Unknown Individual – Internal Medicine Physician, NPI 1740222348
Internal Medicine Physician
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NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
25, South 15th Street, Council Bluffs, Pottawattamie County, Iowa, 51501, United States
SUITE 1
COUNCIL BLUFFS, IA 515013920
Phone: (712) 323-0062
Fax: (712) 323-5369
Mailing address matches the actual address.
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Medicare Enrollment & Revalidation
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
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Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 11 | 11 | $0 |
Insurance plans in this area (ZIP 51501)
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Provider's Procedures
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