NPIMap

Organization Active NPI

Cedar Valley Medical Specialists PC

  • Durable Medical Equipment & Medical Supplies
  • Cedar Falls, IA
National Provider Identifier
1750336491
Registry record updated Feb 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
CEDAR VALLEY MEDICAL SPECIALISTS PC
Practice address
4612 Prairie Pkwy
Cedar Falls, IA 50613-7971
Phone
(319) 859-8139
Fax
(319) 349-8403
NPI assigned
May 23, 2006
Last updated
Feb 5, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
CEDAR VALLEY MEDICAL SPECIALISTS PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 5, 2026

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

Authorized official

Name
Vinay Kantamneni, MD
Title
Ceo
Phone
(319) 235-5390

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU Primary

Addresses

Primary practice location

4612 Prairie Pkwy
Cedar Falls, IA 50613-7971

Mailing address

PO Box 2758
Waterloo, IA 50704-2758
Phone (319) 235-5390

Other identifiers 1

IdentifierTypeStateIssuer
0285148MedicaidIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930065465 IA DME Supplier - Multi-Specialty - Physician 1759291487 Practice locations: Cedar Falls, IA

Other NPIs with the same Medicare PAC ID 5

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Cedar Valley Med Spec PC6 organizations share this tax ID, including this one
Part of
Cedar Valley Med Spec PC

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1753 W Ridgeway Ave
Ste 103
Waterloo, IA 50701
Phone (319) 833-5922

Practitioners & affiliated clinicians

Practitioners 17

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770249600000",
    "number": "1750336491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2758",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507042758",
            "telephone_number": "319-235-5390",
            "fax_number": "319-235-5607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4612 PRAIRIE PKWY",
            "city": "CEDAR FALLS",
            "state": "IA",
            "postal_code": "506137971",
            "telephone_number": "319-859-8139",
            "fax_number": "319-349-8403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CEDAR VALLEY MEDICAL SPECIALISTS PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CEDAR VALLEY MEDICAL SPECIALISTS PC",
        "enumeration_date": "2006-05-23",
        "last_updated": "2026-02-05",
        "certification_date": "2026-02-05",
        "status": "A",
        "authorized_official_last_name": "KANTAMNENI",
        "authorized_official_first_name": "VINAY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "319-235-5390",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0285148",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Falls, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.