DR. ANIL KUMAR DHUNA MD
NPI 1912019118
Psychiatry & Neurology - Neurology in West Burlington, IA

Q: What is Anil Dhuna's NPI number?

The NPI number for Anil Dhuna is 1912019118. It was assigned to this individual provider in the NPPES registry on September 1, 2006.

Q: What is Anil Dhuna's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Q: When was this NPI record last updated?

The NPPES record for Anil Dhuna was last updated on March 31, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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 September 01, 2006PECOS EnrolledAccepts Medicare Assignment

93.73/100

CMS Quality Rating

1225 S GEAR AVE, SUITE 153, MERCY PLAZA, WEST BURLINGTON, IA 52655(319) 754-4400(319) 754-4412 Get Directions Write a Review

NPPES record last updated: March 31, 2015. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Dr. Anil Kumar Dhuna Md NPPES

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

DR. ANIL KUMAR DHUNA MD (NPI 1912019118) is an individual neurology provider in West Burlington, Iowa, licensed in Iowa (29899) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Mc Donough District Hospital, and is a graduate of Other (1985).

NPPES Registry Identity

NPI1912019118

Entity TypeIndividualMale

Primary Taxonomy2084N0400X

Provider Legal NameDR. ANIL KUMAR DHUNACredential: MD

Location Address1225 S GEAR AVE, SUITE 153, MERCY PLAZAWest Burlington, IA 52655-1691

Mailing AddressPo Box 210West Burlington, IA 52655-0210 · (319) 754-4400 · Fax (319) 754-4412

Phone(319) 754-4400

Fax(319) 754-4412

Sole ProprietorNo

Medical School CMSOtherGraduated 1985

Enumeration DateSeptember 1, 2006

Last NPPES UpdateMarch 31, 2015

✔ NPI 1912019118 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians

Taxonomy Code2084N0400X

License✔ Licensed in IA · 29899

Definition

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

1225 S GEAR AVE, West Burlington, IA 52655

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Other Identifiers 3

Medicare PINI5483IA

Medicare UPINE68032IA

Medicaid1111096IA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Anil Kumar Dhuna Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6800788555

PECOS Enrollment IDI20061031000136

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.

Medicare Billing Reassignment

Medicare enrollment records show Anil Dhuna reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Burlington Neurology And Sleep Clinic, Plc

0.1 mi

Neurology

1225 S GEAR AVE STE 153, MERCY PLAZA
West Burlington, IA 52655

Reassigned Medicare billing, Iowa enrollment
10 clinicians in this Medicare group

NPI 1801922018 (319) 754-4400

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 17

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.

Needle measurement of electrical activity in arm or leg muscles, complete study 95886

This procedure, known as an electromyography (EMG), involves inserting a small needle into your arm or leg muscles to measure their electrical activity. This complete study helps diagnose issues with nerves or muscles, providing valuable data for your treatment plan.

393 services245 patients

Sleep study including heart rate, breathing, airflow, and effort 95806

A sleep study monitors your heart rate, breathing patterns, airflow, and physical effort while you sleep. It helps identify sleep disorders by tracking your sleep stages and cycles. This data aids doctors in diagnosing and treating sleep-related issues.

196 services195 patients

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.

150 services107 patients

Sleep study in sleep lab with continuous airway pressure (6 years or older) 95811

A sleep study in a sleep lab with continuous airway pressure is a test for individuals aged 6 and above. It monitors your sleep patterns to check for disorders like sleep apnea. Continuous airway pressure helps keep your airways open while you sleep, improving your breathing.

145 services142 patients

Sleep study in sleep lab (6 years or older) 95810

A sleep study in a sleep lab is a non-invasive overnight test that monitors your body while you sleep. It helps doctors understand your sleep patterns and identify any issues like sleep apnea or insomnia. You'll be connected to equipment that tracks your heart rate, brain waves, breathing, and movements.

139 services136 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

127 services106 patients

Sleep study including heart rate, breathing, and sleep time 95800

A sleep study monitors your sleep patterns to evaluate your sleep quality. It records your heart rate, breathing, and actual sleep time. This information helps identify any sleep disorders, ensuring you get the rest you need for optimal health.

126 services126 patients

Nerve conduction, 5-6 studies 95909

Nerve conduction studies involve testing the speed and strength of signals traveling through your nerves. This helps identify any nerve damage or dysfunction. For 5-6 studies, this means multiple nerves will be tested. Small electrodes are placed on your skin to send and receive signals, causing minimal discomfort.

93 services90 patients

Nerve conduction, 9-10 studies 95911

Nerve conduction studies involve sending small electrical shocks through the skin to measure how quickly nerves transmit signals. This helps detect nerve damage. 9-10 studies mean this process will be repeated on different nerves to gather comprehensive data.

85 services85 patients

Measurement of brain wave activity (eeg), awake and drowsy 95816

Measurement of brain wave activity, also known as an EEG, is a non-invasive test that records electrical patterns in your brain. This procedure is done when you're awake and drowsy to understand how your brain functions during different states of consciousness.

