NPIMap

Organization Active NPI

Physicians' Clinic of Iowa, PC

  • Surgery Physician
  • Cedar Rapids, IA
National Provider Identifier
1821075599
Registry record updated Jun 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
00000 Issued in IA
Legal business name
PHYSICIANS' CLINIC OF IOWA, PC
Practice address
202 10TH Street SE
Cedar Rapids, IA 52403-2404
Phone
(319) 247-3010
Fax
(319) 399-2036
NPI assigned
Dec 23, 2005
Last updated
Jun 2, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2022

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

Authorized official

Name
Daniel A Carpintero
Title
Revenue Cycle Director
Phone
(319) 247-3109

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208600000X 00000 IA Primary

Addresses

Primary practice location

202 10TH Street SE
Cedar Rapids, IA 52403-2404

Mailing address

PO Box 3178
Cedar Rapids, IA 52406-3178
Phone (319) 398-1583

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040128000886 IA Part B Supplier - Clinic/Group Practice 2163325242 Receives reassigned benefits from 164 practitioners
3 other NPIs on this enrollment
Practice locations: Vinton, IA; Marion, IA; Cedar Rapids, IA; Manchester, IA; Iowa City, IA; Hiawatha, IA; Independence, IA

Other NPIs with the same Medicare PAC ID 2

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

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

Locations

202 10th St SE
Ste 290
Cedar Rapids, IA 52403
Phone (319) 294-4319

855 A Ave NE
Ste 420
Cedar Rapids, IA 52402
Phone (319) 297-2900

860 2nd Ave SE
Cedar Rapids, IA 52403

1220 Industrial Ave
Ste B
Hiawatha, IA 52233
Phone (319) 398-1721

917 Barrington Pkwy
Ste A
Marion, IA 52302
Phone (319) 373-4422

585 W Cherry St
North Liberty, IA 52317
Phone (319) 626-6006

Practitioners & affiliated clinicians

Practitioners 171

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 171

NPI Registry JSON

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

{
    "created_epoch": "1135296000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654128000000",
    "number": "1821075599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3178",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524063178",
            "telephone_number": "319-398-1583",
            "fax_number": "319-399-2085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 10TH STREET SE",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524032404",
            "telephone_number": "319-247-3010",
            "fax_number": "319-399-2036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICIANS' CLINIC OF IOWA, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-23",
        "last_updated": "2022-06-02",
        "certification_date": "2022-06-02",
        "status": "A",
        "authorized_official_last_name": "CARPINTERO",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "REVENUE CYCLE DIRECTOR",
        "authorized_official_telephone_number": "319-247-3109"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "IA",
            "license": "00000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Rapids, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2022; 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.