NPIMap

Organization Active NPI

Cedar Valley Medical Specialists PC

Doing business as Cedar Valley Dialysis Center

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Waterloo, IA
National Provider Identifier
1932154697
Registry record updated Apr 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
Legal business name
CEDAR VALLEY MEDICAL SPECIALISTS PC
Doing business as
Cedar Valley Dialysis Center
Practice address
1661 W Ridgeway Ave
Waterloo, IA 50701-4541
Phone
(319) 833-5777
Fax
(319) 833-5780
NPI assigned
May 23, 2006
Last updated
Apr 16, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
CEDAR VALLEY MEDICAL SPECIALISTS, P.C.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 16, 2025

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

Authorized official

Name
Vinay Kantamneni, MD
Title
Ceo
Phone
(319) 235-5390

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X Primary

Addresses

Primary practice location

1661 W Ridgeway Ave
Waterloo, IA 50701-4541

Mailing address

PO Box 2758
Waterloo, IA 50704-2758
Phone (319) 833-5777

Other names 1

  • Cedar Valley Dialysis Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Cedar Valley Med Specia6 organizations share this tax ID, including this one
Part of
Cedar Valley Med Specia

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1661 W Ridgeway Ave
Waterloo, IA 50701
Phone (319) 226-6425

NPI Registry JSON

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744761600000",
    "number": "1932154697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2758",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507042758",
            "telephone_number": "319-833-5777",
            "fax_number": "319-833-5780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1661 W RIDGEWAY AVE",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507014541",
            "telephone_number": "319-833-5777",
            "fax_number": "319-833-5780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CEDAR VALLEY MEDICAL SPECIALISTS PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CEDAR VALLEY MEDICAL SPECIALISTS, P.C.",
        "enumeration_date": "2006-05-23",
        "last_updated": "2025-04-16",
        "certification_date": "2025-04-16",
        "status": "A",
        "authorized_official_last_name": "KANTAMNENI",
        "authorized_official_first_name": "VINAY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "319-235-5390",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cedar Valley Dialysis Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Waterloo, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.