Amjed Katmeh

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

R-12377 Issued in IA

Practice address

2055 Kimball Ave Ste 101
Waterloo, IA 50702-5047

Phone

(319) 272-2112

NPI assigned

Apr 14, 2022

Last updated

Apr 14, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IA, KY2 enrollments

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 2

Specialty

Family Practice

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Hospital Medicine Services of Tennessee PCGroup PAC ID 9234432881, 157 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Hospice of the Bluegrass, Inc Dba Bluegrass Care N Hospice, Lexington, KY, CCN 181500
• Georgetown Community Hospital Hospital, Georgetown, KY, CCN 180101
• Harrison Memorial Hospital Hospital, Cynthiana, KY, CCN 180079

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Hospital Medicine Services of Tennessee PC

  • Hospitalist Physician
  • Lawrenceburg, IN
  • NPI 1528433802

  Family Medicine, KY

  Medicare reassignment Care Compare group NPD
• Delaware County Memorial Hospital

  dba Backbone Area Counseling Center

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Manchester, IA
  • NPI 1982667929
  Medicare reassignment NPD
• Delaware County Memorial Hospital

  dba Regional Medical Center

  • Emergency Medical Services (Emergency Medicine) Physician
  • Manchester, IA
  • NPI 1326073669
  NPD
• Delaware County Memorial Hospital

  dba Regional Family Health Dyersville

  • Rural Health Clinic/Center
  • Dyersville, IA
  • NPI 1689264756
  NPD
• Georgetown Community Hospital LLC

  dba Gerogetown Community Hospital

  • Rural Acute Care Hospital
  • Georgetown, KY
  • NPI 1326107319
  NPD (past)

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

• Georgetown Community Hospital LLC

  dba Gerogetown Community Hospital

  • Rural Acute Care Hospital
  • Georgetown, KY
  • NPI 1326107319
  Care Compare affiliation
• Harrison Memorial Hospital

  • General Acute Care Hospital
  • Cynthiana, KY
  • NPI 1629084702
  Care Compare affiliation
• Hospice of the Bluegrass, Inc

  dba Bluegrass Care Navigators

  • Community Based Hospice Care Agency
  • Lexington, KY
  • NPI 1861538209
  Care Compare affiliation

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

{
    "created_epoch": "1649894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649894400000",
    "number": "1891438156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "418 HARTUNG ST",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543022514",
            "telephone_number": "813-510-8438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2055 KIMBALL AVE STE 101",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507025047",
            "telephone_number": "319-272-2112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KATMEH",
        "first_name": "AMJED",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-04-14",
        "last_updated": "2022-04-14",
        "certification_date": "2022-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "R-12377",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashton Kapelanski
• Andrea Karns
• Brooke Allison Karns
• Jason Thomas Kasenberg, DO
• William R Kasten, M.D.
• Kats Counseling PLC
• Katy Delagardelle PLLC
• Jenna Kauble
• Kristi Lynn Kavanaugh, PHARM.D.
• Umanga KC

• Family Medicine Physician in Waterloo, IA
• Providers in Waterloo, IA by specialty
• Family Medicine Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2022; 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.