DIGESTIVE HEALTH CENTER LLC NPI 1548842180

NPI Information

NPI: 1548842180
Provider Name: DIGESTIVE HEALTH CENTER LLC
Classification: Clinic/Center - 261QA1903X
Specialization: Ambulatory Surgical
Entity Type: Organization
CLIA Number: 16D2227909
Address: 1015 S HACKETT RD STE B
WATERLOO, IA
ZIP 50701
Phone: (319) 406-5990

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NPI Details

DIGESTIVE HEALTH CENTER LLC is an ambulatory surgical clinic center in Waterloo, IA. DIGESTIVE HEALTH CENTER LLC NPI is 1548842180. The provider is registered as an organization entity type.

The provider's business location address is:

1015 S HACKETT RD STE B
WATERLOO, IA
ZIP 50701-500
Phone: (319) 406-5990
Fax: (319) 429-7950

The provider's authorized official is Ravindra Mallavarapu .
The authorized official title is President and has the following contact phone number (319) 234-5990.

The CLIA number assigned to this NPI record is 16D2227909 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

Removal of polyps or growths of large bowel using an endoscope with mechanical snare (HCPCS:45385)
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope (HCPCS:43239)
Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm (HCPCS:43249)
Biopsy of large bowel using a flexible endoscope (HCPCS:45380)
Colorectal cancer screening; colonoscopy on individual at high risk (HCPCS:G0105)
Drainage of fluid from abdominal cavity (HCPCS:49082)
Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk (HCPCS:G0121)
Diagnostic exam of large bowel using a flexible endoscope (HCPCS:45378)
Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope (HCPCS:43235)
Tying of dilated veins of stomach and/or esophagus using a flexible endoscope (HCPCS:43244)
Biopsy of lower large bowel using a flexible endoscope (HCPCS:45331)
Injection beneath lining of large bowel using a flexible endoscope (HCPCS:45381)
Diagnostic exam of lower portion of large bowel using a flexible endoscope (HCPCS:45330)
Needle biopsy of liver through skin (HCPCS:47000)

The enumeration date for this NPI number is 4/23/2021 and was last updated on 4/23/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QA1903X	Clinic/Center	Ambulatory Surgical			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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