Individual provider Active NPI

Jill Lynelle Meadows, MD

  • Obstetrics & Gynecology Physician
  • Iowa City, IA
National Provider Identifier
1841284031
Registry record updated Apr 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
33019 Issued in IA
Practice address
850 Orchard St
Iowa City, IA 52246
Phone
(877) 811-7526
Fax
(515) 280-7525
NPI assigned
Sep 2, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 25740 NE
Obstetrics & Gynecology Physician 207V00000X 33019 IA Primary

Addresses

Primary practice location

850 Orchard St
Iowa City, IA 52246

Mailing address

818 5TH Ave Ste 200
Des Moines, IA 50309-1303
Phone (877) 811-7526

Other practice location 1

1000 Army Post Road
Des Moines, IA 50315-5939
Phone (866) 290-4325

Other practice location 2

3105 N 93rd St
Omaha, NE 68134-4717
Phone (877) 811-7526

Other practice location 3

5631 S 48th St Ste 100
Lincoln, NE 68516-4107
Phone (877) 811-7526

Other identifiers 3

IdentifierTypeStateIssuer
0195263MedicaidIA
03407OtherIAWELLMARK BCBS
057570MedicaidIA

Other names 1

  • Dr. Jill Lynelle Vibhakar Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
33019IAMDObstetrics & Gynecology Physician
25740NEMDObstetrics & Gynecology Physician

NPI Registry JSON

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

{
    "created_epoch": "1125619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586736000000",
    "number": "1841284031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "818 5TH AVE STE 200",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503091303",
            "telephone_number": "877-811-7526",
            "fax_number": "515-280-9525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 ORCHARD ST",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "52246",
            "telephone_number": "877-811-7526",
            "fax_number": "515-280-7525"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 Army Post Road",
            "address_purpose": "LOCATION",
            "city": "Des Moines",
            "state": "IA",
            "postal_code": "503155939",
            "country_code": "US",
            "telephone_number": "866-290-4325",
            "fax_number": "518-280-9525",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3105 N 93rd St",
            "address_purpose": "LOCATION",
            "city": "Omaha",
            "state": "NE",
            "postal_code": "681344717",
            "country_code": "US",
            "telephone_number": "877-811-7526",
            "fax_number": "515-280-9525",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5631 S 48th St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Lincoln",
            "state": "NE",
            "postal_code": "685164107",
            "country_code": "US",
            "telephone_number": "877-811-7526",
            "fax_number": "515-280-9525",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEADOWS",
        "first_name": "JILL",
        "middle_name": "LYNELLE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-02",
        "last_updated": "2020-04-13",
        "certification_date": "2020-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NE",
            "license": "25740",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IA",
            "license": "33019",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0195263",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK BCBS",
            "identifier": "03407",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "057570",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JILL",
            "last_name": "VIBHAKAR",
            "middle_name": "LYNELLE",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.