MAHARISHI INTERNATIONAL UNIVERSITY
NPI 1366135162
Clinic/Center in Fairfield, IA

Active since May 30, 2023CLIA 16D2149384 · Waiver
1100 N 4TH ST STE 143, FAIRFIELD, IA 52556(641) 472-1270(641) 472-1285 Get Directions Write a Review

NPPES record last updated: December 12, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Dec 12, 2024, Jul 7, 2023, Jun 14, 2023 and 1 more (4 updates tracked since 2023).

About Maharishi International University NPPES

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

MAHARISHI INTERNATIONAL UNIVERSITY (NPI 1366135162), doing business as Maharishi University Management - Integrative Wellness Center, is a healthcare organization registered as a clinic/center in Fairfield, Iowa and active in the NPI registry since May 2023. The organization holds a CLIA Waiver certificate valid through June 24, 2028 and lists Jawahar Sundaram, Medical Director, as its authorized official.

NPPES Registry Identity

NPI1366135162
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameMAHARISHI INTERNATIONAL UNIVERSITY
Location Address1100 N 4TH ST STE 143Fairfield, IA 52556-2169
Mailing Address1100 N 4th St Ste 143Fairfield, IA 52556-2169 · (641) 472-1270 · Fax (641) 472-1285
Fax(641) 472-1285
Organization SubpartNo
Authorized OfficialJawahar SundaramMedical Director · (641) 472-1270
Enumeration DateMay 30, 2023
Last NPPES UpdateDecember 12, 20244 updates tracked since enumeration
NPPES CertifiedDecember 12, 2024
✔ NPI 1366135162 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
1100 N 4TH ST STE 143, Fairfield, IA 52556

Other Names 1

Former Legal Business NameMaharishi University Management - Integrative Wellness Center

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Maharishi International University is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Maharishi International University, which bills Medicare for the services this clinician delivers.

Clinician (1)

Family Practice
NPI 1720082100
987W VERNON AVE
Los Angeles, CA 90037
(323) 234-6300
✔ PECOS1,518 mi

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 16D2149384

Maharishi International University · Fairfield, IA
Active · expires Jun 24, 2028
CLIA Number16D2149384
Laboratory TypeSchool/Student Health Service
Certificate Effective DateJune 25, 2026
Certificate Expiration DateJune 24, 2028
Laboratory DirectorJawahar Sundaram
Laboratory Phone(641) 472-1270
Laboratory LocationMaharishi International University1100 N 4th St Ste 143, Fairfield, IA 52556
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Maharishi International University's NPI number?

The NPI number for Maharishi International University is 1366135162. It was assigned to this organization in the NPPES registry on May 30, 2023. The provider was formerly known as Maharishi University Management - Integrative Wellness Center.

Where is Maharishi International University located?

Maharishi International University is located at 1100 N 4th St Ste 143, Fairfield, IA 52556. The listed phone number is (641) 472-1270.

What is Maharishi International University's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Is Maharishi International University enrolled in Medicare?

Yes. Maharishi International University is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Maharishi International University?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Maharishi International University. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Maharishi International University hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 16D2149384) is associated with this NPI, valid through June 24, 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 Maharishi International University was last updated on December 12, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.