Mukund G Nadipuram, MD

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

License

26821 Issued in IA

Practice address

200 E Ridgeway Ave
Suite 400
Waterloo, IA 50702-5060

Phone

(319) 272-2070

Fax

(319) 272-2077

NPI assigned

Jun 12, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Interoperability endpoints

• Direct secure messaging: mnadipuram3935061@direct.trinity-health.org

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.

• Floyd County Memorial Hospital Commission

  • Critical Access Hospital
  • Charles City, IA
  • NPI 1265402390
  NPD (past)

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461628800000",
    "number": "1962444349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 KIMBALL AVE # LL14",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507025063",
            "telephone_number": "319-272-1590",
            "fax_number": "319-272-1535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 E RIDGEWAY AVE",
            "address_2": "SUITE 400",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507025060",
            "telephone_number": "319-272-2070",
            "fax_number": "319-272-2077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NADIPURAM",
        "first_name": "MUKUND",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-12",
        "last_updated": "2016-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IA",
            "license": "26821",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "IA",
            "license": "26821",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1052365",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shadi Suhail Mustafa, MD
• Lydia Mustafic, M.D.
• Emma Avdic Mustedanagic, PA-C
• Ladawna Myrmo, CNM
• Mary C. Nading, PA-C
• Nishad Nadkarni, M.D.
• Muhammad Naeem, MD
• Rabia Naeem, MD
• Bobbita Nag, M.D.
• Nagarathnamma Nadipuram, MD, PLC

• Hematology & Oncology Physician in Waterloo, IA
• Providers in Waterloo, IA by specialty
• Hematology & Oncology Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2016; 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.