Individual provider Active NPI

Antony Anandaraj Anandaraj, M.D

  • Interventional Cardiology Physician
  • Cedar Rapids, IA
National Provider Identifier
1811429178
Registry record updated Aug 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
MD-47457 Issued in IA
Practice address
202 10TH St SE Ste 225
Cedar Rapids, IA 52403-2419
Phone
(319) 364-7101
Fax
(319) 363-1993
NPI assigned
Mar 28, 2017
Last updated
Aug 22, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Interventional Cardiology Physician 207RI0011X MD-47457 IA Primary

Addresses

Primary practice location

202 10TH St SE Ste 225
Cedar Rapids, IA 52403-2419

Mailing address

202 10TH St SE Ste 225
Cedar Rapids, IA 52403-2419
Phone (319) 364-7101

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240523000363 IA Practitioner - Interventional CardiologyPractitioner - Internal Medicine 1254754807 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional Cardiology
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Lukes Methodist HospitalGroup PAC ID 6608786751, 82 clinicians

Practice addresses (Care Compare)

202 10TH St SE
Suite 225
Cedar Rapids, IA 52403-2419
Phone (319) 368-5757

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.76 of 100Reported as group
Quality
75.82
Promoting interoperability
81
Improvement activities
40
Cost
75.88

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting50
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St. Luke's Methodist Hospital Cardiovascular Disease CurrentSince Jul 1, 2024 Accepting new patients
The Finley Hospital CurrentSince Jul 1, 2024 Accepting new patients
St Luke's Methodist Hospital CurrentSince Jul 1, 2024 Accepting new patients
The Finley Hospital CurrentSince Jul 1, 2024 Accepting new patients
Trinity Regional Medical Center Past Accepting new patients
Floyd County Memorial Hospital Commission Past Accepting new patients

Locations

1795 Highway 64 E
Anamosa, IA 52205
Phone (319) 462-6161

1026 A Ave NE
Cedar Rapids, IA 52402
Phone (319) 369-5970

202 10th St SE
Ste 225
Cedar Rapids, IA 52403
Phone (319) 364-7101

1500 Delhi St
Ste 4300
Dubuque, IA 52001
Phone (563) 557-5971

350 N Grandview Ave
Ste G3300
Dubuque, IA 52001
Phone (563) 582-1881

709 W Main St
Ste 100
Manchester, IA 52057
Phone (563) 927-2855

Interoperability endpoints

  • Direct secure messaging: aanandaraj1072863@direct.unitypoint.org

Organizations & group practices 6

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 5

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": "1490659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724284800000",
    "number": "1811429178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 10TH ST SE STE 225",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524032419",
            "telephone_number": "319-364-7101",
            "fax_number": "319-363-1993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 10TH ST SE STE 225",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524032419",
            "telephone_number": "319-364-7101",
            "fax_number": "319-363-1993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANANDARAJ",
        "first_name": "ANTONY ANANDARAJ",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-03-28",
        "last_updated": "2024-08-22",
        "certification_date": "2024-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "IA",
            "license": "MD-47457",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Rapids, IA

Sources for this page

Verify at the official NPI Registry.