Individual provider Active NPI

Heather Marie Ciliberto, MD

  • Dermatology Physician
  • Iowa City, IA
National Provider Identifier
1447408869
Registry record updated Sep 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
41154 Issued in IA
Practice address
200 Hawkins Dr
Dept of Dermatology
Iowa City, IA 52242-1009
Phone
(319) 356-7546
Fax
(319) 356-8317
NPI assigned
Aug 28, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 20120090151 MO
Dermatology Physician 207N00000X 41154 IA Primary

Addresses

Primary practice location

200 Hawkins Dr
Dept of Dermatology
Iowa City, IA 52242-1009

Mailing address

200 Hawkins Dr
Dept of Dermatology
Iowa City, IA 52242-1009
Phone (319) 356-7546

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
I20131028001427 IA Practitioner - Dermatology 4082862057 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Washington University School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Epiphany Dermatology of Iowa PLCGroup PAC ID 7618307034, 19 clinicians

Practice addresses (Care Compare)

501 12TH Ave
Suite 101
Coralville, IA 52241-1774
Phone (319) 337-3177

5264 Council St NE
Suite 700
Cedar Rapids, IA 52402-2477
Phone (319) 363-9936

Merit-based Incentive Payment System (MIPS)

Final score
84.84 of 100Reported as group
Quality
89.24
Improvement activities
40
Cost
63.8

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision24
Removal of skin lesions747
Removal of nail tissue1-10
Removal or shaving of skin growth11
Skin biopsy219

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
41154IAMDDermatology Physician
20120090151MOMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Epiphany Dermatology of Iowa, PLC Dermatology CurrentSince Jan 3, 2025 Accepting new patients
Kimberly K. Schulz Dermatology Current Accepting new patients

Locations

5264 Council St NE
Ste 700
Cedar Rapids, IA 52402
Phone (319) 363-9936

1100 6th St
Ste 202
Coralville, IA 52241
Phone (319) 337-4566

7300 Ranch Road 2222
Bldg 1
Austin, TX 78730

Interoperability endpoints

  • Direct secure messaging: heather.ciliberto@epiphanyderm.emadirect.md

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1219881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378425600000",
    "number": "1447408869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 HAWKINS DR",
            "address_2": "DEPT OF DERMATOLOGY",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522421009",
            "telephone_number": "319-356-7546",
            "fax_number": "319-356-8317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 HAWKINS DR",
            "address_2": "DEPT OF DERMATOLOGY",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522421009",
            "telephone_number": "319-356-7546",
            "fax_number": "319-356-8317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CILIBERTO",
        "first_name": "HEATHER",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-28",
        "last_updated": "2013-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MO",
            "license": "20120090151",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "IA",
            "license": "41154",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Iowa City, IA

Sources for this page

Verify at the official NPI Registry.