SALLY M ROUSHDY
NPI 1073029591
Dentist in Iowa City, IA

Q: What is Sally Roushdy's NPI number?

The NPI number for Sally Roushdy is 1073029591. It was assigned to this individual provider in the NPPES registry on December 20, 2017.

Q: What is Sally Roushdy's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Sally Roushdy was last updated on December 20, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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 December 20, 2017PECOS Enrolled

801 NEWTON ROAD, UNIVERSITY OF IOWA COLLEGE OF DENTISTRY, IOWA CITY, IA 52242(319) 335-3188 Get Directions Write a Review

NPPES record last updated: December 20, 2017. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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About Sally M Roushdy NPPES

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

SALLY M ROUSHDY (NPI 1073029591) is an individual dentist in Iowa City, Iowa, licensed in Iowa (FAC-40179) and active in the NPI registry since December 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1073029591

Entity TypeIndividualFemale

Primary Taxonomy122300000X

Provider Legal NameSALLY M ROUSHDY

Location Address801 NEWTON ROAD, UNIVERSITY OF IOWA COLLEGE OF DENTISTRYIowa City, IA 52242

Mailing Address752 Westgate StIowa City, IA 52246-4637 · (352) 281-7399

Phone(319) 335-3188

Sole ProprietorYes

Enumeration DateDecember 20, 2017

✔ NPI 1073029591 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in IA · FAC-40179

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Also ListedDentist · ProsthodonticsTaxonomy 1223P0700X · License FAC-40179 (IA)

801 NEWTON ROAD, Iowa City, IA 52242

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma 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 (PECOS)

Sally M Roushdy is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Sally Roushdy reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

State University Of Iowa

0.2 mi

Dentist

322 DENTAL SCIENCE BLDG
Iowa City, IA 52242

Reassigned Medicare billing, Iowa enrollment
2,190 clinicians in this Medicare group

NPI 1609956234 (319) 335-7440

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 52242 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 17

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. DEREK STEVEN BORGWARDT D.D.S.

Dentist (Periodontics)

801 NEWTON ROAD, UNIVERSITY OF IOWA
IOWA CITY, IA 52242

Johnson County (319) 335-7238

DR. STEVEN D MARSHALL D.D.S., M.S.

Dentist (Orthodontics and Dentofacial Orthopedics)

801 NEWTON ROAD
IOWA CITY, IA 52242

Johnson County (319) 335-7440

DUHYEONG LEE DDS

Dentist (Prosthodontics)

801 NEWTON ROAD, PROSTHODONTICS
IOWA CITY, IA 52242

Johnson County (319) 335-7499

DR. TAN MEI NA B.D.S

Dentist

801 NEWTON ROAD
IOWA CITY, IA 52242

Johnson County (319) 333-5575

NICHOLAS EHMANN DDS

Student in an Organized Health Care Education/Training Program

801 NEWTON ROAD
IOWA CITY, IA 52242

Johnson County (319) 335-7440

LEA SARMENT DDS

Dentist (Orthodontics and Dentofacial Orthopedics)

801 NEWTON ROAD
IOWA CITY, IA 52242

Johnson County (319) 335-7440

DR. AKIMASA TSUJIMOTO

Dentist (General Practice)

801 NEWTON ROAD
IOWA CITY, IA 52242

Johnson County (319) 335-7207

DR. PAUL CASHMAN

Dentist (Prosthodontics)

801 NEWTON ROAD
IOWA CITY, IA 52242

Johnson County (319) 335-7275

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 Sally Roushdy's NPI number?

The NPI number for Sally Roushdy is 1073029591. It was assigned to this individual provider in the NPPES registry on December 20, 2017.

Where is Sally Roushdy located?

Sally Roushdy practices at 801 Newton Road University Of Iowa College Of Dentistry, Iowa City, IA 52242. The listed phone number is (319) 335-3188.

What is Sally Roushdy's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Is Sally Roushdy enrolled in Medicare?

Yes. Sally Roushdy is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Sally Roushdy's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sally Roushdy reassigns Medicare benefits to State University Of Iowa (Iowa City, IA). The 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 Sally Roushdy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sally Roushdy accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Delta Dental of Iowa and 1 other insurer list Sally Roushdy 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 Sally Roushdy was last updated on December 20, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.