Individual provider Active NPI

Anand H Inamdar, MD

  • Urology Physician
  • Waterloo, IA
National Provider Identifier
1467497909
Registry record updated Sep 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
33457 Issued in IA
Practice address
3410 Kimball Ave
Waterloo, IA 50702-5735
Phone
(319) 234-2649
NPI assigned
Jun 18, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 29, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 33457 IA Primary

Addresses

Primary practice location

3410 Kimball Ave
Waterloo, IA 50702-5735

Mailing address

3410 Kimball Ave
Waterloo, IA 50702-5735
Phone (319) 234-2649

Other identifiers 1

IdentifierTypeStateIssuer
1221861MedicaidIA

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
I20080326000187 IA Practitioner - Urology 9739269283 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Covenant Medical Center IncGroup PAC ID 0244148732, 234 clinicians

Practice addresses (Care Compare)

226 Bluebell Rd
Cedar Falls, IA 50613-6328
Phone (319) 575-5800

3421 W 9TH St
Waterloo, IA 50702-5401

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
33457IAMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Covenant Medical Center, Inc. CurrentSince Sep 1, 2015 Accepting new patients
Covenant Medical Center Inc CurrentSince Sep 1, 2015 Accepting new patients
Floyd County Memorial Hospital Commission Past Accepting new patients

Locations

751 Main St
Arlington, IA 50606
Phone (563) 633-6965

226 Bluebell Rd
Cedar Falls, IA 50613
Phone (319) 575-5800

602 Clay St
Cedar Falls, IA 50613
Phone (319) 268-0461

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

3421 W 9th St
Waterloo, IA 50702
Phone (319) 272-7050

3410 Kimball Ave
Waterloo, IA 50702
Phone (319) 234-2649

Interoperability endpoints

  • Direct secure messaging: ainamdar3932778@direct.trinity-health.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 4

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": "1150588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443484800000",
    "number": "1467497909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3410 KIMBALL AVE",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507025735",
            "telephone_number": "319-234-2649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3410 KIMBALL AVE",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507025735",
            "telephone_number": "319-234-2649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INAMDAR",
        "first_name": "ANAND",
        "middle_name": "H",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-18",
        "last_updated": "2015-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "IA",
            "license": "33457",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1221861",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterloo, IA

Sources for this page

Verify at the official NPI Registry.