FAMILY PHYSICIANS OF CEDAR RAPIDS, P.C.
NPI 1285663849
Family Medicine in Cedar Rapids, IA
About Family Physicians Of Cedar Rapids, P.c. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
FAMILY PHYSICIANS OF CEDAR RAPIDS, P.C. (NPI 1285663849) is a healthcare organization registered as a family medicine in Cedar Rapids, Iowa and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through July 31, 2028, maintains a secondary practice location in Cedar Rapids, and lists Mark J Goedken, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 2
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Family Physicians Of Cedar Rapids, P.c. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Family Physicians Of Cedar Rapids, P.C., which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.
Clinicians, nearest first (2)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 16D0386967
Family Physicians Of Cedar Rapids · Cedar Rapids, IAFrequently 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 Family Physicians Of Cedar Rapids, P.C.'s NPI number?
The NPI number for Family Physicians Of Cedar Rapids, P.C. is 1285663849. It was assigned to this organization in the NPPES registry on July 3, 2006.
Where is Family Physicians Of Cedar Rapids, P.C. located?
Family Physicians Of Cedar Rapids, P.C. is located at 1515 42nd St NE, Cedar Rapids, IA 52402. The listed phone number is (319) 365-7581.
What is Family Physicians Of Cedar Rapids, P.C.'s specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Family Physicians Of Cedar Rapids, P.C. enrolled in Medicare?
Yes. Family Physicians Of Cedar Rapids, P.C. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Family Physicians Of Cedar Rapids, P.C.?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Family Physicians Of Cedar Rapids, P.C., in Family Practice and Nurse Practitioner. A 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 the clinician's services. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Family Physicians Of Cedar Rapids, P.C. hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 16D0386967) is associated with this NPI, valid through July 31, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Family Physicians Of Cedar Rapids, P.C. was last updated on June 23, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.
# Family Physicians Of Cedar Rapids, P.c. · NPI 1285663849
Family Medicine organization in Cedar Rapids, Iowa. Organization record, active in the CMS NPPES registry since July 3, 2006.
## Identity
- **NPI:** 1285663849 (Entity type: Organization)
- **Enumerated:** July 3, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Organization subpart:** No
- **Authorized official:** Mark Goedken, PRESIDENT
## Practice location
- **Address:** 1515 42ND ST NE, Cedar Rapids, IA 52402-3061
- **Phone:** (319) 365-7581 · **Fax:** (319) 365-0163
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Family Practice (1), Nurse Practitioner (1); 1 practice at this address and 2 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** June 23, 2022
- **Other identifiers:** Medicaid 0154682 (IA); Other 15468 (IA)
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1285663849) · Data from the CMS NPPES public registry.