Individual provider Active NPI

Nesrin Karim Abu Ata, M.D.

  • Psychiatry Physician
  • Sioux City, IA
National Provider Identifier
1528297660
Registry record updated Aug 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
MD41589 Issued in IA
Practice address
625 Court St
Sioux City, IA 51101-1919
Phone
(712) 252-3871
Fax
(712) 252-3157
NPI assigned
Jul 10, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X R-8770 IA
Psychiatry Physician 2084P0800X MD41589 IA Primary

Addresses

Primary practice location

625 Court St
Sioux City, IA 51101-1919

Mailing address

505 5TH St Ste 201
Sioux City, IA 51101-1510
Phone (712) 454-8981

Other practice location 1

200 Hawkins Dr
Iowa City, IA 52242-1009
Phone (319) 384-7222

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
I20140904001574 IA Practitioner - PsychiatryPractitioner - Family Practice 0446493662 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
PsychiatryAlso: Family Practice
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Catholic Charities of the Diocese of Sioux CityGroup PAC ID 1355413832, 9 clinicians

Practice addresses (Care Compare)

1414 Central Ave
Fort Dodge, IA 50501-4252
Phone (515) 576-4156

1601 Military Rd
Sioux City, IA 51103-1715
Phone (712) 252-4547

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R-8770IAMDFamily Medicine Physician
MD41589IAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mind Alchemy PLLC Psychiatry CurrentSince Aug 18, 2024 Accepting new patients
Jackson Recovery Centers, Inc. CurrentSince Jun 1, 2019 Accepting new patients

Locations

3200 W 4th St
Sioux City, IA 51103
Phone (712) 234-2300

505 5th St
Ste 201
Sioux City, IA 51101
Phone (712) 454-8981

800 5th St
Ste 200
Sioux City, IA 51101
Phone (712) 234-2300

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1247184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723507200000",
    "number": "1528297660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505 5TH ST STE 201",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511011510",
            "telephone_number": "712-454-8981",
            "fax_number": "712-248-8732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 COURT ST",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511011919",
            "telephone_number": "712-252-3871",
            "fax_number": "712-252-3157"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Hawkins Dr",
            "address_purpose": "LOCATION",
            "city": "Iowa City",
            "state": "IA",
            "postal_code": "522421009",
            "country_code": "US",
            "telephone_number": "319-384-7222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ABU ATA",
        "first_name": "NESRIN",
        "middle_name": "KARIM",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-10",
        "last_updated": "2024-08-13",
        "certification_date": "2024-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "R-8770",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IA",
            "license": "MD41589",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux City, IA

Sources for this page

Verify at the official NPI Registry.