IOWA RADIOLOGY, P C – Diagnostic Radiology Physician, NPI 1336107283
Diagnostic Radiology Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for IOWA RADIOLOGY, P C
12368, Stratford Drive, Clive, Polk County, Iowa, 50325, United States
SUITE 300
CLIVE, IA 503258162
Phone: (515) 226-9810
Fax: (515) 226-8408
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2025-05-28
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-10-31 (953 days ago).
Enrollment records
9
Earliest due date
2023-10-31
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20040324001052 | O | Clinic/Group Practice | IA | 2025-07-31 |
| O20170413000850 | O | Clinic/Group Practice | MO | 2024-01-31 |
| O20180328001596 | O | Clinic/Group Practice | LA | 2024-04-30 |
| O20181008000882 | O | Clinic/Group Practice | MN | 2023-10-31 |
| O20181016000362 | O | Clinic/Group Practice | AK | 2024-10-31 |
| O20221004003428 | O | Clinic/Group Practice | OK | TBD |
| O20221117002733 | O | Clinic/Group Practice | HI | TBD |
| O20250116000708 | O | Clinic/Group Practice | KS | TBD |
| O20250528000354 | O | Clinic/Group Practice | FL | TBD |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 50325)
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