PRATIBHA DUA MD
NPI 1235116369
Internal Medicine in Waterloo, IA

Q: What is Pratibha Dua's NPI number?

The NPI number for Pratibha Dua is 1235116369. It was assigned to this individual provider in the NPPES registry on December 29, 2005.

Q: What is Pratibha Dua's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Pratibha Dua was last updated on May 22, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since December 29, 2005PECOS Enrolled

1717 W RIDGEWAY AVE, WATERLOO, IA 50701(319) 833-5700(319) 833-5740 Get Directions Write a Review

NPPES record last updated: May 22, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

On this page

About Pratibha Dua Md NPPES

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

PRATIBHA DUA MD (NPI 1235116369) is an individual internal medicine provider in Waterloo, Iowa, licensed in Iowa (35236) and active in the NPI registry since December 2005. She is enrolled in Medicare PECOS, is affiliated with Mercyone Waterloo Medical Center, and is a graduate of Other (1996).

NPPES Registry Identity

NPI1235116369

Entity TypeIndividualFemale

Primary Taxonomy207R00000X

Provider Legal NamePRATIBHA DUACredential: MD

Location Address1717 W RIDGEWAY AVEWaterloo, IA 50701-4543

Mailing Address1717 W Ridgeway AveWaterloo, IA 50701-4543 · (319) 833-5700 · Fax (319) 833-5740

Phone(319) 833-5700

Fax(319) 833-5740

Sole ProprietorNo

Medical School CMSOtherGraduated 1996

Enumeration DateDecember 29, 2005

Last NPPES UpdateMay 22, 2012

✔ NPI 1235116369 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in IA · 35236

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

1717 W RIDGEWAY AVE, Waterloo, IA 50701

Open in Google Maps ↗

Other Identifiers 5

OtherP00066566IA · Rr Medicare

Medicaid0422949IA

Medicare UPINH98746IA

Medicare PINI11039IA

Medicaid1235116369IA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Pratibha Dua Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3678468717

PECOS Enrollment IDI20040218000426

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.

Areas of Expertise CMS Part B claims 19

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

717 services314 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010

A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.

511 services447 patients

Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month 99490

Chronic care management services involve a healthcare professional directing clinical staff in managing your chronic conditions. This includes the first 20 minutes per month of services like medication management, care coordination, and health monitoring to help improve your health and quality of life.

294 services51 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

258 services258 patients

Insertion of needle into vein for collection of blood sample 36415

This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.

221 services168 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

138 services107 patients

Remote monitoring of physiologic parameters, initial supply of devices with daily recordings or programmed alerts transmission, each 30 days 99454

This service involves using devices to remotely track body functions like heart rate or blood pressure. These devices, provided initially, record data daily or send alerts if readings are abnormal. The service is renewed every 30 days.

121 services20 patients

Management using the results of remote vital sign monitoring per calendar month, first 20 minutes 99457

This service involves reviewing and managing your health data, which is remotely monitored and collected. Your vital signs like heart rate and blood pressure are tracked regularly throughout the month. The first 20 minutes of this data analysis per month is included in this service.

109 services20 patients

Administration of influenza virus vaccine G0008

The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.

104 services101 patients

Influenza vaccine split virus, preservative free 90662

The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.

96 services94 patients

Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month 99439

Chronic Care Management services involve regular check-ins with healthcare professionals to manage two or more chronic conditions. It includes an additional 20 minutes of clinical staff time per month, directed by a healthcare professional, to ensure optimal health management.

76 services29 patients

Transitional care management services for problem of at least moderate complexity 99495

Transitional care management services focus on coordinating and managing your care after you leave the hospital. For moderate complexity problems, this involves managing your medications, arranging further treatments, and ensuring you have the necessary follow-ups.

32 services28 patients

Complex chronic care management services for two or more chronic conditions, first 60 minutes of clinical staff time directed by health care professional, per calendar month 99487

Complex chronic care management is a service for patients with two or more long-term health conditions. It involves a healthcare professional directing clinical staff in providing care for the first 60 minutes each month. This helps manage your health conditions effectively.

21 services12 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

19 services19 patients

Administration of pneumococcal vaccine G0009

The pneumococcal vaccine helps protect against pneumococcal bacteria, which can cause severe infections like pneumonia and meningitis. The vaccine is given as an injection, typically in the arm. It's recommended for infants, older adults, and those with certain health conditions.

19 services19 patients

Automated urinalysis test 81003

An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.

17 services14 patients

Pneumococcal conjugate vaccine, 20 valent (pcv20), for intramuscular use 90677

The Pneumococcal Conjugate Vaccine (PCV20) is a shot given to protect against 20 types of bacteria that can cause serious infections like pneumonia and meningitis. It's administered through a muscle, usually in the arm. It's important for overall health.

17 services17 patients

Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180

This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.

