NPIMap

Individual provider Active NPI

Vinay Kumar Kantamneni, MD

  • Nephrology Physician
  • Waterloo, IA
National Provider Identifier
1508811258
Registry record updated Feb 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
32046 Issued in IA
Practice address
1753 W Ridgeway Ave
Ste 105
Waterloo, IA 50701-4588
Phone
(319) 833-5940
Fax
(319) 833-5941
NPI assigned
May 23, 2006
Last updated
Feb 4, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 32046 IA Primary

Addresses

Primary practice location

1753 W Ridgeway Ave
Ste 105
Waterloo, IA 50701-4588

Mailing address

PO Box 2758
Waterloo, IA 50704-2758
Phone (319) 833-5940

Other identifiers 3

IdentifierTypeStateIssuer
0157628MedicaidIA
40362OtherIAWELLMARK INS PLAN
424417307A9OtherIAJOHN DEERE HEALTH INS PLA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address vinay.kantamneni@cvms.eclinicaldirectplus.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090708000077 IA Practitioner - Nephrology 8628988185 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1753 W Ridgeway Ave
Suite 105
Waterloo, IA 50701-4588
Phone (319) 833-5940

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
32046IAMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Unitypoint Health - Marshalltown CurrentSince Jan 23, 2018 Accepting new patients
Unitypoint Health - Marshalltown CurrentSince Jan 23, 2018 Accepting new patients
Iowa Physicians Clinic Medical Foundation CurrentSince Jul 1, 2014 Accepting new patients
Cedar Valley Medical Specialists PC CurrentSince Sep 15, 1997 Accepting new patients
St Luke's Methodist Hospital Current Accepting new patients
Salahuddin Syed MD PC Current Accepting new patients
Cedar Valley Medical Specialists PC Nephrology CurrentSince Sep 15, 1997 Accepting new patients
Floyd County Memorial Hospital Commission Past Accepting new patients
Cedar Valley Medical Specialists PC Past Accepting new patients
Allen Memorial Hospital Corporation Past Accepting new patients

Locations

4480 Utica Ridge Rd
Ste 160
Bettendorf, IA 52722
Phone (563) 742-5950

4480 Utica Ridge Rd
Ste 2230
Bettendorf, IA 52722
Phone (563) 742-5150

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

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

51 Unitypoint Way
Ste 100
Marshalltown, IA 50158
Phone (641) 844-6259

55 Unitypoint Way
Marshalltown, IA 50158
Phone (641) 754-5145

909 W 1st St
Sumner, IA 50674
Phone (563) 578-3275

1753 W Ridgeway Ave
Ste 107
Waterloo, IA 50701
Phone (319) 833-5907

146 W Dale St
Ste 202
Waterloo, IA 50703
Phone (319) 233-6211

4150 Kimball Ave
Waterloo, IA 50701
Phone (319) 235-5390

1753 W Ridgeway Ave
Ste 105
Waterloo, IA 50701
Phone (319) 833-5940

405 Highway 150 N
West Union, IA 52175
Phone (563) 422-5734

Interoperability endpoints

  • Direct secure messaging: vkantamneni3933173@direct.trinity-health.org
  • Direct secure messaging: vkantamneni108334@direct.unitypoint.org
  • Direct secure messaging: vinay.kantamneni@cvms.eclinicaldirectplus.com

Organizations & group practices 10

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 6

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": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643932800000",
    "number": "1508811258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2758",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507042758",
            "telephone_number": "319-833-5940",
            "fax_number": "319-833-5941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1753 W RIDGEWAY AVE",
            "address_2": "STE 105",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507014588",
            "telephone_number": "319-833-5940",
            "fax_number": "319-833-5941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANTAMNENI",
        "first_name": "VINAY",
        "middle_name": "KUMAR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-23",
        "last_updated": "2022-02-04",
        "certification_date": "2022-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "IA",
            "license": "32046",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0157628",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK INS PLAN",
            "identifier": "40362",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JOHN DEERE HEALTH INS PLA",
            "identifier": "424417307A9",
            "state": "IA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "vinay.kantamneni@cvms.eclinicaldirectplus.com",
            "affiliation": "N",
            "endpointDescription": "CVMS",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "1753 W Ridgeway Ave",
            "address_2": "Ste 105",
            "city": "Waterloo",
            "state": "IA",
            "country_code": "US",
            "postal_code": "507014588",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Waterloo, IA

Sources for this page

Verify at the official NPI Registry.