IMPACT PHYSICIAN GROUP, IOWA LLC
NPI 1780281915
Internal Medicine in Coralville, IA

Active since October 01, 2020
2801 HEARTLAND DR, CORALVILLE, IA 52241(319) 645-4001 Get Directions Write a Review

NPPES record last updated: December 19, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Dec 19, 2022, Oct 1, 2020 (2 updates tracked since 2020).

About Impact Physician Group, Iowa Llc NPPES

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

IMPACT PHYSICIAN GROUP, IOWA LLC (NPI 1780281915) is a healthcare organization registered as an internal medicine in Coralville, Iowa and active in the NPI registry since October 2020. The organization lists Paul Miller, Ceo, as its authorized official.

NPPES Registry Identity

NPI1780281915
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameIMPACT PHYSICIAN GROUP, IOWA LLC
Location Address2801 HEARTLAND DRCoralville, IA 52241-2733
Mailing Address21 Eastbrook Bnd Ste 218Peachtree City, GA 30269-1546 · (678) 967-5599
Organization SubpartNo
Authorized OfficialPaul MillerCeo · (678) 967-5599
Enumeration DateOctober 1, 2020
Last NPPES UpdateDecember 19, 20222 updates tracked since enumeration
NPPES CertifiedDecember 19, 2022
✔ NPI 1780281915 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
2801 HEARTLAND DR, Coralville, IA 52241

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Impact Physician Group, Iowa Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

7

Medicare enrollment records show 7 clinicians reassign Medicare billing to Impact Physician Group, Iowa LLC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (7)

Nurse Practitioner
NPI 1962230797
227 N DUBUQUE ST
Iowa City, IA 52245
(319) 337-2111
✔ PECOS4.8 mi
Nurse Practitioner
NPI 1740699925
3525 CENTER POINT RD NE STE C
Cedar Rapids, IA 52402
(319) 491-4751
✔ PECOS22 mi
Nurse Practitioner
NPI 1457871907
413 S MISSISSIPPI ST
Blue Grass, IA 52726
(563) 381-2180
✔ PECOS46 mi
Internal Medicine
NPI 1750797262
1701 S CREASY LN
Lafayette, IN 47905
(765) 502-4000
✔ PECOS✔ Accepts Medicare264 mi
Family Practice
NPI 1447540943
1700 W 10TH ST
Indianapolis, IN 46222
(317) 636-4400
✔ PECOS✔ Accepts Medicare314 mi
Internal Medicine
NPI 1134416019
8060 KNUE RD
Indianapolis, IN 46250
(317) 813-8900
✔ PECOS✔ Accepts Medicare316 mi
Hospitalist
NPI 1912214818
1402 E COUNTY LINE RD
Indianapolis, IN 46227
(317) 887-7000
✔ PECOS✔ Accepts Medicare321 mi

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 Impact Physician Group, Iowa LLC's NPI number?

The NPI number for Impact Physician Group, Iowa LLC is 1780281915. It was assigned to this organization in the NPPES registry on October 1, 2020.

Where is Impact Physician Group, Iowa LLC located?

Impact Physician Group, Iowa LLC is located at 2801 Heartland Dr, Coralville, IA 52241. The listed phone number is (319) 645-4001.

What is Impact Physician Group, Iowa LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Impact Physician Group, Iowa LLC enrolled in Medicare?

Yes. Impact Physician Group, Iowa LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Impact Physician Group, Iowa LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians in 4 Medicare specialties reassign their Medicare billing to Impact Physician Group, Iowa LLC. 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 (3), Internal Medicine (2) and Family Practice (1). Of these, 1 practice 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 Impact Physician Group, Iowa LLC was last updated on December 19, 2022. 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.