Organization Active NPI

Southwest Iowa Health Ventures PLLC

Doing business as Cityscape Healthcare

  • Specialist
  • Council Bluffs, IA
National Provider Identifier
1669347928
Registry record updated Jun 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
SOUTHWEST IOWA HEALTH VENTURES PLLC
Doing business as
Cityscape Healthcare
Practice address
1221 E Pierce St Ste 100
Council Bluffs, IA 51503-4714
Phone
(402) 671-2644
Fax
(402) 387-7531
NPI assigned
Oct 7, 2025
Last updated
Jun 10, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2026

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

Authorized official

Name
Gabriel Michael Sullivan
Title
Ceo
Phone
(402) 671-2644

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X Primary

Addresses

Primary practice location

1221 E Pierce St Ste 100
Council Bluffs, IA 51503-4714

Mailing address

2255 S 132ND St Ste 100
Omaha, NE 68144-2573
Phone (402) 671-2644

Other names 1

  • Cityscape Healthcare Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, NE2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20260428000205 IA Part B Supplier - Clinic/Group Practice 4880161868 Receives reassigned benefits from 9 practitioners
Practice locations: Council Bluffs, IA
O20260520000224 NE Part B Supplier - Clinic/Group Practice 4880161868 Receives reassigned benefits from 8 practitioners
Practice locations: Omaha, NE

National Provider Directory

National Provider Directory

Locations

1221 E Pierce St
Ste 100
Council Bluffs, IA 51503
Phone (402) 671-2644

Practitioners & affiliated clinicians

Practitioners 9

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.

NPI Registry JSON

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

{
    "created_epoch": "1759795200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781049600000",
    "number": "1669347928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2255 S 132ND ST STE 100",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681442573",
            "telephone_number": "402-671-2644",
            "fax_number": "402-387-7531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 E PIERCE ST STE 100",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "515034714",
            "telephone_number": "402-671-2644",
            "fax_number": "402-387-7531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHWEST IOWA HEALTH VENTURES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-07",
        "last_updated": "2026-06-10",
        "certification_date": "2026-06-10",
        "status": "A",
        "authorized_official_last_name": "SULLIVAN",
        "authorized_official_first_name": "GABRIEL",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "402-671-2644"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cityscape Healthcare",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Council Bluffs, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.