Pratibha Dua, MD
NPI 1235116369ActiveIndividual· Internal Medicine· Waterloo, IA
Internal Medicine (MD) with Iowa Physicians Clinic Medical Foundation, practicing in Waterloo, Iowa. Their prescriptions cost Medicare Part D more than their services did: $968,935 for 13,267 claims, against $160,623 paid for services in 2024. Lists Allen Hospital and 4 other hospitals as hospital affiliations.
Overview
| NPI | 1235116369 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MD |
| Sole proprietor | No |
| NPI issued | Dec 29, 2005 |
| Last updated in NPPES | May 22, 2012 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | 35236 | IA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Internal Medicine (IA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 790 |
|---|---|
| Services billed | 3,320 across 40 procedure codes |
| Paid by Medicare | $160,623 |
Part D prescriptions in 2024
| Prescriptions (claims) | 13,267 · 27,852 30-day fills |
|---|---|
| Patients | 671 |
| Total drug cost | $968,935 |
| Generic share | 88% of claims |
Education and affiliations
| Graduation year | 1996 |
|---|---|
| Medicare specialty | Internal Medicine |
| Telehealth | Offers telehealth |
Medical group
- Iowa Physicians Clinic Medical FoundationDes Moines, IA · 1,246 clinicians
Hospital affiliations
- Allen HospitalWaterloo, IA
- Grundy County Memorial HospitalGrundy Center, IA
- Mercyone Waterloo Medical CenterWaterloo, IA
- Unitypoint Health - MarshalltownMarshalltown, IA
- Waverly Health CenterWaverly, IA
Other facilities
- Unitypoint at HomeHome health agency · Waterloo, IA
- Cedar Valley HospiceHospice · Waterloo, IA
- The Suites at Western Home CommunitiesNursing home · Cedar Falls, IA
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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