Individual provider Active NPI

Andrew H Rikkers, DO

  • Surgery Physician
  • Waterloo, IA
National Provider Identifier
1558455386
Registry record updated Mar 9, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
DO-05746 Issued in IA
Practice address
1753 W Ridgeway Ave Ste 107
Waterloo, IA 50701-4588
Phone
(319) 833-5907
NPI assigned
Oct 3, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 48190 WI
Surgery Physician 208600000X DO-05746 IA Primary

Addresses

Primary practice location

1753 W Ridgeway Ave Ste 107
Waterloo, IA 50701-4588

Mailing address

PO Box 2758
Waterloo, IA 50704-2758
Phone (319) 235-5390

Other identifiers 6

IdentifierTypeStateIssuer
390808509OtherCIGNA
43524200OtherHIRSP
14028OtherDEAN HEALTH PLAN
2014477OtherPHYSICIANS PLUS
43524200MedicaidWI
390808509DROtherUNITY

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address him@marshfieldclinichealthsystem.cernerdirect.com Health Information Exchange (HIE)
Direct Messaging Address andrew.rikkers@cvms.eclinicaldirectplus.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, IA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20051001000018 WI Practitioner - General Surgery 9739125766 Reassigns benefits to 1 organization
I20210303001065 IA Practitioner - General Surgery 9739125766 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Peoples Memorial HospitalGroup PAC ID 9931010790, 47 clinicians
Delaware County Memorial HospitalGroup PAC ID 2062316375, shared by 11 NPIs, 80 clinicians

Practice addresses (Care Compare)

113 4TH Ave
Shell Lake, WI 54871-4457

1600 1St St E
Independence, IA 50644-3155
Phone (319) 332-0999

24670 State Rd
Siren, WI 54872-4419
Phone (715) 349-2910

709 W Main St
Professional Service
Manchester, IA 52057-1526
Phone (563) 927-7533

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Melanoma (skin cancer) excision1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
48190WIMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
People'S Memorial Hospital CurrentSince May 1, 2025 Accepting new patients
Cedar Valley Medical Specialists PC Surgery CurrentSince Mar 15, 2021 Accepting new patients
People'S Memorial Hospital CurrentSince May 1, 2025 Accepting new patients
Delaware County Memorial Hospital CurrentSince Oct 11, 2025 Accepting new patients
Cedar Valley Medical Specialists PC CurrentSince Mar 15, 2021 Accepting new patients
Delaware County Memorial Hospital CurrentSince Oct 3, 2022 Accepting new patients
Waverly Health Center CurrentSince Oct 17, 2024 Accepting new patients
St Luke'S Methodist Hospital Current Accepting new patients
Waverly Health Center Current Accepting new patients
Indianhead Medical Center Shell Lake, Inc. CurrentSince Jul 31, 2025 Accepting new patients
Waverly Health Center Surgery CurrentSince Oct 17, 2024 Accepting new patients
Delaware County Memorial Hospital Current Accepting new patients
Delaware County Memorial Hospital CurrentSince Oct 3, 2022 Accepting new patients
Floyd County Memorial Hospital Commission Past Accepting new patients
Delaware County Memorial Hospital Past Accepting new patients
People'S Memorial Hospital Past Accepting new patients
Allen Memorial Hospital Corporation Past Accepting new patients
Delaware County Memorial Hospital Past Accepting new patients

Locations

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

1100 1st St E
Independence, IA 50644
Phone (319) 334-2541

709 W Main St
Manchester, IA 52057
Phone (563) 927-3232

709 W Main St
Ste 1
Manchester, IA 52057

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

312 9th St SW
Waverly, IA 50677
Phone (319) 352-4120

113 4th Ave
Shell Lake, WI 54871
Phone (715) 468-7833

24670 State Road 35 70
Ste 100
Siren, WI 54872
Phone (715) 349-2910

Interoperability endpoints

  • Direct secure messaging: arikkers802447@direct.unitypoint.org
  • Direct secure messaging: andrew.rikkers@cvms.eclinicaldirectplus.com
  • FHIR API: https://fhir-myrecord.cerner.com/r4/8fdd186f-a014-47f3-8c9e-d61f95a9a6ea/

Organizations & group practices 18

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.

View all 18

Hospital & facility affiliations 4

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": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646784000000",
    "number": "1558455386",
    "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": "319-235-5390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1753 W RIDGEWAY AVE STE 107",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507014588",
            "telephone_number": "319-833-5907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIKKERS",
        "first_name": "ANDREW",
        "middle_name": "H",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2022-03-09",
        "certification_date": "2022-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "WI",
            "license": "48190",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IA",
            "license": "DO-05746",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "390808509",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIRSP",
            "identifier": "43524200",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEAN HEALTH PLAN",
            "identifier": "14028",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIANS PLUS",
            "identifier": "2014477",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "43524200",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITY",
            "identifier": "390808509DR",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "him@marshfieldclinichealthsystem.cernerdirect.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "515 22nd Ave",
            "city": "Monroe",
            "state": "WI",
            "country_code": "US",
            "postal_code": "535661569",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "andrew.rikkers@cvms.eclinicaldirectplus.com",
            "affiliation": "N",
            "endpointDescription": "CVMS",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "1753 W Ridgeway Ave Ste 107",
            "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.