NPIMap

Organization Active NPI

St Luke's Methodist Hospital

  • General Acute Care Hospital
  • Cedar Rapids, IA
National Provider Identifier
1083708226
Registry record updated Jul 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
570066H Issued in IA
Legal business name
ST LUKE'S METHODIST HOSPITAL
Practice address
1026 A Ave NE
Cedar Rapids, IA 52402-5036
Phone
(319) 369-7211
NPI assigned
Oct 3, 2006
Last updated
Jul 16, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Milton E Aunan
Title
Cfo
Phone
(319) 369-7094

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 570066H IA Primary

Addresses

Primary practice location

1026 A Ave NE
Cedar Rapids, IA 52402-5036

Mailing address

PO Box 7165
Des Moines, IA 50309-7165
Phone (319) 369-7211

Other identifiers 7

IdentifierTypeStateIssuer
5523810MedicaidSD
0123810MedicaidSD
0600452MedicaidIA
80523600MedicaidWI
011754306MedicaidMO
60045OtherIABLUE CROSS
A5240619OtherIAJOHN DEERE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040204000942 IA Part B Supplier - Clinic/Group Practice 6608786751 Receives reassigned benefits from 169 practitioners
5 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Cedar Rapids, IA; Vinton, IA; Tipton, IA; Independence, IA; Dubuque, IA; Belle Plaine, IA
O20071128000194 IA Part A Provider - Hospital 6608786751 Practice locations: Cedar Rapids, IA; Marion, IA; Hiawatha, IA

NPI to CCN mapping 2

The Medicare certification numbers (CCNs) connected to NPI 1083708226. Details of each certification follow.

Hospital certification: CCN 160045

Legal name
ST LUKES METHODIST HOSPITAL
Doing business as
ST LUKE'S HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Nov 14, 2018
Beds
532
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Enrollment address
1026 A Ave NE
Cedar Rapids, IA 52402-5036
Other Hospital Practice Location
Hospital subgroups
Acute care

Hospital certification: CCN 160156

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
CONTINUING CARE HOSPITAL AT ST LUKE'S
Certification status
Terminated Other: provider status change, Dec 3, 2009
Provider type (POS)
Hospital – Short-term
Participating since
Oct 29, 2008
Last certification
Oct 28, 2008
Beds
24
Ownership / control type
Other
Facility address
1026 A Avenue NE 6TH Floor
Cedar Rapids, IA 52402

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 3

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 5

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospital

Medicare Care Compare
Listed as
St Lukes HospitalCCN 160045 · All quality measures
Overall star rating
4 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
16D0386919St Luke's Hospital Laboratory Primary1026 A Ave NE, Cedar Rapids, IA 52402AccreditationFeb 8, 2027

National Provider Directory

National Provider Directory
Tax ID family
St Lukes ER Dept Phy17 organizations share this tax ID, including this one

Other organizations with this tax ID 16

Organizations that report the same tax identification number in the National Provider Directory.

View all 16

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations (25 of 30)

