Prudhvi Regula

Primary specialty

Allergy & Immunology PhysicianTaxonomy code 207K00000X

License

MD-50891 Issued in IA

Practice address

21 W Jefferson St Ste 103
Waterloo, IA 50701-1341

Phone

(319) 272-5000

NPI assigned

Jun 24, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Allergy/Immunology

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Covenant Medical Center IncGroup PAC ID 0244148732, 234 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mercyone Waterloo Medical Center Hospital, Waterloo, IA, CCN 160067
• Sartori Memorial Hospital, Inc Hospital, Cedar Falls, IA, CCN 160040

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: pregula3935642@direct.trinity-health.org

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Covenant Medical Center Inc

  dba MercyOne Medical Group Northeast Iowa

  • Family Medicine Physician
  • Waterloo, IA
  • NPI 1548288160
  Medicare reassignment Care Compare group NPD
• Covenant Medical Center, Inc.

  dba MercyOne Evansdale home medical equipment

  • Customized Equipment (DME)
  • Evansdale, IA
  • NPI 1851141980
  NPD
• Floyd County Memorial Hospital Commission

  • Critical Access Hospital
  • Charles City, IA
  • NPI 1265402390
  NPD (past)

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

• Covenant Medical Center Inc

  dba MercyOne Waterloo Medical Center

  • General Acute Care Hospital
  • Waterloo, IA
  • NPI 1700827896
  Care Compare affiliation
• Sartori Memorial Hospital Inc

  dba MercyOne Cedar Falls Medical Center

  • General Acute Care Hospital
  • Cedar Falls, IA
  • NPI 1942241955
  Care Compare affiliation

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

{
    "created_epoch": "1529798400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689206400000",
    "number": "1386139244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 W JEFFERSON ST STE 103",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507011341",
            "telephone_number": "319-272-5000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 W JEFFERSON ST STE 103",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507011341",
            "telephone_number": "319-272-5000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2055 E South Blvd Ste 202",
            "address_purpose": "LOCATION",
            "city": "Montgomery",
            "state": "AL",
            "postal_code": "361162002",
            "country_code": "US",
            "telephone_number": "334-551-2002",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REGULA",
        "first_name": "PRUDHVI",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-24",
        "last_updated": "2023-07-13",
        "certification_date": "2023-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "IA",
            "license": "MD-50891",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Real Optics Inc (Eyemart Optical in Waterloo)
• Suresh Katapalli Reddy, MD
• David Carter Redfern, MD
• Annette Marie Redman, DOCTOR OF AUDIOLOGY
• Shawn E Reese, DDS MS PC
• Kristen Kay Reichert, LISW
• Ashley Lyn Reid, D.C.
• Shelby Reid, PHARMD
• Vincent Junior Reid, M.D.
• Relief Healthcare Express,LLC

• Allergy & Immunology Physician in Waterloo, IA
• Providers in Waterloo, IA by specialty
• Allergy & Immunology Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2023; 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.