Karl Anderson, DO
Individual provider Active NPI Emergency Medicine Physician · Cedar Rapids, IA
NPI 1679533004 · NPPES record last updated Oct 30, 2007
Key facts
- NPI
- 1679533004
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- 3593 (IA)
- Practice address
- 701 10TH St SE
Cedar Rapids, IA 52403-1251 - Phone
- (319) 398-6297
- Fax
- (319) 398-6249
- NPI assigned
- Mar 28, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Emergency Medicine
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Progressive Rehabilitation Associates LLC
Linn County Emergency Medicine PC
Johnson County Emergency Medicine PLC
Practice addresses (Care Compare)
1130 S Scott Blvd
Suite 1
Iowa City, IA 52240-2909
Phone (319) 354-2429
1195 Boyson Rd
Suite 101
Hiawatha, IA 52233-2218
Phone (319) 832-3950
500 E Market St
Iowa City, IA 52245-2633
Phone (319) 339-0300
Hospital & facility affiliations
- Mercy Medical Center - Cedar Rapids
- University of Iowa Health Care Medical Center Down
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050331000695 | IA | Practitioner - Emergency Medicine | 8123075306 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3593 | IA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Linn County Emergency Medicine PC | Emergency Medicine | Current |
Accepting new patients |
| Johnson County Emergency Medicine, PLC | Emergency Medicine | Current |
Accepting new patients |
| Linn County Emergency Medicine PC | Emergency Medicine | Current |
Accepting new patients |
| Mercy Hospital, Iowa City, Iowa | Emergency Medicine | Current |
Accepting new patients |
Locations
701 10th St SE
Cedar Rapids, IA 52403
Phone (319) 398-6011
1195 Boyson Rd
Ste 101
Hiawatha, IA 52233
Phone (319) 832-3950
540 E Jefferson St
Ste 400
Iowa City, IA 52245
Phone (319) 339-3400
500 E Market St
Iowa City, IA 52245
Phone (319) 339-0300
999 35th St
Marion, IA 52302
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 3593 | IA | Yes |
Addresses
Primary practice location
701 10TH St SE
Cedar Rapids, IA 52403-1251
Mailing address
PO Box 5610
Cedar Rapids, IA 52406-5610
Phone (319) 369-4505
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0451682 | Medicaid | IA |
Other providers in Cedar Rapids, IA
- Anchored Attunement, LLC
- Keegan Andersen
- Bryan John Anderson
- Cailey Anderson
- Dana Suzette Anderson
- Laura Lisa Anderson
- Marcy Anderson
- Paul Ryan Anderson
- Richard Anderson
- Samantha Danielle Anderson
All providers in Cedar Rapids, IA · Emergency Medicine Physician in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 30, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.