NPIMap

Individual provider Active NPI

Nicholas J Goetsch, D.O.

  • Family Medicine Physician
  • Waterloo, IA
National Provider Identifier
1740287614
Registry record updated Sep 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
3649 Issued in IA
Practice address
3421 W 9TH St
Waterloo, IA 50702-5401
Phone
(319) 272-8000
NPI assigned
Jul 6, 2005
Last updated
Sep 8, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2016

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 3649 IA Primary

Addresses

Primary practice location

3421 W 9TH St
Waterloo, IA 50702-5401

Mailing address

3421 W 9TH St
Waterloo, IA 50702-5401
Phone (319) 272-8000

Other identifiers 3

IdentifierTypeStateIssuer
P00469847OtherIARR MEDICARE
1740287614MedicaidIA
0456830MedicaidIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050924000229 IA Practitioner - Family Practice 6305870767 Reassigns benefits to 9 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cedar Falls Emergency Physicians, LLCGroup PAC ID 9739603507, 20 clinicians
Ellsworth Municipal HospitalGroup PAC ID 2668366311, 16 clinicians

Practice addresses (Care Compare)

515 College St
Cedar Falls, IA 50613-2500
Phone (319) 268-3000

920 S Oak St
Iowa Falls, IA 50126-9506

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3649IAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ellsworth Municipal Hospital Family Medicine CurrentSince Oct 1, 2025 Accepting new patients
Cedar Falls Emergency Physicians, LLC CurrentSince Apr 15, 2025 Accepting new patients
Allen Memorial Hospital Corporation CurrentSince Mar 11, 2009 Accepting new patients
Iowa Emergency Physicians LLP CurrentSince May 1, 2015 Accepting new patients
Waverly Health Center Current Accepting new patients
Iowa Emergency Physicians LLP CurrentSince May 1, 2015 Accepting new patients
Waterloo Emergency Physicians, LLC CurrentSince Oct 15, 2024 Accepting new patients
Sartori Memorial Hospital Inc CurrentSince Dec 3, 2015 Accepting new patients
Ellsworth Municipal Hospital CurrentSince Oct 1, 2025 Accepting new patients
Palmer Lutheran Health Center, Inc. Family Medicine CurrentSince Apr 11, 2015 Accepting new patients
Allen Memorial Hospital Corporation Current Accepting new patients
Sartori Memorial Hospital Inc CurrentSince Dec 3, 2015 Accepting new patients

Locations

515 College St
Cedar Falls, IA 50613
Phone (319) 268-3000

201 E J Ave
Grundy Center, IA 50638
Phone (319) 824-5081

920 S Oak St
Iowa Falls, IA 50126
Phone (641) 648-4631

1825 Logan Ave
Waterloo, IA 50703
Phone (319) 235-3886

3421 W 9th St
Waterloo, IA 50702
Phone (319) 272-7050

312 9th St SW
Waverly, IA 50677
Phone (319) 352-4120

112 Jefferson St
West Union, IA 52175
Phone (563) 422-3811

Interoperability endpoints

  • Direct secure messaging: ngoetsch3962683@direct.trinity-health.org

Organizations & group practices 12

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": "1120608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473292800000",
    "number": "1740287614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3421 W 9TH ST",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507025401",
            "telephone_number": "319-272-8000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3421 W 9TH ST",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507025401",
            "telephone_number": "319-272-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOETSCH",
        "first_name": "NICHOLAS",
        "middle_name": "J",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-06",
        "last_updated": "2016-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "3649",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00469847",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1740287614",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0456830",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterloo, IA

Sources for this page

Verify at the official NPI Registry.