Active NPI
Rostislav Dimitrov Ranguelov, MD
- Anatomic Pathology Physician
- Iowa City, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology Physician
- License
- MD-49538
- Practice address
- 200 Hawkins Dr
Iowa City, IA 52242-1009 - Phone
- (319) 384-9609
- Fax
- (319) 384-9613
- NPI assigned
- Mar 16, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | MD00042071 | WA | |
| Anatomic Pathology Physician | 207ZP0101X | MD-49538 | 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) 384-9609
Other practice location 1
500 E Market St
Iowa City, IA 52245-2633
Phone (319) 339-3551
Other practice location 2
200 Hawkins Dr, C660 GH
Iowa City, IA 52242-1009
Phone (319) 384-9609
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8433286 | Medicaid | WA | |
| 203956 | Other | WA | LABOR & INDUSTRIES |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA, IA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Pathology
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
200 Hawkins Dr
Iowa City, IA 52242-1009
Phone (319) 356-1616
Hospital & facility affiliations
- University of Iowa Hospital & Clinics
- University of Iowa Health Care Medical Center Down
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD-49538 | IA | MD | Anatomic Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Polyclinic | Current | Accepting new patients | |
| The Polyclinic PLLC | Current | Accepting new patients | |
| The Polyclinic PLLC | Current | Accepting new patients | |
| State University of Iowa | Current | Accepting new patients |
Locations
200 Hawkins Dr
Iowa City, IA 52242
Phone (319) 356-1616
200 Hawkins Dr
#H
Iowa City, IA 52242
Phone (319) 356-1616
500 E Market St
Iowa City, IA 52245
Phone (319) 339-0300
200 Hawkins Dr
#C660
Iowa City, IA 52242
Phone (319) 356-2991
1145 Broadway
Seattle, WA 98122
747 Broadway
Seattle, WA 98122
Phone (360) 658-2488
Interoperability endpoints
- https://api.platform.athenahealth.com/3889/brand/1/csg/1/fhir/r4
- rranguelov718@uihcdirect.org
Organizations & group practices 4
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.
-
- Family Medicine Physician
- Iowa City, IA
- NPI 1477554814
-
- Audiologist
- Seattle, WA
- NPI 1174594634
-
- Ambulatory Surgical Clinic/Center
- Seattle, WA
- NPI 1073944039
-
- Durable Medical Equipment & Medical Supplies
- Tacoma, WA
- NPI 1831411487
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Iowa City, IA
- NPI 1376544320
-
- General Acute Care Hospital
- Iowa City, IA
- NPI 1699541870
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142467200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773705600000",
"number": "1699744193",
"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": "319-384-9609",
"fax_number": "319-384-9613"
},
{
"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": "319-384-9609",
"fax_number": "319-384-9613"
}
],
"practiceLocations": [
{
"address_1": "500 E Market St",
"address_purpose": "LOCATION",
"city": "Iowa City",
"state": "IA",
"postal_code": "522452633",
"country_code": "US",
"telephone_number": "319-339-3551",
"fax_number": "319-248-7945",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "200 Hawkins Dr, C660 GH",
"address_purpose": "LOCATION",
"city": "Iowa City",
"state": "IA",
"postal_code": "522421009",
"country_code": "US",
"telephone_number": "319-384-9609",
"fax_number": "319-384-9613",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RANGUELOV",
"first_name": "ROSTISLAV",
"middle_name": "DIMITROV",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-16",
"last_updated": "2026-03-17",
"certification_date": "2026-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "207ZP0102X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology & Clinical Pathology",
"state": "WA",
"license": "MD00042071",
"primary": false
},
{
"code": "207ZP0101X",
"taxonomy_group": "",
"desc": "Pathology, Anatomic Pathology",
"state": "IA",
"license": "MD-49538",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8433286",
"state": "WA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LABOR & INDUSTRIES",
"identifier": "203956",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
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 Mar 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.