Jack Charles Kademian · State University of Iowa (2024)

Overview

Jack Charles Kademian is a diagnostic radiology enrolled with Centers for Medicare & Medicaid Services (CMS). The organization name is STATE UNIVERSITY OF IOWA. The business address is 105 E 9th St, University of Iowa Health Care Medical Center Irl, Coralville, IA 52241-2209. Published on February 23, 2005.

Enrollment Information

NPI 1407832140 Nation Provider Identifier (NPI)National Plan and Provider Enumeration System (NPPES)
PAC ID 4082667746 PECOS Associate Control (PAC) ID
Medicare Provider Enrollment and Chain/Ownership System (PECOS)
Professional Enrollment ID I20050223000278
Full Name JACK CHARLES KADEMIAN
Gender M
Credential MD - Medical Doctor
Graduation Year 1998
Primary Specialty DIAGNOSTIC RADIOLOGY
Organization Legal Name STATE UNIVERSITY OF IOWA
Group Practice PAC ID 7618884230
Number of Group Practice Members 1481
Address 105 E 9th St
University of Iowa Health Care Medical Center Irl
Coralville
IA 52241-2209
Telephone 3194672000
Professional Accepts Medicare Assignment Y - Accepts Medicare approved amount as payment in full
Group Accepts Medicare Assignment Y - Accepts Medicare approved amount as payment in full

Provider Overview

NPI 1407832140 Nation Provider Identifier (NPI)National Plan and Provider Enumeration System (NPPES)
Provider Name JACK C KADEMIAN
Address 200 Hawkins Dr
Iowa City
IA 52242-1009
Taxonomy Code 2085N0700X
Enumeration Date 2005-12-15

Location Information

Organization Legal NameAddressTelephone
STATE UNIVERSITY OF IOWA105 E 9th St, Iowa River Landing University of Iowa Healthcare, Coralville, IA 52241-22093194672000
STATE UNIVERSITY OF IOWA200 Hawkins Dr, Iowa City, IA 52242-1009
STATE UNIVERSITY OF IOWA2701 Prairie Meadow Dr, Iowa City, IA 52242-80013193847070

Extra Contact Information

AddressTelephoneGroup Practice PAC ID
105 E 9th St, Iowa River Landing University of Iowa Healthcare, Coralville, IA 52241220931946720007618884230
200 Hawkins Dr, Iowa City, IA 52242-10097618884230
200 Hawkins Dr, Iowa City, IA 52242100931935616167618884230
200 Hawkins Dr, Iowa City, IA 52242100931935622057618884230
200 Hawkins Dr, Iowa City, IA 52242100931935629917618884230
2701 Prairie Meadow Dr, Iowa City, IA 52242800131938470707618884230

Organization Information

Organization Legal Name STATE UNIVERSITY OF IOWA
Address 105 E 9th St
University of Iowa Health Care Medical Center Irl
Coralville
IA 52241-2209
Telephone 3194672000

Doctors with the same organization

Doctor NamePrimary SpecialtyOrganization Legal NameAddress
Amy M Dupont Physician AssistantState University of Iowa2591 Holiday Rd, Coralville, IA 52241-3039
Ikami Sasa Nurse PractitionerState University of Iowa2055 Oakdale Rd, Coralville, IA 52241-4704
Christopher D Clark Obstetrics/GynecologyState University of Iowa177 Congress St, Charleston, SC 29403-4423
Jinha Park Diagnostic RadiologyState University of Iowa2181 Kalakaua Ave, Honolulu, HI 96815-2318
Laura Lb Schmitt Qualified Speech Language PathologistState University of Iowa250 Hawkins Dr, Iowa City, IA 52242-1025
Stephanie King Steffen Nurse PractitionerState University of Iowa56 Cedar St, Tipton, IA 52772-1705
Amr A Mourad Diagnostic RadiologyState University of Iowa795 Village Club Dr, Wexford, PA 15090-1527
Erin S Cullen Nurse PractitionerState University of Iowa3465 Mulberry Ave, Muscatine, IA 52761-2324
Tanya Aggarwal Family PracticeState University of Iowa920 E 2nd Ave 201 Aandb, University of Ia Health Care Medical Center Irl East, Coralville, IA 52241-2219
Joseph William Galvin Orthopedic SurgeryState University of Iowa105 E 9th St, University of Iowa Health Care Medical Center Irl, Coralville, IA 52241-2209
Find all doctors with the same organization

Location Information

Street Address 105 E 9TH ST
UNIVERSITY OF IOWA HEALTH CARE MEDICAL CENTER IRL
City CORALVILLE
State IA
Zip Code 52241-2209

