Individual provider Active NPI

Nidal H Harb, M.D.

  • Cardiovascular Disease Physician
  • Coralville, IA
National Provider Identifier
1871572677
Registry record updated Feb 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
26214 Issued in IA
Practice address
105 E 9TH St
Coralville, IA 52241-2209
Phone
(319) 467-2000
Fax
(319) 467-2410
NPI assigned
Jan 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD-26214 IA
Cardiovascular Disease Physician 207RC0000X 26214 IA Primary

Addresses

Primary practice location

105 E 9TH St
Coralville, IA 52241-2209

Mailing address

200 Hawkins Dr
Iowa City, IA 52242-1009
Phone (319) 467-2000

Other identifiers 2

IdentifierTypeStateIssuer
060064682OtherMEDICARE RAILROAD
2043521MedicaidIA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040508000287 IA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 4082603725 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
State University of IowaGroup PAC ID 7618884230, 1,886 clinicians

Practice addresses (Care Compare)

105 E 9TH St
University of Iowa Health Care Medical Cent
Coralville, IA 52241-2209
Phone (319) 467-2000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD-26214IAMDInternal Medicine Physician
26214IAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Genesis Health System Internal Medicine Current Accepting new patients
State University of Iowa Internal Medicine CurrentSince Jan 6, 2021 Accepting new patients
Genesis Health System CurrentSince Jul 1, 2006 Accepting new patients
Genesis Health System CurrentSince Jul 1, 2006 Accepting new patients
State University of Iowa Past Accepting new patients

Locations

1236 E Rusholme St
Ste 300
Davenport, IA 52803
Phone (319) 324-2992

1227 E Rusholme St
Davenport, IA 52803
Phone (563) 324-8160

1401 W Central Park Ave
Davenport, IA 52804
Phone (563) 421-1900

105 E 9th St
Iowa City, IA 52241
Phone (319) 467-2000

200 Hawkins Dr
#H
Iowa City, IA 52242
Phone (319) 356-1616

200 Hawkins Dr
Iowa City, IA 52242
Phone (319) 356-1616

801 Illini Dr
Silvis, IL 61282
Phone (309) 281-4000

Organizations & group practices 6

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1136937600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613347200000",
    "number": "1871572677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 HAWKINS DR",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522421009",
            "telephone_number": "319-467-2000",
            "fax_number": "319-467-2410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 E 9TH ST",
            "city": "CORALVILLE",
            "state": "IA",
            "postal_code": "522412209",
            "telephone_number": "319-467-2000",
            "fax_number": "319-467-2410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARB",
        "first_name": "NIDAL",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-11",
        "last_updated": "2021-02-15",
        "certification_date": "2021-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IA",
            "license": "MD-26214",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IA",
            "license": "26214",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "060064682",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2043521",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Coralville, IA

Sources for this page

Verify at the official NPI Registry.