SOUTHEAST IOWA REGIONAL MEDICAL CENTER, INC.
NPI 1164433884
General Practice in West Burlington, IA
About Southeast Iowa Regional Medical Center, Inc. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SOUTHEAST IOWA REGIONAL MEDICAL CENTER, INC. (NPI 1164433884), doing business as Southeast Iowa Regional Medical Center, is a healthcare organization registered as a general practice in West Burlington, Iowa and active in the NPI registry since August 2006. The organization lists Jeremy Alexander, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 2
Other Identifiers 3
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Southeast Iowa Regional Medical Center, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date 2
Next revalidation due by October 31, 2026
This provider holds 2 Medicare enrollments with upcoming revalidation dates. Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
386Medicare enrollment records show 386 clinicians reassign Medicare billing to Southeast Iowa Regional Medical Center, Inc., which bills Medicare for the services they deliver. Of these, 36 practice at this address and 85 within 10 miles. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 37
Nearest to this location (20)
See all 386West Burlington, IA 52655
West Burlington, IA 52655
Source: 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 Southeast Iowa Regional Medical Center, Inc.'s NPI number?
The NPI number for Southeast Iowa Regional Medical Center, Inc. is 1164433884. It was assigned to this organization in the NPPES registry on August 10, 2006. The provider is doing business as Southeast Iowa Regional Medical Center. The provider was formerly known as Great River Medical Center.
Where is Southeast Iowa Regional Medical Center, Inc. located?
Southeast Iowa Regional Medical Center, Inc. is located at 1221 S Gear Ave, West Burlington, IA 52655. The listed phone number is (319) 768-3626.
What is Southeast Iowa Regional Medical Center, Inc.'s specialty?
The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.
Is Southeast Iowa Regional Medical Center, Inc. enrolled in Medicare?
Yes. Southeast Iowa Regional Medical Center, Inc. is registered in the Medicare PECOS enrollment system.
When is Southeast Iowa Regional Medical Center, Inc.'s Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), Southeast Iowa Regional Medical Center, Inc. holds 2 Medicare enrollments with upcoming revalidation dates. The next is due by October 31, 2026 (Non-DME Part B, South Carolina, Clinic/Group Practice). Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Southeast Iowa Regional Medical Center, Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 386 clinicians in 37 Medicare specialties reassign their Medicare billing to Southeast Iowa Regional Medical Center, Inc.. 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 Diagnostic Radiology (65), Nurse Practitioner (61) and Hospitalist (45). Of these, 36 practice at this address and 85 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Southeast Iowa Regional Medical Center, Inc. was last updated on September 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 33 days 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.
# Southeast Iowa Regional Medical Center, Inc. · NPI 1164433884
General Practice organization in West Burlington, Iowa. Organization record, active in the CMS NPPES registry since August 10, 2006.
## Identity
- **NPI:** 1164433884 (Entity type: Organization)
- **Enumerated:** August 10, 2006
- **Primary specialty:** General Practice · taxonomy 208D00000X
- **Also known as:** Southeast Iowa Regional Medical Center (Doing Business As); Great River Medical Center (Former Legal Business Name)
- **Organization subpart:** No
- **Authorized official:** Jeremy Alexander, CEO
## Practice location
- **Address:** 1221 S GEAR AVE, West Burlington, IA 52655-1679
- **Phone:** (319) 768-3626
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** October 31, 2026 (Non-DME Part B, South Carolina, Clinic/Group Practice), next of 2 enrollments with upcoming dates · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 386 clinicians in 37 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Diagnostic Radiology (65), Nurse Practitioner (61), Hospitalist (45); 36 practice at this address and 85 within 10 miles; [full list](https://npiprofile.com/npi/1164433884/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 16, 2026
- **Other identifiers:** Medicaid 0121129 (IA); Other CH2540; Other 35449
---
Source: [NPI Profile](https://npiprofile.com/npi/1164433884) · Data from the CMS NPPES public registry.