Direct |
NPI Registry JSON
{
"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": []
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All providers in New Hampton, IA · Family Medicine Physician in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 18, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.