Individual provider Active NPI

Todd K Lawrence, M.D.

  • Emergency Medicine Physician
  • Waterloo, IA
National Provider Identifier
1790772614
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
34751 Issued in IA
Practice address
1825 Logan Ave
Waterloo, IA 50703
NPI assigned
Oct 5, 2005
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 34751 IA Primary
Family Medicine Physician 207Q00000X 34751 IA

Addresses

Primary practice location

1825 Logan Ave
Waterloo, IA 50703

Mailing address

1825 Logan Ave
Waterloo, IA 50703-1916
Phone (319) 235-3697

Other practice location 1

2055 Kimball Ave
Suite 100
Waterloo, IA 50702-5014
Phone (319) 272-2112

Other identifiers 2

IdentifierTypeStateIssuer
1790772614OtherIABLUE SHIELD
1790772614MedicaidIA

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20031112000483 IA Practitioner - Emergency MedicinePractitioner - Family Practice 8022921253 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
81.6 of 100Reported as group
Quality
83.66
Promoting interoperability
83
Improvement activities
40
Cost
69.17

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34751IAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Salahuddin Syed MD PC Current Accepting new patients
St Luke's Methodist Hospital Current Accepting new patients
Grundy County Memorial Hospital Emergency Medicine CurrentSince Aug 22, 2011 Accepting new patients
Unitypoint Health - Marshalltown CurrentSince Sep 17, 2022 Accepting new patients
Unitypoint Health - Marshalltown Emergency Medicine CurrentSince Sep 17, 2022 Accepting new patients
Waverly Health Center CurrentSince Jan 9, 2024 Accepting new patients
Allen Memorial Hospital Corporation Emergency Medicine CurrentSince Sep 26, 2017 Accepting new patients
Iowa Emergency Physicians LLP Emergency Medicine Current Accepting new patients
Waverly Health Center Current Accepting new patients
Iowa Emergency Physicians LLP Emergency Medicine CurrentSince Jul 1, 2009 Accepting new patients
Waverly Health Center Family Medicine CurrentSince Jan 9, 2024 Accepting new patients
Grundy County Memorial Hospital CurrentSince Aug 22, 2011 Accepting new patients
Grundy County Memorial Hospital Current Accepting new patients
Allen Memorial Hospital Corporation Current Accepting new patients

Locations

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

1600 1st St E
Independence, IA 50644
Phone (319) 332-0999

709 W Main St
Manchester, IA 52057
Phone (563) 927-3232

55 Unitypoint Way
Marshalltown, IA 50158
Phone (641) 754-5145

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

312 9th St SW
Ste 3300
Waverly, IA 50677
Phone (319) 483-1400

Interoperability endpoints

  • Direct secure messaging: tlawrence116442@direct.unitypoint.org

Organizations & group practices 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1128470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1790772614",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1825 LOGAN AVE",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507031916",
            "telephone_number": "319-235-3697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1825 LOGAN AVE",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "50703"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2055 Kimball Ave",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "Waterloo",
            "state": "IA",
            "postal_code": "507025014",
            "country_code": "US",
            "telephone_number": "319-272-2112",
            "fax_number": "319-272-2107",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAWRENCE",
        "first_name": "TODD",
        "middle_name": "K",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-05",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IA",
            "license": "34751",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "34751",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "1790772614",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1790772614",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterloo, IA

Sources for this page

Verify at the official NPI Registry.