Individual provider Active NPI

Casey Shaffer, MD

  • Diagnostic Radiology Physician
  • Cedar Rapids, IA
National Provider Identifier
1508088741
Registry record updated Jul 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MD-38672 Issued in IA
Practice address
1948 1St Ave NE
Cedar Rapids, IA 52402
Phone
(319) 364-0121
NPI assigned
May 3, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X MD-38672 IA Primary

Addresses

Primary practice location

1948 1St Ave NE
Cedar Rapids, IA 52402

Mailing address

1948 1St Ave NE
Cedar Rapids, IA 52402-5377
Phone (319) 364-0121

Other practice location 1

1200 1st Ave E
Spencer, IA 51301-4342
Phone (712) 264-6460

Other practice location 2

200 Hawkins Dr
Iowa City, IA 52242
Phone (319) 467-5463

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
I20100813000946 IA Practitioner - Diagnostic Radiology 6406980325 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Iowa, RJ & L Carver College of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radiology Consultants of Iowa PLCGroup PAC ID 3577467851, 73 clinicians

Practice addresses (Care Compare)

1948 1St Ave NE
Cedar Rapids, IA 52402-5340
Phone (319) 364-0121

Hospital & facility affiliations

  • Mercy Medical Center - Cedar Rapids Hospital, Cedar Rapids, IA, CCN 160079
  • St Lukes Hospital Hospital, Cedar Rapids, IA, CCN 160045
  • Washington County Hospital and Clinics Hospital, Washington, IA, CCN 161344
  • Waverly Health Center Hospital, Waverly, IA, CCN 161339
  • Regional Medical Center Hospital, Manchester, IA, CCN 161343

Merit-based Incentive Payment System (MIPS)

Final score
77.26 of 100Reported as group
Quality
69.68
Improvement activities
40
Cost
79.78

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD-38672IAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Radiology Consultants of Iowa, PLC Diagnostic Radiology CurrentSince Aug 1, 2019 Accepting new patients
Floyd County Memorial Hospital Commission Past Accepting new patients

Locations

1948 1st Ave NE
Cedar Rapids, IA 52402
Phone 3193640121 ext. 7305

Interoperability endpoints

  • Direct secure messaging: cshaffer166648@uihcdirect.org

Organizations & group practices 2

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 7

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": "1178150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562112000000",
    "number": "1508088741",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1948 1ST AVE NE",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524025377",
            "telephone_number": "319-364-0121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1948 1ST AVE NE",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "52402",
            "telephone_number": "319-364-0121"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1200 1st Ave E",
            "address_purpose": "LOCATION",
            "city": "Spencer",
            "state": "IA",
            "postal_code": "513014342",
            "country_code": "US",
            "telephone_number": "712-264-6460",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 Hawkins Dr",
            "address_purpose": "LOCATION",
            "city": "Iowa City",
            "state": "IA",
            "postal_code": "52242",
            "country_code": "US",
            "telephone_number": "319-467-5463",
            "fax_number": "319-384-8114",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHAFFER",
        "first_name": "CASEY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-03",
        "last_updated": "2019-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IA",
            "license": "MD-38672",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Rapids, IA

Sources for this page

Verify at the official NPI Registry.