Maharishi International University

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

MAHARISHI INTERNATIONAL UNIVERSITY

Practice address

1100 N 4TH St Ste 143
Fairfield, IA 52556-2169

Phone

(641) 472-1270

Fax

(641) 472-1285

NPI assigned

May 30, 2023

Last updated

Dec 12, 2024By 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

Jawahar SundaramNPI 1720082100

Title

Medical Director

Phone

(641) 472-1270

Specialties & licenses 1

Addresses

Other names 1

• Maharishi University Management - Integrative Wellness Center Former legal business name

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jawahar Sundaram, MD

  • Family Medicine Physician
  • Los Angeles, CA
  • NPI 1720082100

  IA

  Medicare reassignment NPD Authorized official
• James Stephen Brooks, MD

  • Psychiatry Physician
  • Fairfield, IA
  • NPI 1346210184
  NPD (past)

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

{
    "created_epoch": "1685404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733961600000",
    "number": "1366135162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 N 4TH ST STE 143",
            "city": "FAIRFIELD",
            "state": "IA",
            "postal_code": "525562169",
            "telephone_number": "641-472-1270",
            "fax_number": "641-472-1285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 N 4TH ST STE 143",
            "city": "FAIRFIELD",
            "state": "IA",
            "postal_code": "525562169",
            "telephone_number": "641-472-1270",
            "fax_number": "641-472-1285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAHARISHI INTERNATIONAL UNIVERSITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-30",
        "last_updated": "2024-12-12",
        "certification_date": "2024-12-12",
        "status": "A",
        "authorized_official_last_name": "SUNDARAM",
        "authorized_official_first_name": "JAWAHAR",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "641-472-1270"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Maharishi University Management - Integrative Wellness Center",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Tracy Liptak, LISW
• Nancy K Lonsdorf, M.D.
• Hannah Marie Losey, PT, DPT, ATC
• Karen S Machholzwesely, COTA
• Madison County Medical Equipment Inc (Jackson Medical Supply)
• Jaime Ann Martin, PTA
• Claudia Mast, LMSW
• Mandy Jo McCarty, NP-C
• Katherine Page McCloney, DPT
• Judy Elizabeth McClure, LPN

• Clinic/Center in Fairfield, IA
• Providers in Fairfield, IA by specialty
• Clinic/Center in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.