Active NPI
Dolido Ikalaba Luse Sr., MD
- Private Vehicle
- Cedar Rapids, IA
National Provider Identifier
1902596984
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Private Vehicle
- License
- LUV782
- Practice address
- 5170 16TH Avenue Southwest
13
Cedar Rapids, IA 52404-6708 - Phone
- (319) 899-7043
- NPI assigned
- May 11, 2023
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Private Vehicle | 347C00000X | LUV782 | IA | Primary |
Addresses
Primary practice location
5170 16TH Avenue Southwest
13
Cedar Rapids, IA 52404-6708
Mailing address
5170 16TH Avenue Southwest
13
Cedar Rapids, IA 52404-6708
Phone (319) 899-7043
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LUV782 | IA | MD | Private Vehicle |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1683763200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1683763200000",
"number": "1902596984",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5170 16TH AVENUE SOUTHWEST",
"address_2": "13",
"city": "CEDAR RAPIDS",
"state": "IA",
"postal_code": "524046708",
"telephone_number": "319-899-7043"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5170 16TH AVENUE SOUTHWEST",
"address_2": "13",
"city": "CEDAR RAPIDS",
"state": "IA",
"postal_code": "524046708",
"telephone_number": "319-899-7043"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUSE",
"first_name": "DOLIDO",
"middle_name": "IKALABA",
"name_suffix": "Sr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-05-11",
"last_updated": "2023-05-11",
"certification_date": "2023-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "347C00000X",
"taxonomy_group": "",
"desc": "Private Vehicle",
"state": "IA",
"license": "LUV782",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cedar Rapids, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.