Doctors in the same location

Doctor NamePrimary SpecialtyOrganization Legal NameAddress
Taariq Mohammed OphthalmologyState University of Iowa105 E 9th St, University of Iowa Health Care Medical Center Irl, Coralville, IA 52241-2209
Bopha Chrea Orthopedic SurgeryState University of Iowa105 E 9th St, University of Iowa Health Care Medical Center Irl, Coralville, IA 52241-2209
Leonardo Furtado Freitas Diagnostic RadiologyState University of Iowa105 E 9th St, University of Iowa Health Care Medical Center Irl, Coralville, IA 52241-2209
Renata Correa Osorio Diagnostic RadiologyState University of Iowa105 E 9th St, University of Iowa Health Care Medical Center Irl, Coralville, IA 52241-2209
Ryan James Mcloughlin Physical Medicine and RehabilitationState University of Iowa105 E 9th St, University of Iowa Health Care Medical Center Irl, Coralville, IA 52241-2209
Serkan Bektur Advanced Heart Failure and Transplant CardiologyState University of Iowa105 E 9th St, University of Iowa Health Care Medical Center Irl, Coralville, IA 52241-2209
Nicole A Negbenebor DermatologyState University of Iowa105 E 9th St, University of Iowa Health Care Medical Center Irl, Coralville, IA 52241-2209
Nagalakshmi Nagarajan Cardiovascular Disease (Cardiology)State University of Iowa105 E 9th St, University of Iowa Health Care Medical Center Irl, Coralville, IA 52241-2209
Kenan B Ashouri UrologyState University of Iowa105 E 9th St, University of Iowa Health Care Medical Center Irl, Coralville, IA 52241-2209
Ananya Panda Diagnostic RadiologyState University of Iowa105 E 9th St, University of Iowa Health Care Medical Center Irl, Coralville, IA 52241-2209
Find all doctors in the same location

Doctors in the same zip code

Doctor NamePrimary SpecialtyOrganization Legal NameAddress
Jody K Mckee Physician AssistantTs Dermatology PLLC1100 6th St, Suite 202, Coralville, IA 52241-1757
Aaron C Schroeder Chiropractic850 22nd Ave, Suite 3, Coralville, IA 52241-1565
Heather M Ciliberto DermatologyTs Dermatology PLLC1100 6th St, Suite 202, Coralville, IA 52241-1757
Jerome L Carew Chiropractic2411 2nd St, Suite 1, Coralville, IA 52241-1500
Marta M Little Allergy/ImmunologyAllergy Partners PLLC1100 6th St, Suite 203, Coralville, IA 52241-1757
David P Boysen DermatologyEpiphany Dermatology of Iowa Plc501 12th Ave, Suite 101, Coralville, IA 52241-1774
Meegan Anne Murphy Nurse PractitionerAllergy Partners PLLC1100 6th St, Suite 203, Coralville, IA 52241-1757
Jacob A Dyson Chiropractic850 22nd Ave, Suite 3, Coralville, IA 52241-1688
Mark Andrew Mylan Chiropractic850 22nd Ave, Coralville, IA 52241-1688
Jill H Scholz Podiatry501 12th Ave, Suite 203, Coralville, IA 52241-1774
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Similar Physicians

Doctors with similar names

Doctor NamePrimary SpecialtyOrganization Legal NameAddress
Makrouhi A Kademian General Surgery2190 Lynn Rd, Suite 200, Thousand Oaks, CA 91360-8020
Jack Van Ko Emergency MedicineYork Hospital1001 S George St, York, PA 17403-3676
Jack Chi Lin AnesthesiologyAdvocate Health and Hospitals Corporation214 Mchenry Rd, Buffalo Grove, IL 60089-6748
Jack Charles Hamson Internal MedicineMid-Columbia Medical Center551 Lone Pine Blvd, The Dalles, OR 97058-9404
Jack J. Ni Internal MedicineHealthtexas Provider Network5408 Colleyville Blvd, Colleyville, TX 76034-5833
Jack D Bui PathologyRegents of The University of California200 W Arbor Dr, San Diego, CA 92103-1920
Jack W Lam AnesthesiologyAmerican Anesthesiology of North Carolina PLLC110 Capcom Ave, Suite 200, Wake Forest, NC 27587-6531
Jack C Wu Internal Medicine3845 Atlantic Ave, Long Beach, CA 90807-3505
Jack Roh Oak Vascular SurgerySsm Medical Group Inc12266 De Paul Dr, Suite 305, Bridgeton, MO 63044-2514
Jack Hu Emergency MedicineIndiana Physician Management-Northeast, LLC13861 Olio Rd, Fishers, IN 46037-3487

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Dataset Information

This dataset includes over one million physicians and other clinicians currently enrolled in Medicare. The dataset contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation. Each physician is registered with National Provider Identifier (NPI), PECOS Associate Control (PAC) ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

Subject Transparency and Disclosure
Jurisdiction Federal
Data Provider Centers for Medicare & Medicaid Services (CMS)
Source data.cms.gov

Dataset Details

The Centers for Medicare & Medicaid Services gives useful information about doctors, clinicians, and groups listed on Medicare Care Compare. The data is available in the Provider Data Catalog (PDC) for the performance year (PY) of the Quality Payment Program. The informatoin include: demographic data describing individual doctors and clinicians; clinician, group, and virtual group Merit-based Incentive Payment System (MIPS) performance information; clinician overall MIPS Final Score and performance category score information; and clinician utilization data. The Doctors and Clinicians data contains the following information:

  • The clinician/enrollment record/group/address data: Clinicians may have multiple Medicare enrollment records and/or single enrollments linking to multiple practice locations.
  • Performance information for Merit-Based Incentive Payment System (MIPS) Quality, Promoting Interoperability, and Improvement Activities performance information submitted by clinicians.
  • Merit-Based Incentive Payment System (MIPS) Final Scores and performance category scores for clinicians.
  • performance information for Merit-Based Incentive Payment System (MIPS) Quality, Promoting Interoperability, and Improvement Activities performance information submitted by groups.
  • Consumer Assessment of Healthcare Providers and Systems (CAHPS) for MIPS measures submitted by groups.

This dataset includes over one million doctors, clinicians, and groups enrolled in Medicare. The data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA). The data for each entity includes National Provider Identifier (NPI), PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

Jack Charles Kademian  · State University of Iowa (2024)

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