Individual provider Active NPI

Alexander Neal Kurjatko, M.D.

  • Surgery Physician
  • Iowa City, IA
National Provider Identifier
1811277890
Registry record updated Sep 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
MD-47943 Issued in IA
Practice address
200 Hawkins Dr
Iowa City, IA 52242-1009
Phone
(319) 356-7892
Fax
(319) 356-3392
NPI assigned
Aug 23, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2023

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

Specialties & licenses 10

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 70325 WI
Surgery Physician 208600000X A127071 CA
Surgery Physician 208600000X 62443 MN
Surgery Physician 208600000X 70325 WI
Surgery Physician 208600000X MD190934 OR
Surgical Critical Care Physician 2086S0102X 62443 MN
Surgical Critical Care Physician 2086S0102X MD190934 OR
Surgical Critical Care Physician 2086S0102X MD-47943 IA
Trauma Surgery Physician 2086S0127X MD-47943 IA
Surgery Physician 208600000X MD-47943 IA Primary

Addresses

Primary practice location

200 Hawkins Dr
Iowa City, IA 52242-1009

Mailing address

200 Hawkins Dr
Iowa City, IA 52242-1009
Phone (319) 356-7892

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, WV, IA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20190507001401 WI Practitioner - General SurgeryPractitioner - Critical Care (Intensivists) 2264708866 Reassigns benefits to 3 organizations
I20190905002142 WV Practitioner - General Surgery 2264708866 Reassigns benefits to 1 organization
I20230914001872 IA Practitioner - General SurgeryPractitioner - Critical Care (Intensivists) 2264708866 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: Critical Care (Intensivists)
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
State University of IowaGroup PAC ID 7618884230, 1,886 clinicians
Divine Savior Healthcare IncGroup PAC ID 5799684007, 135 clinicians

Practice addresses (Care Compare)

200 Hawkins Dr
Iowa City, IA 52242-1009
Phone (319) 356-1616

2817 New Pinery Rd
Portage, WI 53901-9240
Phone (608) 742-4131

Hospital & facility affiliations

  • University of Iowa Hospital & Clinics Hospital, Iowa City, IA, CCN 160058

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Removal of tissue12

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
70325WIMDCritical Care Medicine (Internal Medicine) Physician
A127071CAMDSurgery Physician
MD-47943IAMDSurgery Physician
MD190934ORMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Davis Memorial Hospital CurrentSince Aug 1, 2019 Accepting new patients
Mile Bluff Medical Center Inc CurrentSince Jan 1, 2021 Accepting new patients
Mile Bluff Medical Center Inc Current Accepting new patients
Divine Savior Healthcare, Inc. CurrentSince Jul 1, 2020 Accepting new patients
Mercy Health System Corporation CurrentSince Jun 28, 2019 Accepting new patients
Divine Savior Healthcare, Inc. CurrentSince Jul 1, 2020 Accepting new patients
Mile Bluff Medical Center Inc CurrentSince Jan 1, 2021 Accepting new patients
Davis Memorial Hospital CurrentSince Aug 1, 2019 Accepting new patients
State University of Iowa Surgery CurrentSince Aug 16, 2023 Accepting new patients
Mercy Health System Corporation CurrentSince Jun 28, 2019 Accepting new patients
State University of Iowa Past Accepting new patients
State University of Iowa Past Accepting new patients
Mile Bluff Medical Center Inc Past Accepting new patients

Locations

200 Hawkins Dr
#H
Iowa City, IA 52242
Phone (319) 356-1616

200 Hawkins Dr
Iowa City, IA 52242
Phone (319) 356-1616

29624 Network Pl
Chicago, IL 60673
Phone (608) 741-7652

29980 Network Pl
Chicago, IL 60673

510 N Terrace St
Janesville, WI 53548
Phone (608) 756-6869

1000 Mineral Point Ave
Janesville, WI 53548
Phone (608) 261-6868

1040 Division St
Mauston, WI 53948
Phone (608) 847-5000

1050 Division St
Mauston, WI 53948
Phone (608) 847-6161

2817 New Pinery Rd
Portage, WI 53901
Phone (608) 745-4598

28 Commerce St
Wisconsin Dells, WI 53965
Phone (608) 254-5888

812 Gorman Ave
Elkins, WV 26241
Phone (304) 636-3300

Organizations & group practices 13

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

View all 13

Hospital & facility affiliations 1

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": "1314057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694476800000",
    "number": "1811277890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 HAWKINS DR",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522421009",
            "telephone_number": "319-356-7892",
            "fax_number": "319-356-3392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 HAWKINS DR",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522421009",
            "telephone_number": "319-356-7892",
            "fax_number": "319-356-3392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KURJATKO",
        "first_name": "ALEXANDER",
        "middle_name": "NEAL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-08-23",
        "last_updated": "2023-09-12",
        "certification_date": "2023-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "WI",
            "license": "70325",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "A127071",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MN",
            "license": "62443",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "WI",
            "license": "70325",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "OR",
            "license": "MD190934",
            "primary": false
        },
        {
            "code": "2086S0102X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Critical Care",
            "state": "MN",
            "license": "62443",
            "primary": false
        },
        {
            "code": "2086S0102X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Critical Care",
            "state": "OR",
            "license": "MD190934",
            "primary": false
        },
        {
            "code": "2086S0102X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Critical Care",
            "state": "IA",
            "license": "MD-47943",
            "primary": false
        },
        {
            "code": "2086S0127X",
            "taxonomy_group": "",
            "desc": "Surgery, Trauma Surgery",
            "state": "IA",
            "license": "MD-47943",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IA",
            "license": "MD-47943",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Iowa City, IA

Sources for this page

Verify at the official NPI Registry.