Sunita Kantamneni, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

32281 Issued in IA

Practice address

2750 Saint Francis Dr
Waterloo, IA 50702-5644

Phone

(319) 272-8922

Fax

(319) 272-8929

NPI assigned

Jun 28, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Psychiatry

Education

Other, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Covenant Medical Center Inc 234 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mercyone Waterloo Medical Center Hospital, Waterloo, IA, CCN 160067

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Covenant Medical Center Inc

  • Family Medicine Physician
  • Waterloo, IA
  • NPI 1548288160

  IA

  Medicare reassignment Care Compare group NPD
• Covenant Medical Center, Inc.

  • Customized Equipment (DME)
  • Evansdale, IA
  • NPI 1851141980
  Care Compare group NPD
• Covenant Medical Center Inc

  • General Acute Care Hospital
  • Waterloo, IA
  • NPI 1700827896
  Care Compare group NPD (past)
• Covenant Medical Center Inc

  • Durable Medical Equipment & Medical Supplies
  • Waterloo, IA
  • NPI 1134411416
  Care Compare group
• Covenant Medical Center Inc

  • Home Health Agency
  • Waterloo, IA
  • NPI 1437190527
  Care Compare group
• Covenant Medical Center Inc

  • Community/Retail Pharmacy
  • Waterloo, IA
  • NPI 1497796494
  Care Compare group
• Covenant Medical Center Inc

  • Community/Retail Pharmacy
  • La Porte City, IA
  • NPI 1497796783
  Care Compare group
• Covenant Medical Center Inc

  • Community/Retail Pharmacy
  • Jesup, IA
  • NPI 1922045632
  Care Compare group
• Covenant Medical Center Inc

  • Rehabilitation Hospital Unit
  • Waterloo, IA
  • NPI 1932140969
  Care Compare group

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Covenant Medical Center Inc

  • General Acute Care Hospital
  • Waterloo, IA
  • NPI 1700827896

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184544000000",
    "number": "1851329296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 KIMBALL AVE",
            "address_2": "LL14",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507025063",
            "telephone_number": "319-272-1590",
            "fax_number": "319-272-1535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2750 SAINT FRANCIS DR",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507025644",
            "telephone_number": "319-272-8922",
            "fax_number": "319-272-8929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KANTAMNENI",
        "first_name": "SUNITA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-28",
        "last_updated": "2007-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "IA",
            "license": "32281",
            "primary": true
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "IA",
            "license": "32281",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0220970",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sreevastav Teja Kalangi, MD
• Jade Marie Kalina, FNP
• Jennifer Lynn Kane, ARNP
• Ronald M Kane, DPM
• Sarah Kane, MSN NP-C
• Vinay Kumar Kantamneni, MD
• Medina Kantarevic
• Ashton Kapelanski
• Andrea Karns
• Brooke Allison Karns

• All providers in Waterloo, IA
• Psychiatry Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2007; 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.
• 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.