14 services13 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

11 services11 patients

Hospital Affiliations CMS Care Compare 5

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

Mercyone Waterloo Medical Center

Acute Care Hospitals · Waterloo, IA

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number160067

Location3421 West Ninth StreetWaterloo, IA 50702 · Black Hawk County

Emergency services Birthing friendly

Allen Hospital

Acute Care Hospitals · Waterloo, IA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number160110

Location1825 Logan AvenueWaterloo, IA 50703 · Black Hawk County

Emergency services Birthing friendly

Grundy County Memorial Hospital

Critical Access Hospitals · Grundy Center, IA

OwnershipVoluntary non-profit - Other

CMS Certification Number161303

Location201 East J AvenueGrundy Center, IA 50638 · Grundy County

Emergency services

Buchanan County Health Center

Critical Access Hospitals · Independence, IA

OwnershipGovernment - Local

CMS Certification Number161335

Location1600 First St EastIndependence, IA 50644 · Buchanan County

Emergency services

Waverly Health Center

Critical Access Hospitals · Waverly, IA

OwnershipGovernment - Local

CMS Certification Number161339

Location312 9th Street SWWaverly, IA 50677 · Bremer County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 50701 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

$122.23 typical visit price

range $52.96 – $161.40

Typical copayment $30.55 (range $13.24 – $40.35)

Most-billed visit code 99204

Established Patient

$94.05 typical visit price

range $16.91 – $131.98

Typical copayment $23.51 (range $4.22 – $32.99)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 16

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253

DME-Other DME · category DE017N

14 suppliers63 claims161 services$5.74 avg. paid by Medicare

Lancets, per box of 100 A4259

DME-Medical/Surgical Supplies · category DA000N

6 suppliers18 claims29 services$0.94 avg. paid by Medicare

Full face mask used with positive airway pressure device, each A7030

DME-Other DME · category DE001N

4 suppliers23 claims23 services$84.88 avg. paid by Medicare

Face mask interface, replacement for full face mask, each A7031

DME-Other DME · category DE001N

4 suppliers22 claims42 services$34.17 avg. paid by Medicare

Cushion for use on nasal mask interface, replacement only, each A7032

DME-Other DME · category DE001N

4 suppliers15 claims83 services$17.51 avg. paid by Medicare

Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034

DME-Other DME · category DE001N

7 suppliers18 claims18 services$49.82 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Leave this field empty

Other Providers at the Same Location NPPES 16

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

KATHERINE MARIE KUEHN R.D., L.D.

Dietitian, Registered

1717 W RIDGEWAY AVE
WATERLOO, IA 50701

Black Hawk County (319) 833-5830

THOMAS R SPRAGG MD

Internal Medicine

1717 W RIDGEWAY AVE
WATERLOO, IA 50701

Black Hawk County (319) 833-5700

KAYLEY MORGAN LAWRENCE ARNP

Nurse Practitioner (Family)

1717 W RIDGEWAY AVE
WATERLOO, IA 50701

Black Hawk County (319) 233-0340

ALLEN MEMORIAL HOSPITAL CORPORATION

Durable Medical Equipment & Medical Supplies

1717 W RIDGEWAY AVE, SUITE 50A
WATERLOO, IA 50701

Black Hawk County (319) 833-6050

MRS. DEBORAH J VAN DYKE ARNP-BC

Nurse Practitioner (Family)

1717 W RIDGEWAY AVE
WATERLOO, IA 50701

Black Hawk County (319) 833-5830

DANIEL KWAI LEE MD

Urology

1717 W RIDGEWAY AVE
WATERLOO, IA 50701

Black Hawk County (319) 233-0340

DR. ERIC JOHN ASKELAND M.D.

Urology

1717 W RIDGEWAY AVE
WATERLOO, IA 50701

Black Hawk County (319) 233-0340

DAVID W KABEL, MD, FACC, P.C.

Internal Medicine (Cardiovascular Disease)

1717 W RIDGEWAY AVE
WATERLOO, IA 50701

Black Hawk County (319) 833-5880

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 Pratibha Dua's NPI number?

The NPI number for Pratibha Dua is 1235116369. It was assigned to this individual provider in the NPPES registry on December 29, 2005.

Where is Pratibha Dua located?

Pratibha Dua practices at 1717 W Ridgeway Ave, Waterloo, IA 50701. The listed phone number is (319) 833-5700.

What is Pratibha Dua's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Pratibha Dua enrolled in Medicare?

Yes. Pratibha Dua is registered in the Medicare PECOS enrollment system.

What insurance does Pratibha Dua accept?

Health plans from Medica list Pratibha Dua 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 Pratibha Dua affiliated with any hospitals?

According to CMS data, Pratibha Dua is affiliated with Mercyone Waterloo Medical Center, Allen Hospital, Grundy County Memorial Hospital, Buchanan County Health Center and Waverly Health Center.

When was this NPI record last updated?

The NPPES record for Pratibha Dua was last updated on May 22, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.