UnityPoint Health - Provider Services – Emergency Medicine Physician, NPI 1134176308
Emergency Medicine Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for UnityPoint Health - Provider Services
PO BOX 26708
SALT LAKE CITY, UT 841260708
Phone: (563) 582-1881
Fax: (563) 589-2648
Type: Mailing
Finley Hospital, 350, North Grandview Avenue, Dubuque, Dubuque County, Iowa, 52001, United States
DUBUQUE, IA 520016388
Phone: (563) 582-1881
Fax: (563) 589-2648
Type: Location
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: 2026-03-05
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 15 Medicare enrollment records; no due dates published yet.
Enrollment records
15
Earliest due date
Not assigned (TBD)
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 |
|---|---|---|---|---|
| O20250520002453 | O | Clinic/Group Practice | DC | TBD |
| O20250521002336 | O | Clinic/Group Practice | MI | TBD |
| O20250521003514 | O | Clinic/Group Practice | NE | TBD |
| O20250528001344 | O | Clinic/Group Practice | CT | TBD |
| O20250604001799 | O | Clinic/Group Practice | NY | TBD |
| O20250605000122 | O | Clinic/Group Practice | NJ | TBD |
| O20250605001738 | O | Clinic/Group Practice | TN | TBD |
| O20250605002634 | O | Clinic/Group Practice | FL | TBD |
| O20250620000381 | O | Clinic/Group Practice | TX | TBD |
| O20250709000592 | O | Clinic/Group Practice | VA | TBD |
| O20250715003413 | O | Clinic/Group Practice | MO | TBD |
| O20250818003181 | O | Clinic/Group Practice | NC | TBD |
| O20251125004262 | O | Clinic/Group Practice | GA | TBD |
| O20260114000784 | O | Clinic/Group Practice | WI | TBD |
| O20260305003511 | O | Clinic/Group Practice | ND | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
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 84126)
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