DHEERAJ MAKKAR
NPI 1093591828
Orthopaedic Surgery in Iowa City, IA

Active since September 07, 2023PECOS EnrolledAccepts Medicare Assignment
200 HAWKINS DR, IOWA CITY, IA 52242(319) 356-3090 Get Directions Write a Review

NPPES record last updated: May 15, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 15, 2024, Sep 7, 2023 (2 updates tracked since 2023).

About Dheeraj Makkar NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DHEERAJ MAKKAR (NPI 1093591828) is an individual orthopaedic surgery provider in Iowa City, Iowa, licensed in Iowa (T-1193) and active in the NPI registry since September 2023. He is enrolled in Medicare PECOS, is affiliated with Emory University Hospital, and maintains a secondary practice location in Atlanta.

NPPES Registry Identity

NPI1093591828
Entity TypeIndividualMale
Primary Taxonomy207X00000X
Provider Legal NameDHEERAJ MAKKAR
Location Address200 HAWKINS DRIowa City, IA 52242-1009
Mailing Address910 W Benton StIowa City, IA 52246-5958 · (319) 936-7084
Sole ProprietorNo
Medical School CMSOtherGraduated 2003
Enumeration DateSeptember 7, 2023
Last NPPES UpdateMay 15, 20242 updates tracked since enumeration
NPPES CertifiedMay 15, 2024
✔ NPI 1093591828 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
Licenses✔ Licensed in IA · T-1193✔ Licensed in GA · 99836
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
200 HAWKINS DR, Iowa City, IA 52242

Secondary Practice Location 1

Location 121 Ortho Ln Dept OfAtlanta, GA 30329-2315 · Phone (404) 778-6970

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dheeraj Makkar is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5890230742
PECOS Enrollment IDI20240716000110, I20260515002069
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

3

Medicare enrollment records show Dheeraj Makkar reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
1365 CLIFTON RD NE
Atlanta, GA 30322
  • Reassigned Medicare billing, Georgia enrollment
  • 4,840 clinicians in this Medicare group
Internal Medicine
80 JESSE HILL JR DRIVE, EMCF
Atlanta, GA 30303
  • Reassigned Medicare billing, Georgia enrollment
  • 2,681 clinicians in this Medicare group
Internal Medicine
1650 GRAND CONCOURSE
Bronx, NY 10457
  • Reassigned Medicare billing, New York enrollment
  • 795 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Emory University Hospital

Acute Care Hospitals · Atlanta, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110010
Location1364 Clifton Road, NEAtlanta, GA 30322 · De Kalb County
Emergency services

Emory University Hospital Midtown

Acute Care Hospitals · Atlanta, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110078
Location550 Peachtree Street, NEAtlanta, GA 30308 · Fulton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 52242 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$81.84 typical visit price
range $52.96 – $161.40
Typical copayment $20.46 (range $13.24 – $40.35)
Most-billed visit code 99203
Established Patient
$66.36 typical visit price
range $16.91 – $131.98
Typical copayment $16.59 (range $4.22 – $32.99)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Emergency Medicine
200 HAWKINS DR
IOWA CITY, IA 52242
Internal Medicine (Gastroenterology)
200 HAWKINS DR
IOWA CITY, IA 52242
Internal Medicine (Hematology & Oncology)
200 HAWKINS DR, DEPT OF INTERNAL MEDICINE
IOWA CITY, IA 52242
Internal Medicine (Critical Care Medicine)
200 HAWKINS DR
IOWA CITY, IA 52242
Chronic Disease Hospital
200 HAWKINS DR
IOWA CITY, IA 52242
Genetic Counselor, MS
200 HAWKINS DR, 31663 PFP
IOWA CITY, IA 52242
Obstetrics & Gynecology
200 HAWKINS DR, DEPT OF OBGYN
IOWA CITY, IA 52242
Health Educator
200 HAWKINS DR, 0733 JPP
IOWA CITY, IA 52242

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dheeraj Makkar's NPI number?

The NPI number for Dheeraj Makkar is 1093591828. It was assigned to this individual provider in the NPPES registry on September 7, 2023.

Where is Dheeraj Makkar located?

Dheeraj Makkar practices at 200 Hawkins Dr, Iowa City, IA 52242. The listed phone number is (319) 356-3090.

What is Dheeraj Makkar's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Dheeraj Makkar enrolled in Medicare?

Yes. Dheeraj Makkar is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Dheeraj Makkar's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Dheeraj Makkar reassigns Medicare benefits to 3 organizations: The Emory Clinic Inc (Atlanta, GA), Emory Medical Care Foundation Inc (Atlanta, GA) and Bronxcare Health System (Bronx, NY). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Dheeraj Makkar's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Dheeraj Makkar accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Dheeraj Makkar as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Dheeraj Makkar affiliated with any hospitals?

According to CMS data, Dheeraj Makkar is affiliated with Emory University Hospital and Emory University Hospital Midtown.

When was this NPI record last updated?

The NPPES record for Dheeraj Makkar was last updated on May 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.