NPIMap

Individual provider Active NPI

Vinko M Bogdanic, M.D.

  • Internal Medicine Physician
  • Waterloo, IA
National Provider Identifier
1932184249
Registry record updated Mar 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
33236 Issued in IA
Practice address
3741 Pheasant LN
Waterloo, IA 50701-5215
Phone
(319) 233-3611
Fax
(319) 233-0669
NPI assigned
Dec 8, 2005
Last updated
Mar 28, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 33236 IA Primary

Addresses

Primary practice location

3741 Pheasant LN
Waterloo, IA 50701-5215

Mailing address

3741 Pheasant LN
Waterloo, IA 50701-5215
Phone (319) 233-3611

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
I20050727000597 IA Practitioner - Internal Medicine 5890723373 Reassigns benefits to 1 organization
Practice locations: Waterloo, IA

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

3741 Pheasant LN
Waterloo, IA 50701-5215
Phone (319) 233-3611

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
33236IAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Luke's Methodist Hospital Current Accepting new patients
Iowa Physicians Clinic Medical Foundation Internal Medicine CurrentSince May 16, 2016 Accepting new patients
Floyd County Memorial Hospital Commission Past Accepting new patients
Iowa Adult Medical Clinic, LLC Internal Medicine PastSince Sep 3, 2013 Accepting new patients
Summit Chiropractic Centers, PC PastSince Sep 10, 2012 Accepting new patients

Locations

4480 Utica Ridge Rd
Ste 160
Bettendorf, IA 52722
Phone (563) 742-5950

4480 Utica Ridge Rd
Ste 2230
Bettendorf, IA 52722
Phone (563) 742-5150

8101 Birchwood Ct
Unit R
Urbandale, IA 50131
Phone (515) 471-9363

1731 W Ridgeway Ave
Ste 100
Waterloo, IA 50701
Phone (319) 833-5888

3741 Pheasant Ln
Waterloo, IA 50701
Phone (319) 233-3611

Interoperability endpoints

  • Direct secure messaging: vbogdanic108218@direct.unitypoint.org

Organizations & group practices 5

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 & facility affiliations 8

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": "1134000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1459123200000",
    "number": "1932184249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3741 PHEASANT LN",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507015215",
            "telephone_number": "319-233-3611",
            "fax_number": "319-233-0669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3741 PHEASANT LN",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507015215",
            "telephone_number": "319-233-3611",
            "fax_number": "319-233-0669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOGDANIC",
        "first_name": "VINKO",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-08",
        "last_updated": "2016-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IA",
            "license": "33236",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterloo, IA

Sources for this page

Verify at the official NPI Registry.