Active NPI
Douglas J Purdy, MD
- Gastroenterology Physician
- Cedar Rapids, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 29761
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2107961 | Medicaid | IA |
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
Enrollment records 1
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
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
Merit-based Incentive Payment System (MIPS)
- Final score
- 80.76 of 100
- Quality
- 75.82
- Promoting interoperability
- 81
- Improvement activities
- 40
- Cost
- 75.88
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 159 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 147 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 29761 | IA | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Luke'S Methodist Hospital | Current | Accepting new patients | |
| St Luke'S Methodist Hospital | Current | 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
- 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.
-
- Cardiovascular Disease Physician
- Cedar Rapids, IA
- NPI 1073553939
-
- General Acute Care Hospital
- Cedar Rapids, IA
- NPI 1083708226
-
- Emergency Medicine Physician
- Fort Dodge, IA
- NPI 1073594156
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Cedar Rapids, IA
- NPI 1083708226
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2011; 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.