Active NPI
Umanga KC
- Family Medicine Physician
- Waterloo, IA
National Provider Identifier
1821887704
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- R-13399
- Practice address
- 2055 Kimball Avenue, Mercyone North Iowa Waterloo Famil
Ste 101
Waterloo, IA 50702 - Phone
- (319) 272-2112
- NPI assigned
- May 6, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | R-13399 | IA | Primary |
Addresses
Primary practice location
2055 Kimball Avenue, Mercyone North Iowa Waterloo Famil
Ste 101
Waterloo, IA 50702
Mailing address
2055 Kimball Avenue, Mercyone North Iowa Waterloo Famil
Ste 101
Waterloo, IA 50702
Phone (319) 272-2112
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250905001075 | IA | Order and Referring Only - Family Practice | 1254833676 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1746489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755043200000",
"number": "1821887704",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2055 KIMBALL AVENUE, MERCYONE NORTH IOWA WATERLOO FAMIL",
"address_2": "STE 101",
"city": "WATERLOO",
"state": "IA",
"postal_code": "50702",
"telephone_number": "319-272-2112"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2055 KIMBALL AVENUE, MERCYONE NORTH IOWA WATERLOO FAMIL",
"address_2": "STE 101",
"city": "WATERLOO",
"state": "IA",
"postal_code": "50702",
"telephone_number": "319-272-2112"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KC",
"first_name": "UMANGA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-05-06",
"last_updated": "2025-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IA",
"license": "R-13399",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Waterloo, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.