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Cedar Valley Medical Specialists PC

Clinic/Center, End-Stage Renal Disease (ESRD) Treatment in Waterloo, IA. Organization (NPI-2).

NPI number1932154697
StatusActive
Last updated in NPPESApr 16, 2025

Details

NPI
1932154697
Entity type
Organization (NPI-2)
Legal business name
Cedar Valley Medical Specialists PC
Organization subpart
Yes
Enumeration date
May 23, 2006
Certification date
Apr 16, 2025
Last updated
Apr 16, 2025

Medicare and OIG

Medicare enrolled (PECOS)
Not in the Medicare enrollment file
Can order and refer
Not on the CMS order and referring list
OIG exclusion list
This NPI is not listed

CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment––Yes

Other names

  • Cedar Valley Dialysis Center (Doing Business As)

Practice location

1661 W Ridgeway Ave
Waterloo, IA 50701-4541

Phone 319-833-5777 · Fax 319-833-5780

Mailing address

Po Box 2758
Waterloo, IA 50704-2758

Phone 319-833-5777 · Fax 319-833-5780

Authorized official

Vinay Kantamneni
Ceo
3192355390

Is something wrong?

This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.

Other End-Stage Renal Disease (ESRD) Treatment Clinic/Center providers in Waterloo, IA

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