Individual provider Active NPI

Uwem Ben Ekwo, MD

  • Family Medicine Physician
  • Waterloo, IA
National Provider Identifier
1417510942
Registry record updated Apr 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
R-11444 Issued in IA
Practice address
NE Ia Family Medicine Residency Program
2055 Kimball Ave. Ste. 101
Waterloo, IA 50702
Phone
(319) 272-2112
Fax
(319) 272-1844
NPI assigned
Apr 19, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X R-11444 IA Primary

Addresses

Primary practice location

NE Ia Family Medicine Residency Program
2055 Kimball Ave. Ste. 101
Waterloo, IA 50702

Mailing address

NE Ia Family Medicine Residency Program
2055 Kimball Ave. Ste. 101
Waterloo, IA 50702
Phone (319) 272-2112

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, AZ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220815000399 IA Practitioner - Family Practice 3173851870 Reassigns benefits to 1 organization
I20260327002631 AZ Practitioner - Hospitalist 3173851870 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Iowa Physicians Clinic Medical FoundationGroup PAC ID 8729992318, 1,254 clinicians

Practice addresses (Care Compare)

1825 Logan Ave
Waterloo, IA 50703-1916
Phone (319) 235-3886

4302 E Mossman Rd
Phoenix, AZ 85050-8806
Phone (319) 235-3838

4480 Utica Ridge Rd
Bettendorf, IA 52722-1644

4480 Utica Ridge Rd
Suite 160
Bettendorf, IA 52722-1637
Phone (563) 742-5950

5100 Prairie Pkwy
Cedar Falls, IA 50613-8155

55 Unitypoint Way
Marshalltown, IA 50158-4749
Phone (641) 328-7483

Hospital & facility affiliations

  • Allen Hospital Hospital, Waterloo, IA, CCN 160110
  • Unitypoint Health - Marshalltown Hospital, Marshalltown, IA, CCN 160001
  • Mercyone Waterloo Medical Center Hospital, Waterloo, IA, CCN 160067
  • University of Iowa Hospital & Clinics Hospital, Iowa City, IA, CCN 160058
  • Grundy County Memorial Hospital Hospital, Grundy Center, IA, CCN 161303

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Iowa Physicians Clinic Medical Foundation Family Medicine CurrentSince Aug 15, 2022 Accepting new patients
St Luke'S Methodist Hospital Current Accepting new patients
Allen Memorial Hospital Corporation Past Accepting new patients
Iowa Physicians Clinic Medical Foundation Family Medicine Past Accepting new patients

Locations

4480 Utica Ridge Rd
Ste 160
Bettendorf, IA 52722
Phone (563) 742-5950

4480 Utica Ridge Rd
Ste 2230
Bettendorf, IA 52722
Phone (563) 742-5150

55 Unitypoint Way
Marshalltown, IA 50158
Phone (641) 754-5145

1825 Logan Ave
Ste 201
Waterloo, IA 50703

Interoperability endpoints

  • Direct secure messaging: uekwo676300@direct.unitypoint.org

Organizations & group practices 4

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 5

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": "1555632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555632000000",
    "number": "1417510942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "NE IA FAMILY MEDICINE RESIDENCY PROGRAM",
            "address_2": "2055 KIMBALL AVE. STE. 101",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "50702",
            "telephone_number": "319-272-2112",
            "fax_number": "319-272-1844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "NE IA FAMILY MEDICINE RESIDENCY PROGRAM",
            "address_2": "2055 KIMBALL AVE. STE. 101",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "50702",
            "telephone_number": "319-272-2112",
            "fax_number": "319-272-1844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EKWO",
        "first_name": "UWEM",
        "middle_name": "BEN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-19",
        "last_updated": "2019-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "R-11444",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterloo, IA

Sources for this page

Verify at the official NPI Registry.