Individual provider Active NPI

Timothy D Momany, MD

  • Family Medicine Physician
  • Amana, IA
National Provider Identifier
1598873523
Registry record updated Feb 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
26119 Issued in IA
Practice address
505 39TH Ave
Pob 207
Amana, IA 52203-8229
Phone
(319) 622-3231
Fax
(319) 622-3077
NPI assigned
Aug 29, 2006
Last updated
Feb 15, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 26119 IA Primary

Addresses

Primary practice location

505 39TH Ave
Pob 207
Amana, IA 52203-8229

Mailing address

603 38TH Ave
Amana, IA 52203-8018
Phone (319) 622-6292

Other identifiers 3

IdentifierTypeStateIssuer
0036913MedicaidIA
621301OtherIAUHC OF THE RIVER VALLEY
03974OtherIAWELLMARK BCBS

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
I20100323000909 IA Practitioner - Family Practice 7719979343 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Iowa, RJ & L Carver College of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Progressive Rehabilitation Associates LLCGroup PAC ID 2961443072, 275 clinicians
Amana Family Practice Clinic, PCGroup PAC ID 1658363270, 4 clinicians

Practice addresses (Care Compare)

1130 S Scott Blvd
Suite 1
Iowa City, IA 52240-2909
Phone (319) 354-2429

505 39TH Ave
Amana, IA 52203-8229
Phone (319) 622-3231

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions18
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26119IAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Amana Family Practice Clinic, PC Family Medicine CurrentSince Jul 1, 2002 Accepting new patients
Abbe Center for Community Mental Health, Inc PastSince Jul 1, 2002 Accepting new patients

Locations

505 39th Ave
Amana, IA 52203
Phone (319) 338-7884

1110 Tall Grass Ave
Tiffin, IA 52340
Phone (319) 545-2222

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1203033600000",
    "number": "1598873523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "603 38TH AVE",
            "city": "AMANA",
            "state": "IA",
            "postal_code": "522038018",
            "telephone_number": "319-622-6292",
            "fax_number": "319-622-3077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 39TH AVE",
            "address_2": "POB 207",
            "city": "AMANA",
            "state": "IA",
            "postal_code": "522038229",
            "telephone_number": "319-622-3231",
            "fax_number": "319-622-3077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOMANY",
        "first_name": "TIMOTHY",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-29",
        "last_updated": "2008-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "26119",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0036913",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC OF THE RIVER VALLEY",
            "identifier": "621301",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK BCBS",
            "identifier": "03974",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Amana, IA

Sources for this page

Verify at the official NPI Registry.