Active NPI
State University of Iowa
- General Acute Care Hospital
- Iowa City, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Acute Care Hospital
- License
- 520017H
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 054878006 | Other | IA | MEDICARE DME NUMBER |
| 0600585 | Medicaid | IA | |
| 60058 | Other | IA | WELLMARK BC/BS |
Other names 2
- University of Iowa Health Care Medical Center
- University of Iowa Hospitals & Clinics
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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 IA
Enrollment records 3
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 - Pharmacy | 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
- Government
- Enrollment address
- 200 Hawkins Dr
Iowa City, IA 52242-1009 - 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
- Government
- Enrollment address
- 200 Hawkins Dr
Iowa City, IA 52242-1009 - Hospital subgroups
- Psychiatric
Related certifications (CCN) 1
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).
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Washington, IA
- NPI 1093790578
7618884230
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- North Liberty, IA
- NPI 1629054846
7618884230
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Iowa City, IA
- NPI 1639157415
7618884230
Other NPIs on the same Medicare enrollment 2
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Durable Medical Equipment & Medical Supplies
- Iowa City, IA
- NPI 1285635235
O20100930005724
Care Compare: Hospital
Medicare Care Compare- Listed as
- University of Iowa Hospital & Clinics
- Overall star rating
- Type
- Acute Care Hospitals
- Ownership
- Government - State
- Medicare certification status
- Active
- Emergency services
- Yes
National Provider Directory
National Provider DirectoryLocations
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.
| Name | Role | Since | Share |
|---|---|---|---|
| Joe McKelvey | W-2 Managing Employee | Sep 12, 2022 | |
| Denise J Jamieson | Corporate Officer | Aug 1, 2023 | |
| W-2 Managing Employee | Aug 1, 2023 | ||
| Operational/Managerial Control | Aug 1, 2023 | ||
| Mark Henrichs | W-2 Managing Employee | Aug 7, 2021 | |
| Operational/Managerial Control | Aug 7, 2021 | ||
| Operational/Managerial Control | Aug 7, 2021 | ||
| State University of Iowa | Other | Jul 1, 1966 | |
| Bradley Haws | Corporate Officer | Nov 29, 2023 | |
| W-2 Managing Employee | Nov 29, 2023 | ||
| Operational/Managerial Control | Nov 29, 2023 | ||
| W-2 Managing Employee | 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.
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Washington, IA
- NPI 1093790578
Other
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- North Liberty, IA
- NPI 1629054846
Other
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Iowa City, IA
- NPI 1639157415
Other
All facility ownership & control disclosures 3
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| University of Iowa Health Care Medical Center | Hospital | Other | Jul 1, 1966 |
| University of Iowa Health Care Medical Center Downtown | Hospital | Other | Jan 31, 2024 |
| University of Iowa Health Care Medical Center Downtown Home Health | 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.
-
- Hospitalist Physician
- Iowa City, IA
- NPI 1588395701
-
- Neurology Physician
- Iowa City, IA
- NPI 1861927204
-
- Vascular Surgery Physician
- Iowa City, IA
- NPI 1578962189
-
- Internal Medicine Physician
- Iowa City, IA
- NPI 1326022385
-
- Hospitalist Physician
- Iowa City, IA
- NPI 1831822295
-
- Hospitalist Physician
- Iowa City, IA
- NPI 1710474259
-
- Pediatric Cardiology Physician
- Iowa City, IA
- NPI 1609261718
-
- Psychiatry Physician
- Iowa City, IA
- NPI 1265924849
-
- Hospitalist Physician
- Iowa City, IA
- NPI 1578050142
-
- Hospitalist Physician
- Iowa City, IA
- NPI 1316683519
-
- Hospitalist Physician
- Iowa City, IA
- NPI 1871243600
-
- Neonatal-Perinatal Medicine Physician
- Iowa City, IA
- NPI 1124548813
Affiliated clinicians 1,901
Clinicians who list this facility as an affiliation in Medicare Care Compare.
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.