Organization Active NPI

State University of Iowa

  • General Acute Care Hospital
  • Iowa City, IA
National Provider Identifier
1376544320
Registry record updated Apr 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
520017H Issued in IA
Legal business name
STATE UNIVERSITY OF IOWA
Practice address
200 Hawkins Dr
Iowa City, IA 52242
Phone
(319) 356-1616
NPI assigned
Aug 2, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2026

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

Authorized official

Name
Joe M McKelvey
Title
Sr Director of Government Reimb
Phone
(319) 467-8549

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 520017H IA Primary

Addresses

Primary practice location

200 Hawkins Dr
Iowa City, IA 52242

Mailing address

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

Other identifiers 3

IdentifierTypeStateIssuer
054878006OtherIAMEDICARE DME NUMBER
0600585MedicaidIA
60058OtherIAWELLMARK BC/BS

Other names 2

  • University of Iowa Health Care Medical Center Doing business as
  • University of Iowa Hospitals & Clinics Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://esmdprod.craneware.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRReguestService Other Craneware, Inc

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20050926000788 IA Part A Provider - Hospital 7618884230
O20070130000272 IA Part A Provider - Hospital 7618884230 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Iowa City, IA
O20100930005724 IA DME Supplier - PharmacyDME Supplier - Prosthetic PersonnelDME Supplier - Hospital 7618884230 1 other NPI on this enrollment
Practice locations: Iowa City, IA

Hospital certification: CCN 160058

Legal name
STATE UNIVERSITY OF IOWA
Doing business as
UNIVERSITY OF IOWA HEALTH CARE MEDICAL CENTER
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Jan 9, 2013
Beds
1,103
Ownership / control type
State
Organization structure
GovernmentNon-profit
Enrollment address
200 Hawkins Dr
Iowa City, IA 52242-1009
Main/Primary Hospital Location
Hospital subgroups
Acute care

Hospital certification: CCN 16S058

Legal name
STATE UNIVERSITY OF IOWA
Doing business as
UNIVERSITY OF IOWA HEALTH CARE MEDICAL CENTER
Organization structure
GovernmentNon-profit
Enrollment address
200 Hawkins Dr
Iowa City, IA 52242-1009
Hospital Psychiatric Unit
Hospital subgroups
Psychiatric

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

Other NPIs with the same Medicare PAC ID 20

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

View all 20

Other NPIs on the same Medicare enrollment 2

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

Care Compare: Hospital

Medicare Care Compare
Listed as
University of Iowa Hospital & ClinicsCCN 160058
Overall star rating
2 of 5
Type
Acute Care Hospitals
Ownership
Government - State
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory

Locations

4137 Westlawn S
Iowa City, IA 52242

3465 Mulberry Ave
Muscatine, IA 52761
Phone (563) 262-9303

Ownership & related parties

All disclosed owners & managing parties 5

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

NameRoleSinceShare
Joe McKelvey Individual W-2 Managing EmployeeSr Director of Government Rei Sep 12, 2022
Denise J Jamieson Individual Corporate OfficerVP for Medical Affairs & Dean Aug 1, 2023
W-2 Managing EmployeeVP for Medical Affairs & Dean Aug 1, 2023
Operational/Managerial ControlVP for Medical Affairs & Dean Aug 1, 2023
Mark Henrichs Individual W-2 Managing Employee Aug 7, 2021
Operational/Managerial ControlCfo Aug 7, 2021
Operational/Managerial Control Aug 7, 2021
State University of Iowa Organization, Iowa City, IA Chain home office Other Jul 1, 1966
Bradley Haws Individual Corporate OfficerCeo Nov 29, 2023
W-2 Managing Employee Nov 29, 2023
Operational/Managerial ControlCeo Nov 29, 2023
W-2 Managing EmployeeCeo Nov 29, 2023

Owners & managing parties with NPI records 21

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

View all 21

All facility ownership & control disclosures 3

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

FacilityTypeRoleSince
University of Iowa Health Care Medical CenterIowa City, IA, CCN 16S058 Hospital Other Jul 1, 1966
University of Iowa Health Care Medical Center DowntownIowa City, IA, CCN 160029 Hospital Other Jan 31, 2024
University of Iowa Health Care Medical Center Downtown Home HealthCoralville, IA, CCN 167181 Home health agency Other Jan 31, 2024

Owned or controlled facilities with NPI records 3

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

Practitioners & affiliated clinicians

Practitioners 379

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 379

Affiliated clinicians 1,901

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

View all 1,901

NPI Registry JSON

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

{
    "created_epoch": "1122940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777248000000",
    "number": "1376544320",
    "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": "319-356-1616"
        },
        {
            "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": "52242",
            "telephone_number": "319-356-1616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATE UNIVERSITY OF IOWA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-02",
        "last_updated": "2026-04-27",
        "certification_date": "2026-04-27",
        "status": "A",
        "authorized_official_last_name": "MCKELVEY",
        "authorized_official_first_name": "JOE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "SR DIRECTOR OF GOVERNMENT REIMB",
        "authorized_official_telephone_number": "319-467-8549"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "IA",
            "license": "520017H",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE DME NUMBER",
            "identifier": "054878006",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0600585",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK BC/BS",
            "identifier": "60058",
            "state": "IA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmdprod.craneware.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRReguestService",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.17.9.1",
            "affiliationName": "Craneware, Inc",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "3340 Peachtree Rd NE Ste 850",
            "city": "Atlanta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "303261072",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "University of Iowa Health Care Medical Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "University of Iowa Hospitals & Clinics",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "University of Iowa Hospitals & Clinics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Iowa City, IA

Sources for this page

Verify at the official NPI Registry.