Active NPI
New Gi PC
- Gastroenterology Physician
- Waterloo, IA
National Provider Identifier
1427996404
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- Legal business name
- NEW GI PC
- Practice address
- 1015 S Hackett Rd
Waterloo, IA 50701-3543 - Phone
- (319) 234-5990
- Fax
- (319) 234-5994
- NPI assigned
- Mar 23, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ravindra Mallavarapu, MD
- Title
- President
- Phone
- (319) 234-5990
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | Primary | ||
| Surgery Physician | 208600000X |
Addresses
Primary practice location
1015 S Hackett Rd
Waterloo, IA 50701-3543
Mailing address
1015 S Hackett Rd
Waterloo, IA 50701-3543
Phone (319) 234-5990
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20260505000551 | IA | Part B Supplier - Clinic/Group Practice | 2567930985 |
Receives reassigned benefits from 30 practitioners Practice locations: Waterloo, IA |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 16D0384916 | New Gi PC | Compliance | Nov 18, 2026 |
National Provider Directory
National Provider DirectoryLocations
1015 S Hackett Rd
Ste B
Waterloo, IA 50701
Phone (319) 406-5990
Practitioners & affiliated clinicians
Practitioners 31
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Gastroenterology Physician
- Waterloo, IA
- NPI 1982657961
Gastroenterology, IA
-
- Anatomic Pathology & Clinical Pathology Physician
- Cedar Rapids, IA
- NPI 1598257628
IA
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1774224000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1774224000000",
"number": "1427996404",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1015 S HACKETT RD",
"city": "WATERLOO",
"state": "IA",
"postal_code": "507013543",
"telephone_number": "319-234-5990",
"fax_number": "319-234-5994"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1015 S HACKETT RD",
"city": "WATERLOO",
"state": "IA",
"postal_code": "507013543",
"telephone_number": "319-234-5990",
"fax_number": "319-234-5994"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NEW GI PC",
"organizational_subpart": "NO",
"enumeration_date": "2026-03-23",
"last_updated": "2026-03-23",
"certification_date": "2026-03-23",
"status": "A",
"authorized_official_last_name": "MALLAVARAPU",
"authorized_official_first_name": "RAVINDRA",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "319-234-5990",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Gastroenterology",
"state": null,
"license": null,
"primary": true
},
{
"code": "208600000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Surgery",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Waterloo, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.