DR. SHIMA GHAVIMI M.D.
NPI 1811316458
Internal Medicine - Gastroenterology in Waterloo, IA

Q: What is Shima Ghavimi's NPI number?

The NPI number for Shima Ghavimi is 1811316458. It was assigned to this individual provider in the NPPES registry on April 10, 2014.

Q: What is Shima Ghavimi's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Q: When was this NPI record last updated?

The NPPES record for Shima Ghavimi was last updated on August 23, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since April 10, 2014PECOS Enrolled

1015 S HACKETT RD, WATERLOO, IA 50701(319) 234-5990 Get Directions Write a Review

NPPES record last updated: August 23, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 23, 2023, Jan 20, 2023, Nov 19, 2021 and 7 more (10 updates tracked since 2018).

On this page

About Dr. Shima Ghavimi M.d. NPPES

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

DR. SHIMA GHAVIMI M.D. (NPI 1811316458) is an individual gastroenterology provider in Waterloo, Iowa, licensed in Iowa (MD-50743) and active in the NPI registry since April 2014. She is enrolled in Medicare PECOS, is affiliated with Trinity Regional Medical Center, and maintains 3 additional practice locations.

NPPES Registry Identity

NPI1811316458

Entity TypeIndividualFemale

Primary Taxonomy207RG0100X

Provider Legal NameDR. SHIMA GHAVIMICredential: M.D.

Location Address1015 S HACKETT RDWaterloo, IA 50701

Mailing Address1015 S Hackett RdWaterloo, IA 50701-3500 · (319) 234-5990

Phone(319) 234-5990

Sole ProprietorNo

Medical School CMSOtherGraduated 2008

Enumeration DateApril 10, 2014

Last NPPES UpdateAugust 23, 202310 updates tracked since enumeration

NPPES CertifiedAugust 23, 2023

✔ NPI 1811316458 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code207RG0100X

Licenses✔ Licensed in IA · MD-50743✔ Licensed in NJ · 25MA10563700✔ Licensed in WV · 29355

Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

Also ListedInternal MedicineTaxonomy 207R00000X · License 29355 (WV), 25MA10563700 (NJ)

Also ListedInternal Medicine · HepatologyTaxonomy 207RI0008X · License 29355 (WV), MD-50743 (IA)

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 25MA10563700 (NJ)

1015 S HACKETT RD, Waterloo, IA 50701

Open in Google Maps ↗

Secondary Practice Locations 3

Location 11249 15th St Ste 3000Huntington, WV 25701-3663 · Phone (304) 691-1000

Location 2185 south orange streetnewark, NJ 07103-0710 · Phone (202) 480-3808

Location 32041 Georgia Avenue NWWashangton, DC 20060 · Phone (202) 865-1920 · Fax (202) 865-7199

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, Highmark Blue Cross Blue Shield West Virginia, 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. Shima Ghavimi M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3577852193

PECOS Enrollment IDI20230628002054

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.

Areas of Expertise CMS Part B claims 10

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

117 services87 patients

Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385

This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.

102 services98 patients

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.

101 services92 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

93 services93 patients

Biopsy of large bowel using a flexible endoscope 45380

A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.

66 services64 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

48 services48 patients

Hospital Affiliations CMS Care Compare 5

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

Trinity Regional Medical Center

Acute Care Hospitals · Fort Dodge, IA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number160016

Location802 Kenyon RdFort Dodge, IA 50501 · Webster County

Emergency services Birthing friendly

Sartori Memorial Hospital, Inc

Acute Care Hospitals · Cedar Falls, IA

OwnershipVoluntary non-profit - Church

CMS Certification Number160040

Location515 College StreetCedar Falls, IA 50613 · Black Hawk County

Emergency services

Mercyone Waterloo Medical Center

Acute Care Hospitals · Waterloo, IA

4/5 CMS rating

OwnershipVoluntary non-profit - Church

CMS Certification Number160067

Location3421 West Ninth StreetWaterloo, IA 50702 · Black Hawk County

Emergency services Birthing friendly

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

Buchanan County Health Center

Critical Access Hospitals · Independence, IA

OwnershipGovernment - Local

CMS Certification Number161335

Location1600 First St EastIndependence, IA 50644 · Buchanan County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 50701 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

$122.23 typical visit price

range $52.96 – $161.40

Typical copayment $30.55 (range $13.24 – $40.35)

Most-billed visit code 99204

Established Patient

$94.05 typical visit price

range $16.91 – $131.98

Typical copayment $23.51 (range $4.22 – $32.99)

Most-billed visit code 99214

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.

JOHN DEERE MEDICAL GROUP OF WATERLOO, PC

Specialist

1015 S HACKETT RD
WATERLOO, IA 50701

Black Hawk County (319) 274-1000

AMICARE PHARMACY INC

Pharmacy (Community/Retail Pharmacy)

1015 S HACKETT RD
WATERLOO, IA 50701

Black Hawk County (319) 292-6600

JANE MARIE BAKER ARNP

Nurse Practitioner

1015 S HACKETT RD
WATERLOO, IA 50701

Black Hawk County (319) 234-5990

DR. BRUCE LANDON BARIDON DO

Internal Medicine

1015 S HACKETT RD
WATERLOO, IA 50701

Black Hawk County (319) 235-1230

RUSELLE SUE DEBONIS ARNP

Nurse Practitioner

1015 S HACKETT RD
WATERLOO, IA 50701

Black Hawk County (319) 274-1000

MARY C. NADING PA-C

Physician Assistant

1015 S HACKETT RD
WATERLOO, IA 50701

Black Hawk County (319) 234-5990

CARLA J SPRINGER M.D.

Family Medicine

1015 S HACKETT RD, SUITE 100
WATERLOO, IA 50701

Black Hawk County (319) 274-1000

KAREN JANET FRANCZYK P.A.

Physician Assistant

1015 S HACKETT RD
WATERLOO, IA 50701

Black Hawk County (319) 235-1230

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 Shima Ghavimi's NPI number?

The NPI number for Shima Ghavimi is 1811316458. It was assigned to this individual provider in the NPPES registry on April 10, 2014.

Where is Shima Ghavimi located?

Shima Ghavimi practices at 1015 S Hackett Rd, Waterloo, IA 50701. The listed phone number is (319) 234-5990.

What is Shima Ghavimi's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Shima Ghavimi enrolled in Medicare?

Yes. Shima Ghavimi is registered in the Medicare PECOS enrollment system.

What insurance does Shima Ghavimi accept?

Health plans from CareSource, Highmark Blue Cross Blue Shield West Virginia and Medica list Shima Ghavimi 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.

Is Shima Ghavimi affiliated with any hospitals?

According to CMS data, Shima Ghavimi is affiliated with Trinity Regional Medical Center, Sartori Memorial Hospital, Inc, Mercyone Waterloo Medical Center, Allen Hospital and Buchanan County Health Center.

When was this NPI record last updated?

The NPPES record for Shima Ghavimi was last updated on August 23, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.