Individual provider Active NPI

Douglas J Purdy, MD

  • Gastroenterology Physician
  • Cedar Rapids, IA
National Provider Identifier
1376528562
Registry record updated Dec 7, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
29761 Issued in IA
Practice address
931 8TH Ave SE
Cedar Rapids, IA 52401-2121
Phone
(319) 366-8695
Fax
(319) 366-0795
NPI assigned
Dec 9, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 29761 IA Primary

Addresses

Primary practice location

931 8TH Ave SE
Cedar Rapids, IA 52401-2121

Mailing address

931 8TH Ave SE
Cedar Rapids, IA 52401-2121
Phone (319) 366-8695

Other identifiers 1

IdentifierTypeStateIssuer
2107961MedicaidIA

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20100817000768 IA Practitioner - Gastroenterology 9032243720 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Southern Illinois University School of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Lukes Methodist HospitalGroup PAC ID 6608786751, 82 clinicians

Practice addresses (Care Compare)

931 8TH Ave SE
Unity Point Gastroenterology
Cedar Rapids, IA 52401-2121
Phone (319) 366-8695

Hospital & facility affiliations

  • St Lukes Hospital Hospital, Cedar Rapids, IA, CCN 160045

Merit-based Incentive Payment System (MIPS)

Final score
80.76 of 100Reported as group
Quality
75.82
Promoting interoperability
81
Improvement activities
40
Cost
75.88

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy159
Upper gastrointestinal (GI) endoscopy for acid reflux147

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
29761IAMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. Luke'S Methodist Hospital CurrentSince Mar 1, 2018 Accepting new patients
St Luke'S Methodist Hospital CurrentSince Mar 1, 2018 Accepting new patients
Trinity Regional Medical Center Past Accepting new patients

Locations

931 8th Ave SE
Cedar Rapids, IA 52401
Phone (319) 366-8695

1026 A Ave NE
Cedar Rapids, IA 52402
Phone (319) 369-5970

Interoperability endpoints

  • Direct secure messaging: dpurdy41304@direct.unitypoint.org

Organizations & group practices 3

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.

Hospital & facility affiliations 1

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": "1134086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323216000000",
    "number": "1376528562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "931 8TH AVE SE",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524012121",
            "telephone_number": "319-366-8695",
            "fax_number": "319-366-0795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "931 8TH AVE SE",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524012121",
            "telephone_number": "319-366-8695",
            "fax_number": "319-366-0795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PURDY",
        "first_name": "DOUGLAS",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-09",
        "last_updated": "2011-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "IA",
            "license": "29761",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2107961",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Rapids, IA

Sources for this page

Verify at the official NPI Registry.