Mauricio Amoedo
Individual provider Active NPI Vascular & Interventional Radiology Physician · Iowa City, IA
NPI 1003658766 · NPPES record last updated Dec 16, 2025
Key facts
- NPI
- 1003658766
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Vascular & Interventional Radiology Physician 2085R0204X
- License
- SP-0279 (IA)
- Practice address
- 200 Hawkins Dr
Iowa City, IA 52242-1009 - Phone
- (319) 353-6992
- Fax
- (319) 353-8780
- NPI assigned
- Jun 12, 2024
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 22
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Diagnostic Radiology
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- State University of Iowa
Practice addresses (Care Compare)
200 Hawkins Dr
Iowa City, IA 52242-1009
Phone (319) 356-1616
Hospital & facility affiliations
- University of Iowa Hospital & Clinics
- University of Iowa Health Care Medical Center Down
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Leg revascularization (restoring blood flow) | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240719000120 | IA | Practitioner - Diagnostic Radiology | 8022554633 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| State University of Iowa | Current |
Accepting new patients | |
| State University of Iowa | Past | Accepting new patients |
Locations
200 Hawkins Dr
Iowa City, IA 52242
Phone (319) 356-1616
200 Hawkins Dr
#H
Iowa City, IA 52242
Phone (319) 356-1616
500 E Market St
Iowa City, IA 52245
Phone (319) 339-0300
701 W Forevergreen Rd
North Liberty, IA 52317
Phone (319) 356-2223
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Body Imaging Physician | 2085B0100X | SP-0279 | IA | |
| Diagnostic Radiology Physician | 2085R0202X | SP-0279 | IA | |
| Vascular & Interventional Radiology Physician | 2085R0204X | SP-0279 | IA | Yes |
Addresses
Primary practice location
200 Hawkins Dr
Iowa City, IA 52242-1009
Mailing address
200 Hawkins Dr
Iowa City, IA 52242-1009
Phone (319) 353-6992
Other practice location 1
500 E Market St
Iowa City, IA 52245-2633
Phone (319) 339-3551
Other practice location 2
701 W Forevergreen Rd
North Liberty, IA 52317-9848
Phone (319) 356-3375
Other providers in Iowa City, IA
- Marissa Amidon
- Hina Amin
- Jahnavi Parth Amin
- Nariman Amiri
- Shahed Ammar
- Dorothy Amofa
- Ricardo A Amorim Leite
- James John Amos
- Jayden Alexandra Amsler
- Aaron Albert Amundson
All providers in Iowa City, IA · Vascular & Interventional Radiology Physician in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 16, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.