NPIMap

Individual provider Active NPI

Carryn M Anderson, MD

  • Radiation Oncology Physician
  • Iowa City, IA
National Provider Identifier
1891987392
Registry record updated Jul 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
37860 Issued in IA
Practice address
200 Hawkins Dr
01614 PFPW
Iowa City, IA 52242-1009
Phone
(319) 353-8836
Fax
(319) 356-1530
NPI assigned
Aug 17, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2009

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X 57.007346 OH
Radiation Oncology Physician 2085R0001X 37860 IA Primary
Radiation Oncology Physician 2085R0001X 35.090977 OH

Addresses

Primary practice location

200 Hawkins Dr
01614 PFPW
Iowa City, IA 52242-1009

Mailing address

200 Hawkins Dr
01614 PFPW
Iowa City, IA 52242-1009
Phone (319) 353-8836

Other names 1

  • Carryn M Ensrude Former name

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
I20080812000240 IA Practitioner - Radiation Oncology 3072688977 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
37860IAMDRadiation Oncology Physician
35.090977OHMDRadiation Oncology Physician
57.007346OHMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
State University of Iowa CurrentSince Aug 5, 2008 Accepting new patients
State University of Iowa Past Accepting new patients

Locations

1351 Kimberly Rd
Ste 200
Bettendorf, IA 52722
Phone (563) 441-1998

500 E Market St
Iowa City, IA 52245
Phone (319) 339-0300

200 Hawkins Dr
#1614
Iowa City, IA 52242
Phone (319) 353-8836

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

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

3010 Northgate Dr
Ste 100
Iowa City, IA 52245
Phone (319) 354-8777

1315 W Agency Rd
West Burlington, IA 52655
Phone (319) 752-2584

Interoperability endpoints

  • Direct secure messaging: canderson22606@uihcdirect.org

Organizations & group practices 22

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.

View all 22

Hospital & facility affiliations 4

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

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
University of Texas Medical Branch at Galveston, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
State University of Iowa 1,886 clinicians

Practice addresses (Care Compare)

1315 W Agency Rd
151 University of Iowa Health Care Medical
West Burlington, IA 52655-1654
Phone (319) 768-3900

200 Hawkins Dr
Iowa City, IA 52242-1009
Phone (319) 356-1616

Hospital & facility affiliations

  • University of Iowa Hospital & Clinics Hospital, Iowa City, IA, CCN 160058
  • Mercyone Dubuque Medical Center Hospital, Dubuque, IA, CCN 160069
  • Mercyone Clinton Medical Center Hospital, Clinton, IA, CCN 160080
  • Southeast Iowa Regional Medical Center Hospital, West Burlington, IA, CCN 160057

Merit-based Incentive Payment System (MIPS)

Final score
80.02 of 100Reported as group
Quality
75.68
Promoting interoperability
78
Improvement activities
40

NPI Registry JSON

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

{
    "created_epoch": "1187308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1247011200000",
    "number": "1891987392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 HAWKINS DR",
            "address_2": "01614 PFPW",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522421009",
            "telephone_number": "319-353-8836",
            "fax_number": "319-356-1530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 HAWKINS DR",
            "address_2": "01614 PFPW",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522421009",
            "telephone_number": "319-353-8836",
            "fax_number": "319-356-1530"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "CARRYN",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-08-17",
        "last_updated": "2009-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "OH",
            "license": "57.007346",
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "IA",
            "license": "37860",
            "primary": true
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "OH",
            "license": "35.090977",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARRYN",
            "last_name": "ENSRUDE",
            "middle_name": "M",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Iowa City, IA

Sources for this page

Verify at the official NPI Registry.