NPIMap

Individual provider Active NPI

Vincent A Taeger, M.D.

  • Family Medicine Physician
  • West Burlington, IA
National Provider Identifier
1770659591
Registry record updated Oct 23, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35080 Issued in IA
Practice address
1201 W Agency Rd
West Burlington, IA 52655-1645
Phone
(319) 754-4242
Fax
(319) 754-4079
NPI assigned
Nov 24, 2006
Last updated
Oct 23, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2007

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 35080 IA Primary

Addresses

Primary practice location

1201 W Agency Rd
West Burlington, IA 52655-1645

Mailing address

1201 W Agency Rd
West Burlington, IA 52655-1645
Phone (319) 754-4242

Other identifiers 1

IdentifierTypeStateIssuer
2417899MedicaidIA

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
I20040105000823 IA Practitioner - Family PracticePractitioner - Emergency Medicine 0941109359 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Iowa, RJ & L Carver College of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Physician Associates IncGroup PAC ID 1355242496, 103 clinicians
Mercy Medical CenterGroup PAC ID 4183535271, 295 clinicians

Practice addresses (Care Compare)

1765 Lininger LN
Suite 1
North Liberty, IA 52317-2336
Phone (319) 665-3053

300 W May St
Marengo, IA 52301-1261
Phone (319) 642-5543

600 7TH St SE
101 Care Connections Clinic at Mercy
Cedar Rapids, IA 52401-2125
Phone (319) 398-6860

701 10TH St SE
Cedar Rapids, IA 52403-1251

701 10TH St SE
Cedar Rapids, IA 52403-1292

701 10TH St SE J Edward Lundy
Mercy Pediatric Clinic
Cedar Rapids, IA 52403-1251
Phone (319) 832-2328

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35080IAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Medical Center CurrentSince Jun 12, 2018 Accepting new patients
Mercy Care Management, Inc Family Medicine CurrentSince Feb 1, 2015 Accepting new patients
Mercy Physician Associates, Inc Family Medicine Current Accepting new patients
Mercy Care Management, Inc Family Medicine CurrentSince Feb 1, 2015 Accepting new patients
Mercy Physician Associates, Inc Family Medicine CurrentSince Feb 1, 2015 Accepting new patients
Mercy Physician Associates Inc Family Medicine CurrentSince Feb 1, 2015 Accepting new patients
Mercy Medical Center CurrentSince Jun 12, 2018 Accepting new patients
Mercy Medical Center Current Accepting new patients
Cottage Grove Place Past Accepting new patients
Mercy Medical Center Past Accepting new patients

Locations

5264 Council St NE
Ste 100
Cedar Rapids, IA 52402
Phone (319) 221-8444

600 7th St SE
Ste 101
Cedar Rapids, IA 52401
Phone (319) 221-8627

701 10th St SE
Cedar Rapids, IA 52403
Phone (319) 398-6011

1790 Blairs Ferry Rd
Hiawatha, IA 52233
Phone (319) 378-8362

300 W May St
Marengo, IA 52301
Phone (319) 462-8011

1765 Lininger Ln
North Liberty, IA 52317
Phone (319) 467-7888

400 E Polk St
Washington, IA 52353
Phone (319) 653-5481

Ownership & related parties

All facility ownership & control disclosures 7

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Linn Manor Care CenterMarion, IA, CCN 165511 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Sep 1, 2020
Aug 26, 2025
Cottage Grove PlaceCedar Rapids, IA, CCN 165322 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jan 27, 2015
Apr 22, 2025
Hiawatha Care CenterHiawatha, IA, CCN 165537 Skilled nursing facility Operational/Managerial Control Feb 1, 2026
Terrace Glen VillageMarion, IA, CCN 165625 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Nov 1, 2024
Nov 1, 2024
Oakview Nursing & Rehabilitation - MarionMarion, IA, CCN 165626 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Sep 1, 2019
Sep 1, 2019
Hallmar VillageCedar Rapids, IA, CCN 165798 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Sep 1, 2023
Sep 1, 2023
Rehabilitation Center of LisbonLisbon, IA, CCN 165617 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Aug 15, 2024
Aug 15, 2024

Owned or controlled facilities with NPI records 7

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 10

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 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1164326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193097600000",
    "number": "1770659591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 W AGENCY RD",
            "city": "WEST BURLINGTON",
            "state": "IA",
            "postal_code": "526551645",
            "telephone_number": "319-754-4242",
            "fax_number": "319-754-4079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 W AGENCY RD",
            "city": "WEST BURLINGTON",
            "state": "IA",
            "postal_code": "526551645",
            "telephone_number": "319-754-4242",
            "fax_number": "319-754-4079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAEGER",
        "first_name": "VINCENT",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-24",
        "last_updated": "2007-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "35080",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2417899",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Burlington, IA

Sources for this page

Verify at the official NPI Registry.