CENTERVILLE MEDICAL CLINIC
NPI 1700835865
Family Medicine in Centerville, IA
About Centerville Medical Clinic NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CENTERVILLE MEDICAL CLINIC (NPI 1700835865) is a healthcare organization registered as a family medicine in Centerville, Iowa and active in the NPI registry since May 2006. The organization lists Kenneth L Fisher, Cfo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 4
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Centerville Medical Clinic is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
2,188Medicare enrollment records show 2,188 clinicians reassign Medicare billing to Centerville Medical Clinic, which bills Medicare for the services they deliver. Listed here are the 20 practicing nearest to this location.
Clinicians by Medicare Specialty 72
Nearest to this location (20)
See all 2,188Fairfield, IA 52556
Des Moines, IA 50314
Cedar Rapids, IA 52402
Iowa City, IA 52242
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 State University Of Iowa's NPI number?
The NPI number for State University Of Iowa is 1700835865. It was assigned to this organization in the NPPES registry on May 8, 2006. The provider is doing business as Centerville Medical Clinic.
Where is State University Of Iowa located?
State University Of Iowa is located at 19876 St. Joseph Drive, Centerville, IA 52544. The listed phone number is (641) 856-8684.
What is State University Of Iowa's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is State University Of Iowa enrolled in Medicare?
Yes. State University Of Iowa is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through State University Of Iowa?
According to the CMS Revalidation Reassignment List (October 2026 release), 2,188 clinicians in 72 Medicare specialties reassign their Medicare billing to State University Of Iowa. 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 Nurse Practitioner (480), Anesthesiology (134) and Oral Surgery (94). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for State University Of Iowa was last updated on July 7, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.
# Centerville Medical Clinic · NPI 1700835865
Family Medicine organization in Centerville, Iowa. Organization record, active in the CMS NPPES registry since May 8, 2006.
## Identity
- **NPI:** 1700835865 (Entity type: Organization)
- **Enumerated:** May 8, 2006
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **Legal business name:** State University Of Iowa
- **Organization subpart:** No
- **Authorized official:** Kenneth Fisher, CFO
## Practice location
- **Address:** 19876 ST. JOSEPH DRIVE, Centerville, IA 52544
- **Phone:** (641) 856-8684
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 2,188 clinicians in 72 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (480), Anesthesiology (134), Oral Surgery (94); [full list](https://npiprofile.com/npi/1700835865/clinicians) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 7, 2009
- **Other identifiers:** Medicare PIN I1416 (IA); Other 33226 (IA); Other DA0044 (IA); and 1 more
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Source: [NPI Profile](https://npiprofile.com/npi/1700835865) · Data from the CMS NPPES public registry.