Individual provider Active NPI

Kimberly Hagarty, MD

  • Emergency Medicine Physician
  • Cedar Rapids, IA
National Provider Identifier
1467802157
Registry record updated Mar 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
MD-46409 Issued in IA
Practice address
1026 A Ave NE
Cedar Rapids, IA 52402-5036
Phone
(193) 698-6003
Fax
(319) 369-7419
NPI assigned
Jun 14, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X R-10605 IA
Emergency Medicine Physician 207P00000X MD-46409 IA Primary

Addresses

Primary practice location

1026 A Ave NE
Cedar Rapids, IA 52402-5036

Mailing address

1026 A Ave NE
Cedar Rapids, IA 52402-5036
Phone (319) 369-7451

Other identifiers 1

IdentifierTypeStateIssuer
MD-46409OtherIAIOWA LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, IL2 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
I20191017001706 IA Practitioner - Emergency Medicine 1456643899 Reassigns benefits to 6 organizations
I20201229001303 IL Practitioner - Emergency Medicine 1456643899

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
92.79 of 100Reported as group
Quality
89.26
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
50.17 of 100Reported as apm
Quality
55.61
Promoting interoperability
0
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD-46409IAMDEmergency Medicine Physician
R-10605IAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Unity Healthcare Current Accepting new patients
Grundy County Memorial Hospital CurrentSince Aug 15, 2023 Accepting new patients
Grundy County Memorial Hospital CurrentSince Aug 15, 2023 Accepting new patients
St Luke'S Jones Regional Medical Center CurrentSince Nov 15, 2022 Accepting new patients
People'S Memorial Hospital CurrentSince Dec 1, 2022 Accepting new patients
St Luke'S Jones Regional Medical Center CurrentSince Nov 15, 2022 Accepting new patients
People'S Memorial Hospital Emergency Medicine CurrentSince Dec 1, 2022 Accepting new patients
St. Luke'S Jones Regional Medical Center Emergency Medicine CurrentSince Jan 25, 2023 Accepting new patients
Grundy County Memorial Hospital Emergency Medicine CurrentSince Aug 15, 2023 Accepting new patients
Trinity Medical Center Current Accepting new patients
St Luke'S Methodist Hospital Current Accepting new patients
East Central Iowa Acute Care, PLLC Emergency Medicine CurrentSince Nov 17, 2022 Accepting new patients

Locations

1795 Highway 64 E
Anamosa, IA 52205
Phone (319) 462-6161

1795 Highway 64 E
Ste 1
Anamosa, IA 52205
Phone (319) 481-6291

4500 Utica Ridge Rd
Bettendorf, IA 52722
Phone (563) 742-2724

1026 A Ave NE
Cedar Rapids, IA 52402
Phone (319) 369-5970

201 E J Ave
Grundy Center, IA 50638
Phone (319) 824-5081

1600 1st St E
Independence, IA 50644
Phone (319) 332-0999

3301 Armar Dr
Marion, IA 52302
Phone (319) 451-2700

1518 Mulberry Ave
Muscatine, IA 52761
Phone (563) 262-4110

2701 17th St
Rock Island, IL 61201
Phone (309) 779-3200

Interoperability endpoints

  • Direct secure messaging: khagarty231647@direct.unitypoint.org

Organizations & group practices 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1465862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677801600000",
    "number": "1467802157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1026 A AVE NE",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524025036",
            "telephone_number": "319-369-7451"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1026 A AVE NE",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524025036",
            "telephone_number": "193-698-6003",
            "fax_number": "319-369-7419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAGARTY",
        "first_name": "KIMBERLY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-14",
        "last_updated": "2023-03-03",
        "certification_date": "2023-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IA",
            "license": "R-10605",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IA",
            "license": "MD-46409",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IOWA LICENSE",
            "identifier": "MD-46409",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Rapids, IA

Sources for this page

Verify at the official NPI Registry.