State University of Iowa
NPI 1063802791ActiveOrganization· Pediatrics· North Liberty, IA
Pediatrics in North Liberty, Iowa, registered in NPPES in February 2015. The authorized official on file is Philip E. Roudabush, Director, Patient Financial Service.
Overview
| NPI | 1063802791 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 3, 2015 |
| Last updated in NPPES | Feb 19, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pediatrics Primary | 208000000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Pediatrics providers in North Liberty
- 1902032444
- 1679664726