Organization Active NPI

Dubuque Surgery PC

  • Surgery Physician
  • Dubuque, IA
National Provider Identifier
1508877283
Registry record updated May 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
DUBUQUE SURGERY PC
Practice address
1515 Delhi Street
Suite 200
Dubuque, IA 52001-6314
Phone
(563) 557-7000
Fax
(563) 589-4050
NPI assigned
Aug 10, 2006
Last updated
May 14, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2026

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

Authorized official

Name
Katie Kass
Title
Office Manager
Phone
(563) 557-7000

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X NU Primary

Addresses

Primary practice location

1515 Delhi Street
Suite 200
Dubuque, IA 52001-6314

Mailing address

1515 Delhi St Ste 200
Dubuque, IA 52001-6320
Phone (563) 557-7000

Other identifiers 1

IdentifierTypeStateIssuer
18457OtherBLUE SHIELD OF IOWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, WI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040319001502 IA Part B Supplier - Clinic/Group Practice 8628969714 Receives reassigned benefits from 3 practitioners
Practice locations: Dubuque, IA
O20250611002131 WI Part B Supplier - Clinic/Group Practice 8628969714 Receives reassigned benefits from 3 practitioners
Practice locations: Hazel Green, WI

National Provider Directory

National Provider Directory

Locations

1515 Delhi St
Ste 200
Dubuque, IA 52001
Phone (319) 557-7000

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778716800000",
    "number": "1508877283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 DELHI ST STE 200",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520016320",
            "telephone_number": "563-557-7000",
            "fax_number": "563-589-4050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 DELHI STREET",
            "address_2": "SUITE 200",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520016314",
            "telephone_number": "563-557-7000",
            "fax_number": "563-589-4050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUBUQUE SURGERY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-10",
        "last_updated": "2026-05-14",
        "certification_date": "2026-05-14",
        "status": "A",
        "authorized_official_last_name": "KASS",
        "authorized_official_first_name": "KATIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "563-557-7000"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF IOWA",
            "identifier": "18457",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dubuque, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.