Individual provider Active NPI

Jonathan Mark Rippentrop, MD

  • Urology Physician
  • Cedar Rapids, IA
National Provider Identifier
1609874171
Registry record updated Sep 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
35708 Issued in IA
Practice address
202 10TH Street SE
Cedar Rapids, IA 52403-2404
Phone
(319) 363-8171
Fax
(319) 363-3172
NPI assigned
Jul 8, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 35708 IA Primary

Addresses

Primary practice location

202 10TH Street SE
Cedar Rapids, IA 52403-2404

Mailing address

PO Box 3178
Cedar Rapids, IA 52406-3178
Phone (319) 398-1583

Other identifiers 1

IdentifierTypeStateIssuer
36806OtherIABLUE CROSS/BLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, WI2 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
I20040820000028 IA Practitioner - Urology 6800860586 Reassigns benefits to 6 organizations
I20171128001653 WI Practitioner - Urology 6800860586 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
University of Iowa, RJ & L Carver College of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Finley HospitalGroup PAC ID 5092622944, 84 clinicians
Peoples Memorial HospitalGroup PAC ID 9931010790, 47 clinicians
Physicians Clinic of Iowa PCGroup PAC ID 2163325242, 132 clinicians

Practice addresses (Care Compare)

1500 Delhi St
Suite 4300
Dubuque, IA 52001-6319
Phone (563) 557-5971

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

202 10TH St SE
Cedar Rapids, IA 52403-2414
Phone (319) 247-3010

275 10TH St SE
Cedar Rapids, IA 52403-2414
Phone (319) 247-3010

350 N Grandview Ave
Dubuque, IA 52001-6388

Hospital & facility affiliations

  • St Lukes Hospital Hospital, Cedar Rapids, IA, CCN 160045
  • Buchanan County Health Center Hospital, Independence, IA, CCN 161335
  • Virginia Gay Hospital Hospital, Vinton, IA, CCN 161349
  • Finley Hospital Hospital, Dubuque, IA, CCN 160117
  • Mercy Medical Center - Cedar Rapids Hospital, Cedar Rapids, IA, CCN 160079

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection23
Melanoma (skin cancer) excision1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35708IAMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Delaware County Memorial Hospital CurrentSince Jun 1, 2017 Accepting new patients
Delaware County Memorial Hospital CurrentSince Jun 1, 2017 Accepting new patients
Delaware County Memorial Hospital Current Accepting new patients
People'S Memorial Hospital CurrentSince Mar 1, 2018 Accepting new patients
Physicians Clinic of Iowa, PC CurrentSince Oct 1, 2004 Accepting new patients
Prairie Du Chien Memorial Hospital Assoc Inc CurrentSince Oct 15, 2017 Accepting new patients
The Finley Hospital CurrentSince Dec 1, 2025 Accepting new patients
People'S Memorial Hospital CurrentSince Mar 1, 2018 Accepting new patients
Physicians' Clinic of Iowa, PC CurrentSince Oct 1, 2004 Accepting new patients
Virginia Gay Hospital, Inc CurrentSince Nov 1, 2017 Accepting new patients
Prairie Du Chien Memorial Hospital Association Inc CurrentSince Oct 15, 2017 Accepting new patients
Virginia Gay Hospital, Inc. CurrentSince Nov 1, 2017 Accepting new patients
St Luke'S Methodist Hospital Current Accepting new patients
The Finley Hospital Urology CurrentSince Dec 1, 2025 Accepting new patients

Locations

401 Cardinal Ave
Atkins, IA 52206
Phone (319) 446-6231

202 10th St SE
Cedar Rapids, IA 52403
Phone (319) 247-3010

202 10th St SE
Ste 165
Cedar Rapids, IA 52403
Phone (319) 247-3049

1500 Delhi St
Ste 4300
Dubuque, IA 52001
Phone (563) 557-5971

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

502 N 9th Ave
Vinton, IA 52349
Phone (319) 472-6200

37868 US Highway 18
Prairie du Chien, WI 53821
Phone (608) 357-2000

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JIJCBD
  • Direct secure messaging: jonathan.rippentrop@pciowa.eclinicaldirectplus.com
  • Direct secure messaging: jrippentrop41353@direct.unitypoint.org

Organizations & group practices 14

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 14

Hospital & facility affiliations 5

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": "1120780800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378771200000",
    "number": "1609874171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3178",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524063178",
            "telephone_number": "319-398-1583",
            "fax_number": "319-399-2085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 10TH STREET SE",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524032404",
            "telephone_number": "319-363-8171",
            "fax_number": "319-363-3172"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIPPENTROP",
        "first_name": "JONATHAN",
        "middle_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-08",
        "last_updated": "2013-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "IA",
            "license": "35708",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD",
            "identifier": "36806",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Rapids, IA

Sources for this page

Verify at the official NPI Registry.