UNIVERSITY OF IOWA CHILDREN'S HOSPITAL GEN PEDIATRICS-NORTH LIBERTY
NPI 1063802791
Pediatrics in North Liberty, IA
About University Of Iowa Children's Hospital Gen Pediatrics-north Liberty NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
UNIVERSITY OF IOWA CHILDREN'S HOSPITAL GEN PEDIATRICS-NORTH LIBERTY (NPI 1063802791) is a healthcare organization registered as a pediatrics in North Liberty, Iowa and active in the NPI registry since February 2015. The organization lists Philip E Roudabush, Director, Patient Financial Service, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
University Of Iowa Children's Hospital Gen Pediatrics-north Liberty is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2,188Medicare enrollment records show 2,188 clinicians reassign Medicare billing to University Of Iowa Children's Hospital Gen Pediatrics-North Liberty, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 1,928 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 72
Nearest to this location (20)
See all 2,188Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 State University Of Iowa's NPI number?
The NPI number for State University Of Iowa is 1063802791. It was assigned to this organization in the NPPES registry on February 3, 2015. The provider is doing business as University Of Iowa Children's Hospital Gen Pediatrics-North Liberty.
Where is State University Of Iowa located?
State University Of Iowa is located at 1765 Lininger Ln, North Liberty, IA 52317. The listed phone number is (319) 467-7888.
What is State University Of Iowa's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is State University Of Iowa enrolled in Medicare?
Yes. State University Of Iowa is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through State University Of Iowa?
According to the CMS Revalidation Reassignment List (October 2026 release), 2,188 clinicians in 72 Medicare specialties reassign their Medicare billing to State University Of Iowa. A 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 the clinician's services. The largest specialties are Nurse Practitioner (480), Anesthesiology (134) and Oral Surgery (94). Of these, 4 practice at this address and 1,928 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does State University Of Iowa accept?
Health plans from Sanford Health Plan list State University Of Iowa 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.
When was this NPI record last updated?
The NPPES record for State University Of Iowa was last updated on February 19, 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.
# University Of Iowa Children's Hospital Gen Pediatrics-North Liberty · NPI 1063802791
Pediatrics organization in North Liberty, Iowa. Organization record, active in the CMS NPPES registry since February 3, 2015.
## Identity
- **NPI:** 1063802791 (Entity type: Organization)
- **Enumerated:** February 3, 2015
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **Legal business name:** State University Of Iowa
- **Organization subpart:** No
- **Authorized official:** Philip Roudabush, DIRECTOR, PATIENT FINANCIAL SERVICE
## Practice location
- **Address:** 1765 LININGER LN, North Liberty, IA 52317-2316
- **Phone:** (319) 467-7888 · **Fax:** (319) 467-7889
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2,188 clinicians in 72 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (480), Anesthesiology (134), Oral Surgery (94); 4 practice at this address and 1,928 within 10 miles; [full list](https://npiprofile.com/npi/1063802791/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** February 19, 2015
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Source: [NPI Profile](https://npiprofile.com/npi/1063802791) · Data from the CMS NPPES public registry.