56 services52 patients

Nerve conduction, 7-8 studies 95910

Nerve conduction studies involve testing the speed and strength of signals traveling through your nerves. This helps doctors identify nerve damage. In a 7-8 study procedure, 7-8 specific nerves are tested. You may feel a mild, brief tingling or shock during the test.

56 services56 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.

44 services44 patients

Measurement of brain wave activity (eeg), 61-119 minutes 95813

The procedure you're having is an EEG, which measures your brain's electrical activity. Electrodes placed on your scalp capture signals that are recorded for 61-119 minutes. This helps identify any irregularities, aiding in diagnosing conditions like epilepsy or sleep disorders.

21 services21 patients

Administration of psychological or neuropsychological test by technician, first 30 minutes 96138

This procedure involves a trained technician administering a psychological or neuropsychological test. It's a process that assesses your mental function and behavior. The initial session will last 30 minutes. The aim is to understand your cognitive abilities better.

17 services16 patients

New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205

This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.

15 services15 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

14 services14 patients

Nerve conduction, 3-4 studies 95908

Nerve conduction studies are tests that measure how well your nerves are working. In a 3-4 studies procedure, electrical signals are sent through 3-4 nerves. The speed and strength of the signal's travel is recorded to detect any nerve damage or dysfunction.

13 services13 patients

Hospital Affiliations CMS Care Compare 5

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

Mc Donough District Hospital

Acute Care Hospitals · Macomb, IL

4/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number140089

Location525 East Grant StreetMacomb, IL 61455 · Mc Donough County

Emergency services Birthing friendly

Southeast Iowa Regional Medical Center

Acute Care Hospitals · West Burlington, IA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number160057

Location1221 South Gear AvenueWest Burlington, IA 52655 · Des Moines County

Emergency services Birthing friendly

Ottumwa Regional Health Center

Acute Care Hospitals · Ottumwa, IA

2/5 CMS rating

OwnershipProprietary

CMS Certification Number160089

Location1001 E PennsylvaniaOttumwa, IA 52501 · Wapello County

Emergency services Birthing friendly

Henry County Health Center

Critical Access Hospitals · Mount Pleasant, IA

OwnershipGovernment - Local

CMS Certification Number161356

Location407 S White StMount Pleasant, IA 52641 · Henry County

Emergency services

Jefferson County Health Center

Critical Access Hospitals · Fairfield, IA

OwnershipGovernment - Local

CMS Certification Number161364

Location2000 S MainFairfield, IA 52556 · Jefferson County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 52655 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

93.73/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored through an Alternative Payment Model

Quality

82.26

Promoting Interoperability

100

Improvement Activities

Reported Quality Measures

Dementia: Functional Status Assessment

Percentage of patients with dementia for whom an assessment of functional status* was performed at least once in the last 12 months

99%144 patients4/55-star benchmark: 100%

Documentation of Current Medications in the Medical Record

Percentage of visits for patients aged 18 years and older for which the eligible professional or eligible clinician attests to documenting a list of current medications using all immediate resources available on the date of the encounter.

100%1,509 patients5/55-star benchmark: 100%

Exercise and Appropriate Physical Activity Counseling for Patients with MS

Percentage of patients with MS who are counseled* on the benefits of exercise and appropriate physical activity for patients with MS in the past 12 months.

94%63 patients

Falls: Screening for Future Fall Risk

Percentage of patients 65 years of age and older who were screened for future fall risk during the measurement period

15%374 patients1/55-star benchmark: 99%

MEDICATION PRESCRIBED FOR ACUTE MIGRAINE ATTACK

Percentage of patients age 12 years and older with a diagnosis of migraine who were prescribed a guideline recommended medication for acute migraine attacks within the 12 month measurement period.

68%84 patients4/55-star benchmark: 90%

Parkinson's Disease: Cognitive Impairment or Dysfunction Assessment

Percentage of all patients with a diagnosis of Parkinson's Disease [PD] who were assessed* for cognitive impairment or dysfunction in the past 12 months

22%67 patients1/55-star benchmark: 100%

Parkinson's Disease: Psychiatric Symptoms Assessment for Patients with Parkinson's Disease

Percentage of all patients with a diagnosis of Parkinson's Disease [PD] who were assessed* for psychiatric symptoms** in the past 12 months

6%67 patients1/55-star benchmark: 100%

Screening for Psychiatric or Behavioral Health Disorders

Percent of all visits for patients with a diagnosis of epilepsy where the patient was screened for psychiatric or behavioral disorders.

93%203 patients4/55-star benchmark: 100%

Sleep Apnea: Assessment of Sleep Symptoms

Percentage of visits for patients aged 18 years and older with a diagnosis of obstructive sleep apnea that includes documentation of an assessment of sleep symptoms, including presence or absence of snoring and daytime sleepiness

45%114 patients2/55-star benchmark: 100%

Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Referred Medical Equipment & Supplies CMS DME claims 13

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Tubing with integrated heating element for use with positive airway pressure device A4604