NPIMap

Individual provider Active NPI

Mark M Zittergruen, MD

  • Pediatric Cardiology Physician
  • Cedar Rapids, IA
National Provider Identifier
1851312557
Registry record updated Oct 13, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Cardiology PhysicianTaxonomy code 2080P0202X
License
28303 Issued in IA
Practice address
1026 A Ave NE
Suite 5000
Cedar Rapids, IA 52402-5036
Phone
(319) 368-5757
NPI assigned
Jul 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 28303 IA
Pediatric Cardiology Physician 2080P0202X 28303 IA Primary

Addresses

Primary practice location

1026 A Ave NE
Suite 5000
Cedar Rapids, IA 52402-5036

Mailing address

1026 A Ave NE
Suite 5000
Cedar Rapids, IA 52402-5036
Phone (319) 368-5757

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050815000584 IA Practitioner - Pediatric MedicinePractitioner - Cardiovascular Disease (Cardiology) 2961478631 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric MedicineAlso: Cardiovascular Disease (Cardiology)
Education
University of Iowa, RJ & L Carver College of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mercy Medical CenterGroup PAC ID 4183535271, 295 clinicians

Practice addresses (Care Compare)

788 8TH St SE
400 Mercy Cardiology Clinic
Cedar Rapids, IA 52401-2108
Phone (319) 832-2328

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
28303IAMDPediatric Cardiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Medical Center CurrentSince Jan 1, 2016 Accepting new patients
Mercy Medical Center Current Accepting new patients
St Luke's Methodist Hospital Current Accepting new patients
Mercy Medical Center CurrentSince Jan 1, 2016 Accepting new patients
Mercy Physician Associates, Inc Past Accepting new patients
St. Luke's Methodist Hospital Past Accepting new patients
St. Luke's Methodist Hospital Pediatric Cardiology Past Accepting new patients
Trinity Regional Medical Center Past Accepting new patients

Locations

701 10th St SE
Cedar Rapids, IA 52403
Phone (319) 398-6011

788 8th Ave SE
Ste 400
Cedar Rapids, IA 52401
Phone (319) 398-6865

1026 A Ave NE
Ste 5000
Cedar Rapids, IA 52402
Phone (319) 368-5757

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

300 W May St
Marengo, IA 52301
Phone (319) 462-8011

Interoperability endpoints

  • Direct secure messaging: mzittergruen41750@direct.unitypoint.org

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1153440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318464000000",
    "number": "1851312557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1026 A AVE NE",
            "address_2": "SUITE 5000",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524025036",
            "telephone_number": "319-368-5757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1026 A AVE NE",
            "address_2": "SUITE 5000",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524025036",
            "telephone_number": "319-368-5757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZITTERGRUEN",
        "first_name": "MARK",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-21",
        "last_updated": "2011-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IA",
            "license": "28303",
            "primary": false
        },
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "IA",
            "license": "28303",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Rapids, IA

Sources for this page

Verify at the official NPI Registry.