Individual provider Active NPI

Sreevastav Teja Kalangi, MD

  • Endocrinology, Diabetes & Metabolism Physician
  • Waterloo, IA
National Provider Identifier
1508483280
Registry record updated Aug 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
MD-53889 Issued in IA
Practice address
2710 Saint Francis Dr Ste 300
Waterloo, IA 50702-5620
Phone
(319) 272-5000
Fax
(319) 272-5470
NPI assigned
Jun 29, 2020
Last updated
Aug 13, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD-53889 IA
Endocrinology, Diabetes & Metabolism Physician 207RE0101X MD-53889 IA Primary

Addresses

Primary practice location

2710 Saint Francis Dr Ste 300
Waterloo, IA 50702-5620

Mailing address

3421 W 9TH St
Medical Affairs - Provider Enrollments
Waterloo, IA 50702-5401
Phone (319) 272-7304

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
I20250908001066 IA Practitioner - Endocrinology 4880017904 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Endocrinology
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Covenant Medical Center IncGroup PAC ID 0244148732, 234 clinicians

Practice addresses (Care Compare)

2710 Saint Francis Dr
Suite 300
Waterloo, IA 50702-5620
Phone (319) 272-5000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD-53889IAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Covenant Medical Center Inc CurrentSince Aug 1, 2025 Accepting new patients
Covenant Medical Center, Inc. CurrentSince Aug 1, 2025 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

2710 Saint Francis Dr
Ste 300
Waterloo, IA 50702
Phone (319) 272-5100

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1593388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755043200000",
    "number": "1508483280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3421 W 9TH ST",
            "address_2": "MEDICAL AFFAIRS - PROVIDER ENROLLMENTS",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507025401",
            "telephone_number": "319-272-7304",
            "fax_number": "319-272-7318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2710 SAINT FRANCIS DR STE 300",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507025620",
            "telephone_number": "319-272-5000",
            "fax_number": "319-272-5470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KALANGI",
        "first_name": "SREEVASTAV",
        "middle_name": "TEJA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-29",
        "last_updated": "2025-08-13",
        "certification_date": "2025-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IA",
            "license": "MD-53889",
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "IA",
            "license": "MD-53889",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterloo, IA

Sources for this page

Verify at the official NPI Registry.