Individual provider Active NPI

Jason Mark Misurac, M.D.

  • Pediatric Nephrology Physician
  • Iowa City, IA
National Provider Identifier
1205061900
Registry record updated Sep 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nephrology PhysicianTaxonomy code 2080P0210X
License
MD-42590 Issued in IA
Practice address
200 Hawkins Dr
Iowa City, IA 52242-1009
Phone
(319) 356-7249
Fax
(319) 384-9616
NPI assigned
May 25, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 11014822A IN
Pediatric Nephrology Physician 2080P0210X MD-42590 IA Primary

Addresses

Primary practice location

200 Hawkins Dr
Iowa City, IA 52242-1009

Mailing address

200 Hawkins Dr
Iowa City, IA 52242-1009
Phone (319) 356-7249

Other practice location 1

2624 Orchard Dr
Cedar Falls, IA 50613-5845
Phone (877) 891-5350

Other practice location 2

2901 86th St
Urbandale, IA 50322-4330
Phone (515) 457-2960

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150710000604 IA Practitioner - NephrologyPractitioner - Pediatric Medicine 9739326141 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Pediatric Medicine
Education
Indiana University School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
State University of IowaGroup PAC ID 7618884230, 1,886 clinicians

Practice addresses (Care Compare)

200 Hawkins Dr
Iowa City, IA 52242-1009
Phone (319) 356-1616

Merit-based Incentive Payment System (MIPS)

Final score
80.02 of 100Reported as group
Quality
75.68
Promoting interoperability
78
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD-42590IAMDPediatric Nephrology Physician
11014822AINMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Central Iowa Hospital Corporation Current Accepting new patients
State University of Iowa CurrentSince Sep 1, 2015 Accepting new patients
Central Iowa Hospital Corporation Pediatric Nephrology CurrentSince Jan 26, 2019 Accepting new patients
State University of Iowa CurrentSince Sep 1, 2015 Accepting new patients
St Luke'S Methodist Hospital Current Accepting new patients
Central Iowa Hospital Corporation CurrentSince Jan 26, 2019 Accepting new patients
Major Hospital Past Accepting new patients
State University of Iowa Past Accepting new patients
State University of Iowa Past Accepting new patients
Floyd County Memorial Hospital Commission Past Accepting new patients

Locations

1200 Pleasant St
Rm 236
Des Moines, IA 50309
Phone (515) 241-6228

1200 Pleasant St
Des Moines, IA 50309
Phone (515) 241-5926

200 Hawkins Dr
#H
Iowa City, IA 52242
Phone (319) 356-1616

200 Hawkins Dr
Iowa City, IA 52242
Phone (319) 356-1616

2901 86th St
Urbandale, IA 50322
Phone (515) 276-3406

Interoperability endpoints

  • Direct secure messaging: jmisurac660693@direct.unitypoint.org
  • Direct secure messaging: jmisurac76088@uihcdirect.org

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1243209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756857600000",
    "number": "1205061900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 HAWKINS DR",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522421009",
            "telephone_number": "319-356-7249",
            "fax_number": "319-384-9616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 HAWKINS DR",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522421009",
            "telephone_number": "319-356-7249",
            "fax_number": "319-384-9616"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2624 Orchard Dr",
            "address_purpose": "LOCATION",
            "city": "Cedar Falls",
            "state": "IA",
            "postal_code": "506135845",
            "country_code": "US",
            "telephone_number": "877-891-5350",
            "fax_number": "319-356-3949",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2901 86th St",
            "address_purpose": "LOCATION",
            "city": "Urbandale",
            "state": "IA",
            "postal_code": "503224330",
            "country_code": "US",
            "telephone_number": "515-457-2960",
            "fax_number": "319-356-3949",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MISURAC",
        "first_name": "JASON",
        "middle_name": "MARK",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-05-25",
        "last_updated": "2025-09-03",
        "certification_date": "2025-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "IN",
            "license": "11014822A",
            "primary": false
        },
        {
            "code": "2080P0210X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Nephrology",
            "state": "IA",
            "license": "MD-42590",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Iowa City, IA

Sources for this page

Verify at the official NPI Registry.