Southeast Iowa Regional Medical Center, Inc.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

SOUTHEAST IOWA REGIONAL MEDICAL CENTER, INC.

Doing business as

Southeast Iowa Regional Medical Center

Practice address

1221 S Gear Ave
West Burlington, IA 52655-1679

Phone

(319) 768-3626

NPI assigned

Aug 10, 2006

Last updated

Sep 16, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jeremy Alexander

Title

Ceo

Phone

(319) 768-3280

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 2

• Southeast Iowa Regional Medical Center Doing business as
• Great River Medical Center Former legal business name

Medicare fee-for-service enrollment

Enrolled in IA, MI, PA, SC, NC, DE, NJ, TX, DC, HI, CO, MN, FL, OH, IL, CA, AZ, WA, NV, GA, MD, MA, NM, UT, MO, NY, NE, NH, CT, TN, IN, VA, AL, ND34 enrollments

Enrollment records 34

Other NPIs with the same Medicare PAC ID 5

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

• Southeast Iowa Regional Medical Center, Inc.

  dba Great River Home Health and Hospice

  • Community Based Hospice Care Agency
  • West Burlington, IA
  • NPI 1053315002

  3870496417

  Same PAC ID
• Southeast Iowa Regional Medical Center, Inc.

  dba Southeast Iowa Regional Medical Center

  • General Acute Care Hospital
  • West Burlington, IA
  • NPI 1134168263

  3870496417

  Same PAC ID
• Southeast Iowa Regional Medical Center, Inc.

  dba Great River Klein Center

  • Skilled Nursing Facility
  • West Burlington, IA
  • NPI 1265411144

  3870496417

  Same PAC ID
• Southeast Iowa Regional Medical Center, Inc.

  • Specialty Pharmacy
  • West Burlington, IA
  • NPI 1679329395

  3870496417

  Same PAC ID
• Southeast Iowa Regional Medical Center, Inc.

  dba Great River Home Health and Hospice

  • Home Health Agency
  • West Burlington, IA
  • NPI 1760461644

  3870496417

  Same PAC ID

Other NPIs on the same Medicare enrollment 1

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

• Southeast Iowa Regional Medical Center, Inc.

  dba Southeast Iowa Regional Medical Center

  • Non-Surgical Family Planning Clinic/Center
  • Burlington, IA
  • NPI 1962077230

  O20040130000139

  Same enrollment

Locations (25 of 32)

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

• Southeast Iowa Regional Medical Center, Inc.

  dba Great River Home Health and Hospice

  • Community Based Hospice Care Agency
  • West Burlington, IA
  • NPI 1053315002

  5% Or Greater Direct Ownership Interest

  CMS ownership
• Southeast Iowa Regional Medical Center, Inc.

  dba Southeast Iowa Regional Medical Center

  • General Acute Care Hospital
  • West Burlington, IA
  • NPI 1134168263

  Operational/Managerial Control

  CMS ownership
• Southeast Iowa Regional Medical Center, Inc.

  dba Great River Klein Center

  • Skilled Nursing Facility
  • West Burlington, IA
  • NPI 1265411144

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

Practitioners 542

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.

• Amanda Kay Abolt, PA-C

  • Medical Physician Assistant
  • West Burlington, IA
  • NPI 1609422211

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Michael K Abouassaly, M.D.

  • Family Medicine Physician
  • West Burlington, IA
  • NPI 1184790909
  Medicare reassignment Care Compare group NPD
• Samer Abu Alula, M.D.

  • Internal Medicine Physician
  • Davenport, IA
  • NPI 1447782578
  Medicare reassignment Care Compare group NPD
• Raafat Alameddine, MD

  • Hematology & Oncology Physician
  • Iowa City, IA
  • NPI 1740842418

  Single Specialty

  Medicare reassignment Care Compare group NPD
• Rhea Allen, MD

  • Family Medicine Physician
  • Muscatine, IA
  • NPI 1366429177
  Medicare reassignment Care Compare group NPD
• Ruth Barosy, M.D.

  • Family Medicine Physician
  • Fort Madison, IA
  • NPI 1518349539
  Medicare reassignment Care Compare group NPD
• Masharib Bashar, M.D.

  • Hospitalist Physician
  • West Burlington, IA
  • NPI 1912644758
  Medicare reassignment Care Compare group NPD
• Mary Catherine Bentler, P.A.

  • Physician Assistant
  • West Burlington, IA
  • NPI 1205074267
  Medicare reassignment Care Compare group NPD
• Ruchie Bhattarai, M.D

  • Internal Medicine Physician
  • West Burlington, IA
  • NPI 1760915375
  Medicare reassignment Care Compare group NPD
• Weston Joseph Bietz, DNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Fort Madison, IA
  • NPI 1497647937
  Medicare reassignment Care Compare group NPD
• Lauren Elizabeth Bigger, MA, LMHC

  • Mental Health Counselor
  • Burlington, IA
  • NPI 1346797180
  Medicare reassignment Care Compare group NPD
• Kendra M Bonnesen, ARNP, FNP-C

  • Family Nurse Practitioner
  • Mt Pleasant, IA
  • NPI 1548694771
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789516800000",
    "number": "1164433884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1221 S GEAR AVE",
            "city": "WEST BURLINGTON",
            "state": "IA",
            "postal_code": "526551679",
            "telephone_number": "319-768-3626",
            "fax_number": "319-768-3633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 S GEAR AVE",
            "city": "WEST BURLINGTON",
            "state": "IA",
            "postal_code": "526551679",
            "telephone_number": "319-768-3626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEAST IOWA REGIONAL MEDICAL CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-10",
        "last_updated": "2026-09-16",
        "certification_date": "2026-09-16",
        "status": "A",
        "authorized_official_last_name": "ALEXANDER",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "319-768-3280"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "35449",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRAVELERS MEDICARE",
            "identifier": "CH2540",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0121129",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southeast Iowa Regional Medical Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Great River Medical Center",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Anjali Katiyar Sobti, M.D.
• Southeast Iowa Cardiology
• Southeast Iowa Regional Medical Center, Inc (Laboratory-Southeast Iowa Regional Medical Center)
• Southeast Iowa Regional Medical Center, Inc. (Great River Home Health and Hospice)
• Southeast Iowa Regional Medical Center, Inc. (Southeast Iowa Regional Medical Center)
• Southeast Iowa Regional Medical Center, Inc. (Great River Klein Center)
• Southeast Iowa Regional Medical Center, Inc. (Southeast Iowa Regional Medical Center)
• Southeast Iowa Regional Medical Center, Inc.
• Southeast Iowa Regional Medical Center, Inc. (Great River Home Health and Hospice)
• Southeast Iowa Regional Medical Center, Inc. (Southeast Iowa Regional Medical Center)

• General Practice Physician in West Burlington, IA
• Providers in West Burlington, IA by specialty
• General Practice Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.