NPIMap

Individual provider Active NPI

Rakesh Ponnapureddy

  • Cardiovascular Disease Physician
  • Iowa City, IA
National Provider Identifier
1528485414
Registry record updated Apr 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
R-11074 Issued in IA
Practice address
200 Hawkins Dr
Iowa City, IA 52242
Phone
(319) 384-8001
NPI assigned
Mar 28, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X R-11074 IA Primary

Addresses

Primary practice location

200 Hawkins Dr
Iowa City, IA 52242

Mailing address

1230 E 1St St
Casper, WY 82601-2704
Phone (307) 266-3174

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WY, SD, NE3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20220615002199 WY Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 8022311414 Reassigns benefits to 1 organization
I20240627003820 SD Practitioner - Interventional Cardiology 8022311414 Reassigns benefits to 2 organizations
I20260311003018 NE Practitioner - Interventional Cardiology 8022311414 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional Cardiology
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Monument Health Network IncGroup PAC ID 5991616427, 163 clinicians

Practice addresses (Care Compare)

1420 N 10TH St
Spearfish, SD 57783-1532
Phone (605) 717-8595

353 Fairmont Blvd
Rapid City, SD 57701-7375
Phone (605) 755-8109

620 Four-J CT
Unit a
Gillette, WY 82716-4130
Phone (605) 755-0682

825 Centennial Dr
Chadron, NE 69337-9400
Phone 30843255869400

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.4 of 100Reported as individual
Quality
100
Promoting interoperability
100
Improvement activities
40
Cost
74.68

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting142
Pacemaker insertion or repair1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R-11074IAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Monument Health Network, Inc. CurrentSince May 2, 2025 Accepting new patients
Monument Health Network, Inc. Current Accepting new patients
Monument Health Rapid City Hospital Inc CurrentSince Apr 16, 2024 Accepting new patients
Monument Health Rapid City Hospital, Inc CurrentSince Mar 1, 2025 Accepting new patients
Monument Health Network, Inc. CurrentSince May 2, 2025 Accepting new patients
Monument Health Rapid City Hospital, Inc. CurrentSince Apr 16, 2024 Accepting new patients
Monument Health Rapid City Hospital, Inc. Past Accepting new patients

Locations

353 Fairmont Blvd
Rapid City, SD 57701
Phone (605) 719-1000

1440 N Main St
Spearfish, SD 57783
Phone (605) 644-4000

1420 N 10th St
Spearfish, SD 57783
Phone (605) 642-8414

Interoperability endpoints

  • Direct secure messaging: rponnapureddy.166230@regionalhealth.sdhealthlink.net

Organizations & group practices 7

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 25

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1395964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650844800000",
    "number": "1528485414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1230 E 1ST ST",
            "city": "CASPER",
            "state": "WY",
            "postal_code": "826012704",
            "telephone_number": "307-266-3174",
            "fax_number": "307-266-3177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 HAWKINS DR",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "52242",
            "telephone_number": "319-384-8001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PONNAPUREDDY",
        "first_name": "RAKESH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-03-28",
        "last_updated": "2022-04-25",
        "certification_date": "2022-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IA",
            "license": "R-11074",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Iowa City, IA

Sources for this page

Verify at the official NPI Registry.