Kathryn C Halyko, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

69282 Issued in WI

Practice address

855 A Ave NE Ste 300
Cedar Rapids, IA 52402-5064

Phone

(319) 368-9301

NPI assigned

Jun 11, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: khalyko841745@direct.unitypoint.org

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.

• Iowa Physicians Clinic Medical Foundation

  • General Practice Physician
  • West Des Moines, IA
  • NPI 1366425274

  Pediatrics

  Medicare reassignment NPD
• St Luke'S Methodist Hospital

  • General Acute Care Hospital
  • Cedar Rapids, IA
  • NPI 1083708226
  NPD

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

{
    "created_epoch": "1433980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635206400000",
    "number": "1649651092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "855 A AVE NE STE 300",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524025064",
            "telephone_number": "319-368-9301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "855 A AVE NE STE 300",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524025064",
            "telephone_number": "319-368-9301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALYKO",
        "first_name": "KATHRYN",
        "middle_name": "C",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-11",
        "last_updated": "2021-10-26",
        "certification_date": "2021-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "WI",
            "license": "69282",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100080502",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael A Hall, MD
• Theresa Hallengren, ARNP-FNP-BC
• William James Halls, PHARMD
• Susan Halter, ARNP
• Stephanie Halvorson, LMHC
• Gina De Ette Hamilton, LMT
• Lacey Ann Hamlett
• Chelsey Hamm
• John F Hamm, D.P.M.
• Glenn M Hammer, M. D.

• Pediatrics Physician in Cedar Rapids, IA
• Providers in Cedar Rapids, IA by specialty
• Pediatrics Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.