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CARLIN MICHAEL SITUMEANG DO
NPI 1538853908
Emergency Medicine in Iowa City, IA

Active since June 07, 2023PECOS Enrolled
200 HAWKINS DR, IOWA CITY, IA 52242(319) 384-6511 Get Directions Write a Review

NPPES record last updated: June 7, 2023. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Carlin Michael Situmeang Do NPPES

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

CARLIN MICHAEL SITUMEANG DO (NPI 1538853908) is an individual emergency medicine provider in Iowa City, Iowa, licensed in Iowa (R-12837) and active in the NPI registry since June 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1538853908
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameCARLIN MICHAEL SITUMEANGCredential: DO
Location Address200 HAWKINS DRIowa City, IA 52242-1009
Mailing Address506 S 1st AveDanville, IA 52623-9609 · (319) 931-9507
Phone(319) 384-6511
Sole ProprietorNo
Enumeration DateJune 7, 2023
NPPES CertifiedJune 7, 2023
✔ NPI 1538853908 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in IA · R-12837
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
200 HAWKINS DR, Iowa City, IA 52242
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, Wellmark Health Plan of Iowa, Inc..Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Carlin Michael Situmeang Do 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 Reassignments

2

Medicare enrollment records show Carlin Situmeang reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Henry County Health Center, Inc.
48 mi
Critical Access
407 S WHITE ST
Mount Pleasant, IA 52641
  • Reassigned Medicare billing, Iowa enrollment
  • Also billed through NPI 1871177477 (Iowa)
  • 142 clinicians in this Medicare group
NPI 1811571417 (319) 385-3141
Southeast Iowa Regional Medical Center, Inc.
62 mi
Family Planning, Non-Surgical
801 S ROOSEVELT AVE STE C
Burlington, IA 52601
  • Reassigned Medicare billing, Iowa enrollment
  • 253 clinicians in this Medicare group
NPI 1962077230 (319) 768-1225

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 Carlin Situmeang's NPI number?

The NPI number for Carlin Situmeang is 1538853908. It was assigned to this individual provider in the NPPES registry on June 7, 2023.

Where is Carlin Situmeang located?

Carlin Situmeang practices at 200 Hawkins Dr, Iowa City, IA 52242. The listed phone number is (319) 384-6511.

What is Carlin Situmeang's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Carlin Situmeang enrolled in Medicare?

Yes. Carlin Situmeang is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Carlin Situmeang's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carlin Situmeang reassigns Medicare benefits to 2 organizations: Henry County Health Center, Inc. (Mount Pleasant, IA) and Southeast Iowa Regional Medical Center, Inc. (Burlington, IA). Each 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 Carlin Situmeang's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Carlin Situmeang accept?

Health plans from Medica and Wellmark Health Plan of Iowa, Inc. list Carlin Situmeang 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 Carlin Situmeang was last updated on June 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.