State University of Iowa
NPI 1477554814 · Family Medicine Physician · Iowa City, IA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Provider details
- NPI number
- 1477554814
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Parent organization
- State University of Iowa
- Organization subpart
- Yes
- Authorized official
- Douglas Vandaele, Associate Dean(319) 353-8162
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Internal Medicine Physician207R00000X
Allopathic & Osteopathic Physicians
- Pediatrics Physician208000000X
Allopathic & Osteopathic Physicians
- Surgery Physician208600000X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
4 documented practice locations
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 Health Care
- Doing business as
- University of Iowa Hospitals & Clinics/Medical Service Plan
Additional practice locations (3)
- 105 E 9th StCoralville, IA 52241-2209Phone: (319) 467-2000Fax: (319) 467-2410
- 920 E 2nd Ave Ste 201a&bCoralville, IA 52241-2219Phone: (319) 467-2000Fax: (319) 467-2410
- 2701 Prairie Meadow DrIowa City, IA 52242-8001Phone: (319) 384-7070Fax: (319) 467-8247
Registry dates
- Enumerated
- 2005-08-09
- Last updated
- 2024-04-30
- Certified
- 2024-04-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.