Active NPI
Kirk Kendal Garmager, M.D.
- Diagnostic Radiology Physician
- Coralville, IA
National Provider Identifier
1861445348
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 30407
- Practice address
- 2769 Heartland Dr
Suite 105
Coralville, IA 52241-2732 - Phone
- (319) 545-7310
- Fax
- (319) 545-7314
- NPI assigned
- May 18, 2006
- 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 |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 30407 | IA | Primary |
Addresses
Primary practice location
2769 Heartland Dr
Suite 105
Coralville, IA 52241-2732
Mailing address
2771 Oakdale Blvd Ste 3
Coralville, IA 52241-9747
Phone (319) 545-7310
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2121962 | Medicaid | IA | |
| 38535 | Other | IA | BLUE CROSS BLUE SHIELD |
| 3121962 | Medicaid | IA | |
| 1121962 | Medicaid | IA | |
| 38533 | Other | IA | BLUE CROSS BLUE SHIELD |
| 19352 | Other | IA | BLUE CROSS BLUE SHIELD |
| 38534 | Other | IA | BLUE CROSS BLUE SHIELD |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30407 | IA | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Radiologists of North Iowa PC | Past | Accepting new patients | |
| Radiologists of North Iowa PC | Diagnostic Radiology | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Gynecology Physician
- Mason City, IA
- NPI 1548093628
-
- Diagnostic Radiology Physician
- Mason City, IA
- NPI 1942252051
Diagnostic Radiology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147910400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1619481600000",
"number": "1861445348",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2771 OAKDALE BLVD STE 3",
"city": "CORALVILLE",
"state": "IA",
"postal_code": "522419747",
"telephone_number": "319-545-7310",
"fax_number": "319-626-7314"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2769 HEARTLAND DR",
"address_2": "SUITE 105",
"city": "CORALVILLE",
"state": "IA",
"postal_code": "522412732",
"telephone_number": "319-545-7310",
"fax_number": "319-545-7314"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARMAGER",
"first_name": "KIRK",
"middle_name": "KENDAL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-18",
"last_updated": "2021-04-27",
"certification_date": "2021-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "IA",
"license": "30407",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2121962",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "38535",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3121962",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1121962",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "38533",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "19352",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "38534",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Coralville, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.