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CARLY ANNE THEILER M.D.
NPI 1114284775
Emergency Medicine - Pediatric Emergency Medicine in Iowa City, IA

Active since April 19, 2012PECOS Enrolled
200 HAWKINS DR, IOWA CITY, IA 52242(319) 353-6360(319) 353-7006 Get Directions Write a Review

NPPES record last updated: March 24, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 24, 2025, Jul 13, 2018 (2 updates tracked since 2018).

About Carly Anne Theiler M.d. NPPES

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

CARLY ANNE THEILER M.D. (NPI 1114284775) is an individual pediatric emergency medicine provider in Iowa City, Iowa, licensed in Iowa (MD-45194) and active in the NPI registry since April 2012. She is enrolled in Medicare PECOS and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1114284775
Entity TypeIndividualFemale
Primary Taxonomy207PP0204X
Provider Legal NameCARLY ANNE THEILERCredential: M.D.
Location Address200 HAWKINS DRIowa City, IA 52242
Mailing Address200 Hawkins DrIowa City, IA 52242-1009 · (319) 353-6360 · Fax (319) 353-7006
Phone(319) 353-6360
Fax(319) 353-7006
Sole ProprietorNo
Enumeration DateApril 19, 2012
Last NPPES UpdateMarch 24, 20252 updates tracked since enumeration
NPPES CertifiedMarch 24, 2025
✔ NPI 1114284775 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency Medicine · Pediatric Emergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207PP0204X
License✔ Licensed in IA · MD-45194
Definition
Pediatric Emergency Medicine is a clinical subspecialty that focuses on the care of the acutely ill or injured child in the setting of an emergency department.
200 HAWKINS DR, Iowa City, IA 52242
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Other Names 1

Former Name (1)Carly Anne Sodahl M.d.

Secondary Practice Locations 2

Location 1640 Jackson St, Mailstop 11202FSaint Paul, MN 55101-2502 · Phone (651) 254-3725 · Fax (651) 254-5044
Location 2701 W Forevergreen RdNorth Liberty, IA 52317-9848 · Phone (319) 384-6562 · Fax (319) 356-3949

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 (PECOS)

Carly Anne Theiler M.d. 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 Carly Theiler reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

State University Of Iowa
Same address
Dentist
200 HAWKINS DRIVE, 51300 POMERANTZ FAMILY PAVILION
Iowa City, IA 52242
  • Reassigned Medicare billing, Iowa enrollment
  • 2,190 clinicians in this Medicare group
NPI 1114905387 (319) 356-2743

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
$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.

SANGIL LEE M.D.
Emergency Medicine
200 HAWKINS DR
IOWA CITY, IA 52242
Johnson County (319) 356-2233
RAMI G. EL ABIAD M.D.
Internal Medicine (Gastroenterology)
200 HAWKINS DR
IOWA CITY, IA 52242
Johnson County (319) 356-4901
GRERK SUTAMTEWAGUL MD
Internal Medicine (Hematology & Oncology)
200 HAWKINS DR, DEPT OF INTERNAL MEDICINE
IOWA CITY, IA 52242
Johnson County (319) 356-1616
DR. KALEB TANNER VEIT D.O.
Internal Medicine (Critical Care Medicine)
200 HAWKINS DR
IOWA CITY, IA 52242
Johnson County (319) 356-2320
OMAR JABER M.D
Chronic Disease Hospital
200 HAWKINS DR
IOWA CITY, IA 52242
Johnson County (319) 471-8958
JENNIFER MANCUSO MS, CGC
Genetic Counselor, MS
200 HAWKINS DR, 31663 PFP
IOWA CITY, IA 52242
Johnson County (319) 384-7983
ASHLEY KAISER M.D.
Obstetrics & Gynecology
200 HAWKINS DR, DEPT OF OBGYN
IOWA CITY, IA 52242
Johnson County (319) 356-2294
MRS. NANCY JANE MILLICE
Health Educator
200 HAWKINS DR, 0733 JPP
IOWA CITY, IA 52242
Johnson County (319) 356-3825

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 Carly Theiler's NPI number?

The NPI number for Carly Theiler is 1114284775. It was assigned to this individual provider in the NPPES registry on April 19, 2012. The provider is also known as Carly Anne Sodahl M.D..

Where is Carly Theiler located?

Carly Theiler practices at 200 Hawkins Dr, Iowa City, IA 52242. The listed phone number is (319) 353-6360.

What is Carly Theiler's specialty?

The primary specialty registered for this NPI is Emergency Medicine, specializing in Pediatric Emergency Medicine, with taxonomy code 207PP0204X.

Is Carly Theiler enrolled in Medicare?

Yes. Carly Theiler is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Carly Theiler's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carly Theiler 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 Carly Theiler's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Carly Theiler accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and Oscar Health and 2 other insurers list Carly Theiler 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 Carly Theiler was last updated on March 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.