Active NPI
Donald Wayne Hilliard, MD
- Family Medicine Physician
- Cedar Rapids, IA
National Provider Identifier
1366428526
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 21289
- Practice address
- 411 10TH St SE
Suite 2500
Cedar Rapids, IA 52403-2429 - Phone
- (319) 363-2268
- Fax
- (319) 363-7132
- NPI assigned
- Dec 20, 2005
- Sex
- Male
- 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 | 21289 | IA | Primary |
Addresses
Primary practice location
411 10TH St SE
Suite 2500
Cedar Rapids, IA 52403-2429
Mailing address
PO Box 1824
Cedar Rapids, IA 52406-1824
Phone (319) 369-4505
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1169755 | Medicaid | IA |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21289 | IA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Physician Associates, Inc | Family Medicine | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Family Medicine Physician
- Cedar Rapids, IA
- NPI 1154527638
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135036800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1195516800000",
"number": "1366428526",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1824",
"city": "CEDAR RAPIDS",
"state": "IA",
"postal_code": "524061824",
"telephone_number": "319-369-4505"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "411 10TH ST SE",
"address_2": "SUITE 2500",
"city": "CEDAR RAPIDS",
"state": "IA",
"postal_code": "524032429",
"telephone_number": "319-363-2268",
"fax_number": "319-363-7132"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HILLIARD",
"first_name": "DONALD",
"middle_name": "WAYNE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-20",
"last_updated": "2007-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IA",
"license": "21289",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1169755",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cedar Rapids, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.