NPIMap

Organization Active NPI

Cedar Valley Medical Specialists PC

Doing business as Advanced Diagnostic Imaging

  • Radiology Clinic/Center
  • Waterloo, IA
National Provider Identifier
1841245586
Registry record updated Feb 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
Legal business name
CEDAR VALLEY MEDICAL SPECIALISTS PC
Doing business as
Advanced Diagnostic Imaging
Practice address
4006 Johnathan St
Waterloo, IA 50701-9387
Phone
(319) 236-2700
Fax
(319) 236-2714
NPI assigned
May 23, 2006
Last updated
Feb 5, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
CEDAR VALLEY MEDICAL SPECIALISTS, PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 5, 2026

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

Authorized official

Name
Vinay Kantamneni, MD
Title
Ceo
Phone
(319) 235-5390

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X NU Primary

Addresses

Primary practice location

4006 Johnathan St
Waterloo, IA 50701-9387

Mailing address

PO Box 2758
Waterloo, IA 50704-2758
Phone (319) 235-5390

Other names 1

  • Advanced Diagnostic Imaging Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031208000462 IA Part B Supplier - Clinic/Group Practice 1759291487 Receives reassigned benefits from 89 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Waterloo, IA; Waverly, IA; West Union, IA; Cedar Falls, IA; Cedar Rapids, IA; Denver, IA; Dubuque, IA; Grundy Center, IA…

Other NPIs on the same Medicare enrollment 1

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

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
16D1093323Advanced Diagnostic Imaging4006 Johnathan Street, Waterloo, IA 50701Certificate of waiverDec 15, 2026
16D2211863Cedar Valley Medical Specialists PC4006 Johnathan St, Ste B, Waterloo, IA 50701Certificate of waiverJan 31, 2027

National Provider Directory

National Provider Directory
Part of
Cedar Valley Med Spec PC

Locations

1753 W Ridgeway Ave
Ste 107
Waterloo, IA 50701
Phone (319) 833-5907

Practitioners & affiliated clinicians

Practitioners 30

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 30

NPI Registry JSON

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770249600000",
    "number": "1841245586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2758",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507042758",
            "telephone_number": "319-235-5390",
            "fax_number": "319-235-5607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4006 JOHNATHAN ST",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507019387",
            "telephone_number": "319-236-2700",
            "fax_number": "319-236-2714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CEDAR VALLEY MEDICAL SPECIALISTS PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CEDAR VALLEY MEDICAL SPECIALISTS, PC",
        "enumeration_date": "2006-05-23",
        "last_updated": "2026-02-05",
        "certification_date": "2026-02-05",
        "status": "A",
        "authorized_official_last_name": "KANTAMNENI",
        "authorized_official_first_name": "VINAY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "319-235-5390",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Advanced Diagnostic Imaging",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Feb 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.