NPIMap

Individual provider Active NPI

Parag Sampat, MD

  • Internal Medicine Physician
  • Waterloo, IA
National Provider Identifier
1508823998
Registry record updated Aug 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD-37542 Issued in IA
Practice address
146 W Dale St
Suite 201
Waterloo, IA 50703-1901
Phone
(319) 234-4431
Fax
(319) 235-5004
NPI assigned
Apr 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD-37542 IA Primary

Addresses

Primary practice location

146 W Dale St
Suite 201
Waterloo, IA 50703-1901

Mailing address

146 W Dale St
Suite 201
Waterloo, IA 50703-1901
Phone (319) 234-4431

Other identifiers 2

IdentifierTypeStateIssuer
1508823998MedicaidIA
036111150MedicaidIL

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
I20081013000040 IA Practitioner - Internal Medicine 1254351166 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Iowa Physicians Clinic Medical FoundationGroup PAC ID 8729992318, 1,254 clinicians

Practice addresses (Care Compare)

146 W Dale St
Suite 201
Waterloo, IA 50703-1901
Phone (319) 226-9888

Hospital & facility affiliations

  • Unitypoint at Home Home health agency, Waterloo, IA, CCN 167147
  • Cedar Valley Hospice Hospice, Waterloo, IA, CCN 161504
  • Allen Hospital Hospital, Waterloo, IA, CCN 160110
  • Waverly Health Center Hospital, Waverly, IA, CCN 161339
  • Community Memorial Hospital Medical Center Hospital, Sumner, IA, CCN 161320
  • Mercyone Waterloo Medical Center Hospital, Waterloo, IA, CCN 160067
  • Mercyone Oelwein Medical Center Hospital, Oelwein, IA, CCN 161338
  • The Suites at Western Home Communities Nursing home, Cedar Falls, IA, CCN 165622

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD-37542IAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Iowa Physicians Clinic Medical Foundation Family Medicine CurrentSince Jul 1, 2008 Accepting new patients
St Luke'S Methodist Hospital Current Accepting new patients
Floyd County Memorial Hospital Commission Family Medicine Past Accepting new patients
Subodh C Desai MD SC Past Accepting new patients

Locations

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

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

2140 Logan Ave
Ste A
Waterloo, IA 50703
Phone (319) 226-8430

146 W Dale St
Ste 201
Waterloo, IA 50703
Phone (319) 234-4431

Interoperability endpoints

  • Direct secure messaging: psampat106469@direct.unitypoint.org

Organizations & group practices 4

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 8

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": "1146182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470614400000",
    "number": "1508823998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "146 W DALE ST",
            "address_2": "SUITE 201",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507031901",
            "telephone_number": "319-234-4431",
            "fax_number": "319-235-5004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "146 W DALE ST",
            "address_2": "SUITE 201",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507031901",
            "telephone_number": "319-234-4431",
            "fax_number": "319-235-5004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMPAT",
        "first_name": "PARAG",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-28",
        "last_updated": "2016-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IA",
            "license": "MD-37542",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1508823998",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036111150",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterloo, IA

Sources for this page

Verify at the official NPI Registry.