Individual provider Active NPI

Robert James Wanzek, MD

  • Psychiatry Physician
  • Iowa City, IA
National Provider Identifier
1568029429
Registry record updated May 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
11551 Issued in IA
Practice address
200 Hawkins Dr
Dept of Psychiatry
Iowa City, IA 52242-1009
Phone
(319) 353-6314
Fax
(319) 353-7788
NPI assigned
May 24, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 11551 IA Primary

Addresses

Primary practice location

200 Hawkins Dr
Dept of Psychiatry
Iowa City, IA 52242-1009

Mailing address

200 Hawkins Dr
Dept of Psychiatry
Iowa City, IA 52242-1009
Phone (319) 353-6314

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20230825001714 NY Practitioner - Psychiatry 2961737069 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of Iowa, RJ & L Carver College of Medicine, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nyc Psychiatric AssociatesGroup PAC ID 9931595576, 9 clinicians

Practice addresses (Care Compare)

353 Lexington Ave
RM 800
New York, NY 10016-0942
Phone (917) 391-0076

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
321917NYMDLicensed Practical Nurse
11551IAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Todd Mekles MD PC Psychiatry CurrentSince Sep 14, 2025 Accepting new patients

Locations

353 Lexington Ave
Rm 800
New York, NY 10016
Phone (917) 391-0076

Organizations & group practices 2

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": "1558656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558656000000",
    "number": "1568029429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 HAWKINS DR",
            "address_2": "DEPT OF PSYCHIATRY",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522421009",
            "telephone_number": "319-353-6314",
            "fax_number": "319-353-7788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 HAWKINS DR",
            "address_2": "DEPT OF PSYCHIATRY",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522421009",
            "telephone_number": "319-353-6314",
            "fax_number": "319-353-7788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WANZEK",
        "first_name": "ROBERT",
        "middle_name": "JAMES",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-05-24",
        "last_updated": "2019-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IA",
            "license": "11551",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Iowa City, IA

Sources for this page

Verify at the official NPI Registry.