1505 Sunset Dr
Belle Plaine, IA 52208
Phone (319) 444-2500

1026 A Ave NE
Cedar Rapids, IA 52402
Phone (319) 369-5970

1030 5th Ave SE
Ste 110
Cedar Rapids, IA 52403
Phone (319) 363-4429

1030 5th Ave SE
Ste 2000
Cedar Rapids, IA 52403
Phone (319) 366-6249

202 10th St SE
Ste 260
Cedar Rapids, IA 52403
Phone (319) 368-2155

202 10th St SE
Ste 265
Cedar Rapids, IA 52403
Phone (319) 369-7216

3245 Williams Pkwy SW
Ste 9
Cedar Rapids, IA 52404
Phone (319) 369-8407

3410 12th Ave SW
Cedar Rapids, IA 52404
Phone (319) 396-3692

4050 River Ridge Dr NE
Cedar Rapids, IA 52402
Phone (319) 368-5587

4251 River Center Ct NE
Cedar Rapids, IA 52402
Phone (319) 200-5900

4325 Williams Blvd SW
Cedar Rapids, IA 52404
Phone (319) 368-8400

5313 N Park Pl NE
Cedar Rapids, IA 52402
Phone (319) 395-7779

701 10th St SE
Fl 3
Cedar Rapids, IA 52403
Phone (319) 363-8303

717 A Ave NE
Ste 201
Cedar Rapids, IA 52401
Phone (319) 369-7990

810 1st Ave NE
Ste 100
Cedar Rapids, IA 52402
Phone (319) 369-7440

810 1st Ave NE
Ste 101
Cedar Rapids, IA 52402
Phone (319) 558-4867

810 1st Ave NE
Ste 103
Cedar Rapids, IA 52402
Phone (319) 369-7440

855 A Ave NE
Ste 105
Cedar Rapids, IA 52402
Phone (319) 368-5992

855 A Ave NE
Ste LL1
Cedar Rapids, IA 52402
Phone (319) 369-7730

855 A Ave NE
Ste LL5
Cedar Rapids, IA 52402
Phone (319) 558-4889

402 2nd Ave
Clarence, IA 52216
Phone (563) 452-3262

1079 N Center Point Rd
Hiawatha, IA 52233
Phone (319) 368-5781

1095 N Center Point Rd
Hiawatha, IA 52233
Phone (319) 369-7908

400 S Blairsferry Crossing
Ste B
Hiawatha, IA 52233
Phone (319) 368-5950

1125 Shirken Dr
Iowa City, IA 52246
Phone (319) 338-9322

Interoperability endpoints

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Ownership & related parties

All disclosed owners & managing parties 18

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Kathleen Minette Individual Corporate Director Jan 19, 2012
Charles Becker Individual Corporate Director Jan 1, 2016
Casey S Greene Individual Corporate OfficerMarket President Aug 27, 2023
W-2 Managing EmployeeMarket President Aug 27, 2023
Scott Kizer Individual Operational/Managerial ControlChain Home Office President/Ceo Oct 9, 2023
Gregory Churchill Individual Corporate Director Jan 1, 2014
Donald Johnson Individual Corporate Director Jan 1, 2020
Sally W Gray Individual Corporate Director Aug 19, 2005
Steven M Wahle Individual Corporate Director Jan 21, 2010
Anne H Carter Individual Corporate Director Jan 1, 2021
Curt Heideman Individual Corporate Director Jan 1, 2022
Anne Parmley Individual Corporate Director Jan 1, 2020
John Osako Individual Corporate Director Jan 1, 2023
Iowa Health System Organization, West Des Moines, IA Non-profit, Chain home office Operational/Managerial Control Jan 1, 1995
Other Jan 1, 1995
Lucas N Hicks Individual Corporate OfficerVice President of Finance Jan 1, 2024
W-2 Managing EmployeeVP of Finance Jan 1, 2024
Brian R Globakar Individual Corporate Director Jan 1, 2021
Heather Robertson Individual Corporate Director Jan 1, 2023
Mary Osborn Individual Corporate Director Jan 1, 2023
St Luke's Healthcare Organization, Cedar Rapids, IA Non-profit Operational/Managerial Control Oct 22, 1998

Facilities with the same owner 75

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 75

Practitioners & affiliated clinicians

Practitioners 6,299

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 6,299

Affiliated clinicians 666

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 666

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247702400000",
    "number": "1083708226",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7165",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503097165",
            "telephone_number": "319-369-7211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1026 A AVE NE",
            "city": "CEDAR RAPIDS",
            "state": "IA",
            "postal_code": "524025036",
            "telephone_number": "319-369-7211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST LUKE'S METHODIST HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2009-07-16",
        "status": "A",
        "authorized_official_last_name": "AUNAN",
        "authorized_official_first_name": "MILTON",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "319-369-7094",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "IA",
            "license": "570066H",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5523810",
            "state": "SD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0123810",
            "state": "SD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0600452",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "80523600",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "011754306",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "60045",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JOHN DEERE",
            "identifier": "A5240619",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedar Rapids, IA

Sources for this page

Verify at the official NPI Registry.