OrganizationActive
State University of Iowa
NPI 1972955169 · Dermatology Physician · Bettendorf, IA
State University of Iowa is a Dermatology Physician organization in Bettendorf, IA (NPI 1972955169).
Provider details
- NPI number
- 1972955169
- Entity type
- Organization
- Primary specialty
- Dermatology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Philip Roudabush, Assistant Vice President(319) 353-8820
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Established profile(71/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 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
865 Lincoln Rd
Bettendorf, IA 52722-4190
Phone: (563) 344-2240
Fax: (563) 344-2244
Street-level locationGet directions
Mailing address
200 Hawkins Dr
Iowa City, IA 52242-1009
Other names (DBA / former)
- Doing business as
- University of Iowa Health Care-Quad Cities
Registry dates
- Enumerated
- 2016-07-12
- Last updated
- 2016-07-18
Frequently asked questions
- What is State University of Iowa's NPI number?
- State University of Iowa's National Provider Identifier (NPI) is 1972955169, 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 Dermatology Physician (Allopathic & Osteopathic Physicians).
- Where is State University of Iowa located?
- State University of Iowa's practice location on file with NPPES is 865 Lincoln Rd, Bettendorf, IA 52722-4190.
- What is State University of Iowa's phone number?
- The practice phone number listed in the NPPES registry for State University of Iowa is (563) 344-2240.
- 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, Assistant Vice President. 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 (1972955169) is active in the NPPES registry as of the last update on 2016-07-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.