State University of Iowa
NPI 1063802791 · Pediatrics Physician · North Liberty, IA
State University of Iowa is a Pediatrics Physician organization in North Liberty, IA (NPI 1063802791).
Provider details
- NPI number
- 1063802791
- Entity type
- Organization
- Primary specialty
- Pediatrics PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Philip Roudabush, Director, Patient Financial Service(319) 384-2334
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- University of Iowa Children'S Hospital Gen Pediatrics-North Liberty
Registry dates
- Enumerated
- 2015-02-03
- Last updated
- 2015-02-19
Frequently asked questions
- What is State University of Iowa's NPI number?
- State University of Iowa's National Provider Identifier (NPI) is 1063802791, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is State University of Iowa?
- State University of Iowa is classified in the NPPES registry as Pediatrics Physician (Allopathic & Osteopathic Physicians).
- Where is State University of Iowa located?
- State University of Iowa's practice location on file with NPPES is 1765 Lininger Ln, North Liberty, IA 52317-2316.
- What is State University of Iowa's phone number?
- The practice phone number listed in the NPPES registry for State University of Iowa is (319) 467-7888.
- Who is the authorized official for State University of Iowa?
- The authorized official listed on State University of Iowa's NPPES record is Philip Roudabush, Director, Patient Financial Service. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is State University of Iowa's NPI active?
- Yes — State University of Iowa's NPI (1063802791) is active in the NPPES registry as of the last update on 2015-02-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.