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DR. SUSSAN MBI NDAKOR M.D
NPI 1376837955
Pediatrics - Neonatal-Perinatal Medicine in Waterloo, IA

Active since June 01, 2011PECOS Enrolled
1825 LOGAN AVE, WATERLOO, IA 50703(319) 235-3620 Get Directions Write a Review

NPPES record last updated: October 27, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 21, 2022, Jul 8, 2017 (2 updates tracked since 2017).

About Dr. Sussan Mbi Ndakor M.d NPPES

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

DR. SUSSAN MBI NDAKOR M.D (NPI 1376837955) is an individual neonatal-perinatal medicine provider in Waterloo, Iowa, licensed in Iowa (MD-43755) and active in the NPI registry since June 2011. She is enrolled in Medicare PECOS, maintains a secondary practice location in Phoenix, and is a graduate of Other (2011).

NPPES Registry Identity

NPI1376837955
Entity TypeIndividualFemale
Primary Taxonomy2080N0001X
Provider Legal NameDR. SUSSAN MBI NDAKORCredential: M.D
Location Address1825 LOGAN AVEWaterloo, IA 50703-1916
Mailing Address2108 E Thomas Rd Ste 130Phoenix, AZ 85016-0008 · (602) 933-3124
Phone(319) 235-3620
Sole ProprietorNo
Medical School CMSOtherGraduated 2011
Enumeration DateJune 1, 2011
Last NPPES UpdateOctober 27, 20252 updates tracked since enumeration
NPPES CertifiedOctober 27, 2025
✔ NPI 1376837955 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080N0001X
Licenses✔ Licensed in IA · MD-43755✔ Licensed in AZ · 77958
Definition
A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
1825 LOGAN AVE, Waterloo, IA 50703
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Secondary Practice Location 1

Location 11919 E Thomas RdPhoenix, AZ 85016-7710 · Phone (602) 933-6345 · Fax (602) 933-8975

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)

Dr. Sussan Mbi Ndakor M.d is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5698049625
PECOS Enrollment IDI20251110002739
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.

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.

DR. KEERAN GHANDIVEL MD
Anesthesiology
1825 LOGAN AVE
WATERLOO, IA 50703
Black Hawk County (319) 235-3886
MS. AMANDA L. VERVAECKE A.R.N.P.
Nurse Practitioner
1825 LOGAN AVE, WOUND & OSTOMY CLINIC
WATERLOO, IA 50703
Black Hawk County (319) 235-3121
TAYLOR KRISTIN KLINE PA, RDN
Physician Assistant
1825 LOGAN AVE
WATERLOO, IA 50703
Black Hawk County (319) 235-3941
ALLEN MEMORIAL HOSPITAL CORPORATION LAB
Clinical Medical Laboratory
1825 LOGAN AVE
WATERLOO, IA 50703
Black Hawk County (319) 235-3941
ELVIS SABIC ARNP
Nurse Practitioner (Family)
1825 LOGAN AVE
WATERLOO, IA 50703
Black Hawk County (319) 235-3941
DR. PRADEEP MANJANBAIL RAMESH MD
Internal Medicine
1825 LOGAN AVE
WATERLOO, IA 50703
Black Hawk County (319) 235-3838
SUSAN VOONG PHARMD
Pharmacist
1825 LOGAN AVE
WATERLOO, IA 50703
Black Hawk County (319) 235-3510
HANNAH LEIGH KELLEY LMSW
Social Worker (Clinical)
1825 LOGAN AVE
WATERLOO, IA 50703
Black Hawk County (563) 271-7700

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 Sussan Mbi Ndakor's NPI number?

The NPI number for Sussan Mbi Ndakor is 1376837955. It was assigned to this individual provider in the NPPES registry on June 1, 2011.

Where is Sussan Mbi Ndakor located?

Sussan Mbi Ndakor practices at 1825 Logan Ave, Waterloo, IA 50703. The listed phone number is (319) 235-3620.

What is Sussan Mbi Ndakor's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Is Sussan Mbi Ndakor enrolled in Medicare?

Yes. Sussan Mbi Ndakor is registered in the Medicare PECOS enrollment system.

What insurance does Sussan Mbi Ndakor accept?

Health plans from Medica list Sussan Mbi Ndakor 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.

When was this NPI record last updated?

The NPPES record for Sussan Mbi Ndakor was last updated on October 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.