| Dr Gopi Kota, MD | |
|
1825 Logan Ave, Waterloo, IA 50703-1916 | |
| (319) 235-5386 | |
| Not Available |
| Full Name | Dr Gopi Kota |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 30 Years |
| Location | 1825 Logan Ave, Waterloo, Iowa |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528214970 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 40724 (Iowa) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Allen Hospital | Waterloo, IA | Hospital |
| Grundy County Memorial Hospital | Grundy center, IA | Hospital |
| Unitypoint Health-marshalltown | Marshalltown, IA | Hospital |
| Community Memorial Hospital Medical Center | Sumner, IA | Hospital |
| Waverly Health Center | Waverly, IA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Allen Memorial Hospital Corporation | 4284546045 | 126 |
| Entity Name | Allen Memorial Hospital Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891772927 PECOS PAC ID: 4284546045 Enrollment ID: O20031211000480 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Gopi Kota, MD 4150 Kimball Avenue, Po Box 2758, Waterloo, IA 50704-2758 Ph: (319) 235-5390 | Dr Gopi Kota, MD 1825 Logan Ave, Waterloo, IA 50703-1916 Ph: (319) 235-5386 |
James Vincent Connell Jr., M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 1825 Logan Ave, Waterloo, IA 50703 Phone: 319-235-3716 Fax: 319-233-1630 | |
Vandana Jain, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 200 E Ridgeway Ave, Waterloo, IA 50702 Phone: 319-272-2800 Fax: 319-272-2807 | |
Greg Evan Raecker, DO Radiology Medicare: Medicare Enrolled Practice Location: 1731 W Ridgeway Ave, Ste 101, Waterloo, IA 50701 Phone: 319-833-6001 Fax: 319-833-6003 | |
Cassandra S Foens, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 200 E Ridgeway Ave, Waterloo, IA 50702 Phone: 319-272-2800 Fax: 319-272-2807 | |
Lawrence Arthur Liebscher, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1731 W Ridgeway Ave, Ste 101, Waterloo, IA 50701 Phone: 319-833-6001 Fax: 319-833-6003 | |
Wayne Leroy Ventling Ii, DO Radiology Medicare: Medicare Enrolled Practice Location: 4150 Kimball Avenue, Waterloo, IA 50701 Phone: 219-235-5390 Fax: 319-233-1630 | |
Stephen Dale Frazier, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1825 Logan Ave, Waterloo, IA 50703 Phone: 319-235-3716 Fax: 319-233-1630 |