Diana Jeries Rabadi-Marar, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

32629 Issued in IA

Practice address

1701 West Broadway
Council Bluffs, IA 51501

Phone

(712) 256-5600

Fax

(712) 256-3440

NPI assigned

Aug 1, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Internal Medicine

Education

Other, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

West Broadway Clinic, PCGroup PAC ID 2961580667, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Angels Care Home Health of Iowa Home health agency, Council Bluffs, IA, CCN 167292
• Methodist Jennie Edmundson Hospital, Council Bluffs, IA, CCN 160047
• CHI Health Mercy Council Bluffs Hospital, Council Bluffs, IA, CCN 160028
• CHI Health Bergan Mercy Hospital, Omaha, NE, CCN 280060

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir-myrecord.cerner.com/r4/54bd9abd-9cf5-47af-bd4c-c4fcdbd30c2f/

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.

• West Broadway Clinic, PC

  • Internal Medicine Physician
  • Council Bluffs, IA
  • NPI 1407031230
  Medicare reassignment Care Compare group NPD
• N a Massih MD PC

  • Internal Medicine Physician
  • Omaha, NE
  • NPI 1598981557
  NPD (past)

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

• Alegent Health Bergan Mercy Health System

  • General Acute Care Hospital
  • Council Bluffs, IA
  • NPI 1265517759
  Care Compare affiliation
• Family Touch Home Health Care, LLC

  • Home Health Agency
  • Council Bluffs, IA
  • NPI 1902805039
  Care Compare affiliation
• Jennie Edmundson Memorial Hospital

  • General Acute Care Hospital
  • Council Bluffs, IA
  • NPI 1457448755
  Care Compare affiliation
• Alegent Health Bergan Mercy Health System

  • Psychiatric Hospital Unit
  • Omaha, NE
  • NPI 1396969499
  Care Compare affiliation
• Alegent Health Bergan Mercy Health System

  • General Acute Care Hospital
  • Omaha, NE
  • NPI 1508941097
  Care Compare affiliation

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1268697600000",
    "number": "1366458945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 WEST BROADWAY",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "51501",
            "telephone_number": "712-256-5600",
            "fax_number": "712-256-3440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 WEST BROADWAY",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "51501",
            "telephone_number": "712-256-5600",
            "fax_number": "712-256-3440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RABADI-MARAR",
        "first_name": "DIANA",
        "middle_name": "JERIES",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-01",
        "last_updated": "2010-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IA",
            "license": "32629",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3183178",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jamie Renea Pugh, LPN
• Pulmonary Infectious Disease Associates PC
• Joseph Quattrocchi Jr., D.D.S.
• Christy Michelle Quillen, ARNP
• Laura Quinnette, PA-C
• Radiant Complexions Dermatology Clinic of Council Bluffs, PLC
• Rebekah Ramirez
• Amanda Lynn Randolph, PLMHP
• Brenna L Rasmussen
• Edward Aaron Rastovski, PHARM.D.

• Internal Medicine Physician in Council Bluffs, IA
• Providers in Council Bluffs, IA by specialty
• Internal Medicine Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2010; 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.

Verify at the official NPI Registry.