DR. SUSSAN MBI NDAKOR M.D
NPI 1376837955
Pediatrics - Neonatal-Perinatal Medicine in Waterloo, IA
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
Specialties & Licenses
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
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).
Medicare Billing Reassignments
4Medicare enrollment records show Sussan Mbi Ndakor reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Waterloo, IA 50703
- Reassigned Medicare billing, Iowa enrollment
- 273 clinicians in this Medicare group
Marshalltown, IA 50158
- Reassigned Medicare billing, Iowa enrollment
- 214 clinicians in this Medicare group
Johnston, IA 50131
- Reassigned Medicare billing, Iowa enrollment
- 1,506 clinicians in this Medicare group
Mesa, AZ 85206
- Reassigned Medicare billing, Arizona enrollment
- Medicare enrollment name: Phoenix Children's Hospital
- 1,416 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.
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.
WATERLOO, IA 50703
WATERLOO, IA 50703
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.
Which organizations bill Medicare for Sussan Mbi Ndakor's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Sussan Mbi Ndakor reassigns Medicare benefits to 4 organizations: Allen Memorial Hospital Corporation (Waterloo, IA), Unitypoint Health - Marshalltown (Marshalltown, IA), Iowa Physicians Clinic Medical Foundation (Johnston, IA) and Phoenix Children's Medical Group (Mesa, AZ). 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 Sussan Mbi Ndakor's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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 12 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.
# Dr. Sussan Mbi Ndakor, M.D · NPI 1376837955
Neonatal-Perinatal Medicine physician in Waterloo, Iowa. Individual provider, active in the CMS NPPES registry since June 1, 2011.
## Identity
- **NPI:** 1376837955 (Entity type: Individual)
- **Enumerated:** June 1, 2011
- **Primary specialty:** Pediatrics - Neonatal-Perinatal Medicine · taxonomy 2080N0001X
- **State license:** MD-43755 (Iowa)
- **Sole proprietor:** No
## Practice location
- **Address:** 1825 LOGAN AVE, Waterloo, IA 50703-1916
- **Phone:** (319) 235-3620
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Allen Memorial Hospital Corporation (NPI 1346292521, Waterloo, IA); Unitypoint Health - Marshalltown (NPI 1164957593, Marshalltown, IA); Iowa Physicians Clinic Medical Foundation (NPI 1891127502, Johnston, IA); Phoenix Children's Medical Group (NPI 1487814240, Mesa, AZ) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2011
## Record status
- **NPPES last updated:** October 27, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1376837955) · Data from the CMS NPPES public registry.