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MR. RODRIGUE GNINAZE SAGBO PA
NPI 1689469660
Physician Assistant in Waterloo, IA

Active since April 11, 2025PECOS Enrolled
1825 LOGAN AVE, WATERLOO, IA 50703(319) 235-3697 Get Directions Write a Review

NPPES record last updated: September 4, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 4, 2025, Apr 11, 2025 (2 updates tracked since 2025).

About Mr. Rodrigue Gninaze Sagbo Pa NPPES

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

MR. RODRIGUE GNINAZE SAGBO PA (NPI 1689469660) is an individual physician assistant in Waterloo, Iowa, licensed in Iowa (134501) and active in the NPI registry since April 2025. He is enrolled in Medicare PECOS, is affiliated with Allen Hospital, and is a graduate of Des Moines University Of Osteopathic Medicine And Health Sciences (2025).

NPPES Registry Identity

NPI1689469660
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. RODRIGUE GNINAZE SAGBOCredential: PA
Location Address1825 LOGAN AVEWaterloo, IA 50703-1916
Mailing Address1825 Logan AveWaterloo, IA 50703-1916 · (319) 235-3697
Phone(319) 235-3697
Sole ProprietorNo
Medical School CMSDes Moines University Of Osteopathic Medicine And Health SciencesGraduated 2025
Enumeration DateApril 11, 2025
Last NPPES UpdateSeptember 4, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 4, 2025
✔ NPI 1689469660 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in IA · 134501
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1825 LOGAN AVE, Waterloo, IA 50703
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Rodrigue Gninaze Sagbo Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID8628574019
PECOS Enrollment IDI20251003002516
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.

Hospital Affiliations CMS Care Compare

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

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 50703 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
$81.84 typical visit price
range $52.96 – $161.40
Typical copayment $20.46 (range $13.24 – $40.35)
Most-billed visit code 99203
Established Patient
$66.36 typical visit price
range $16.91 – $131.98
Typical copayment $16.59 (range $4.22 – $32.99)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Rodrigue Sagbo's NPI number?

The NPI number for Rodrigue Sagbo is 1689469660. It was assigned to this individual provider in the NPPES registry on April 11, 2025.

Where is Rodrigue Sagbo located?

Rodrigue Sagbo practices at 1825 Logan Ave, Waterloo, IA 50703. The listed phone number is (319) 235-3697.

What is Rodrigue Sagbo's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Rodrigue Sagbo enrolled in Medicare?

Yes. Rodrigue Sagbo is registered in the Medicare PECOS enrollment system.

Is Rodrigue Sagbo affiliated with any hospitals?

According to CMS data, Rodrigue Sagbo is affiliated with Allen Hospital.

When was this NPI record last updated?

The NPPES record for Rodrigue Sagbo was last updated on September 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.