Organization Active NPI

Pog Cedar Rapids LLC

  • Radiation Oncology Physician
  • Cedar Rapids, IA
National Provider Identifier
1649649484
Registry record updated Aug 1, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
Legal business name
POG CEDAR RAPIDS LLC
Practice address
202 10TH St SE
Ste 285
Cedar Rapids, IA 52403-2414
Phone
(319) 861-6944
Fax
(319) 861-6945
NPI assigned
Sep 23, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2017

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

Authorized official

Name
Nagendra S Koneru, MD
Title
Owner
Phone
(563) 556-3175

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0001X Primary

Addresses

Primary practice location

202 10TH St SE
Ste 285
Cedar Rapids, IA 52403-2414

Mailing address

PO Box 1086
Dubuque, IA 52004-1086
Phone (563) 556-3175

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1442966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1501545600000",
    "number": "1649649484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1086",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520041086",
            "telephone_number": "563-556-3175",
            "fax_number": "563-594-5256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 10TH ST SE",
            "address_2": "STE 285",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524032414",
            "telephone_number": "319-861-6944",
            "fax_number": "319-861-6945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POG CEDAR RAPIDS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-23",
        "last_updated": "2017-08-01",
        "status": "A",
        "authorized_official_last_name": "KONERU",
        "authorized_official_first_name": "NAGENDRA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "563-556-3175",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Radiation Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Rapids, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.