THEODORE S DONTA MD PHD
NPI 1609801711
Radiology - Neuroradiology in Iowa City, IA
About Theodore S Donta Md Phd NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
THEODORE S DONTA MD PHD (NPI 1609801711) is an individual neuroradiology provider in Iowa City, Iowa, licensed in Iowa (MD-36713) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with University Of Iowa Health Care Medical Center Down, and maintains 4 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 4
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Theodore S Donta Md Phd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Theodore Donta reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Iowa City, IA 52242
- Reassigned Medicare billing, Iowa enrollment
- 2,190 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 45
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 5
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
University Of Iowa Health Care Medical Center Down
Acute Care Hospitals · Iowa City, IASt Lukes Hospital
Acute Care Hospitals · Cedar Rapids, IASoutheast Iowa Regional Medical Center
Acute Care Hospitals · West Burlington, IAUniversity Of Iowa Hospital & Clinics
Acute Care Hospitals · Iowa City, IAKeokuk County Health Center
Critical Access Hospitals · Sigourney, IAOther Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
IOWA CITY, IA 52242
IOWA CITY, IA 52242
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 Theodore Donta's NPI number?
The NPI number for Theodore Donta is 1609801711. It was assigned to this individual provider in the NPPES registry on July 11, 2006.
Where is Theodore Donta located?
Theodore Donta practices at 200 Hawkins Dr, Iowa City, IA 52242. The listed phone number is (319) 467-2868.
What is Theodore Donta's specialty?
The primary specialty registered for this NPI is Radiology, specializing in Neuroradiology, with taxonomy code 2085N0700X.
Is Theodore Donta enrolled in Medicare?
Yes. Theodore Donta is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Theodore Donta's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Theodore Donta 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 Theodore Donta's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Theodore Donta accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and Wellmark Health Plan of Iowa, Inc. list Theodore Donta 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.
Is Theodore Donta affiliated with any hospitals?
According to CMS data, Theodore Donta is affiliated with University Of Iowa Health Care Medical Center Down, St Lukes Hospital, Southeast Iowa Regional Medical Center, University Of Iowa Hospital & Clinics and Keokuk County Health Center.
When was this NPI record last updated?
The NPPES record for Theodore Donta was last updated on April 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.