Jack Charles Kademian Diagnostic Radiology
200 Hawkins Dr C660 Gh, Iowa City, IA 52242-1007



Jack Charles Kademian is physician registered in the Centers for Medicare & Medicaid Services (CMS). The National Provider Identifier (NPI) of the National Plan and Provider Enumeration System (NPPES) is 1407832140. The unique individual professional ID assigned by Provider Enrollment, Chain, and Ownership System (PECOS) is 4082667746. The medical credential is MD. The primary specialty is DIAGNOSTIC RADIOLOGY. The organization is STATE UNIVERSITY OF IOWA. The address is 200 Hawkins Dr C660 Gh, Iowa City, IA 52242-1007. The zip code is 52242.


Jack Charles Kademian · 200 Hawkins Dr C660 Gh, Iowa City, IA 52242-1007

Nation Provider ID 1407832140
PAC ID by PECOS 4082667746
Professional Enrollment ID I20050223000278
Last Name KADEMIAN
First Name JACK
Middle Name CHARLES
Gender M
Credential MD
Medical School Name OTHER
Graduation Year 1998
Primary Specialty DIAGNOSTIC RADIOLOGY
Primary Specialty STATE UNIVERSITY OF IOWA
Group Practice PAC ID 7618884230
Number of Group Practice Members 1041
Address 200 HAWKINS DR C660 GH
IOWA CITY, IA 522421007
Claims Based Hospital Affiliation Claim Control Number (CCN): 160058
Legal Business Name: STATE UNIVERSITY OF IOWA
Claims Based Hospital Affiliation Claim Control Number (CCN): 161315
Legal Business Name: KEOKUK COUNTY HEALTH CENTER
Claims Based Hospital Affiliation Claim Control Number (CCN): 160045
Legal Business Name: ST LUKES METHODIST HOSPITAL
Claims Based Hospital Affiliation Claim Control Number (CCN): 160057
Legal Business Name: GREAT RIVER MEDICAL CENTER
Claims Based Hospital Affiliation Claim Control Number (CCN): 160079
Legal Business Name: MERCY MEDICAL CENTER
Professional accepts Medicare Assignment Y
Participates in Medicare Electronic Health Record (EHR) Y
Participates in Medicare Physician Quality Reporting System (PQRS) Y

State University of Iowa · Medicare Physician

Name Address Specialty
Jessica Watson 200 Hawkins Dr, Iowa City, IA 52242 OPHTHALMOLOGY
Dawn Ebach 200 Hawkins Dr, Iowa City, IA 52242 PEDIATRIC MEDICINE
Roy Kiberenge 200 Hawkins Dr, Iowa City, IA 52242 ANESTHESIOLOGY
Christoph Randak 200 Hawkins Dr, Iowa City, IA 52242 PULMONARY DISEASE
Andrew Bellizzi 200 Hawkins Dr, Iowa City, IA 52242 PATHOLOGY
Sarina Martini 200 Hawkins Dr, Iowa City, IA 52242 OBSTETRICS/GYNECOLOGY
Mohamad Mokadem 200 Hawkins Dr, Iowa City, IA 52242 GASTROENTEROLOGY
Jose Manaligod 200 Hawkins Dr, Iowa City, IA 52242 OTOLARYNGOLOGY
Rebecca Davis 200 Hawkins Dr, Iowa City, IA 52242 INTERNAL MEDICINE
Andrew Peterson 200 Hawkins Dr, Iowa City, IA 52242 PEDIATRIC MEDICINE
Elizabeth Cramer 200 Hawkins Dr, Iowa City, IA 52242 FAMILY PRACTICE
Carolita Sheetz 200 Hawkins Dr, Iowa City, IA 52242 NURSE PRACTITIONER
Dana Fowler 200 Hawkins Dr, Iowa City, IA 52242 NURSE PRACTITIONER
Fatma Simsek-duran 200 Hawkins Dr, Iowa City, IA 52242 PSYCHIATRY
Surangama Sharma 200 Hawkins Dr, Iowa City, IA 52242 ANESTHESIOLOGY
Sonia Sugg 200 Hawkins Dr, Iowa City, IA 52242 GENERAL SURGERY
Muhammad Sarfraz Nawaz 200 Hawkins Dr, Iowa City, IA 52242 INTERNAL MEDICINE
Julie Osterhaus 200 Hawkins Dr, Iowa City, IA 52242 NURSE PRACTITIONER
Kokila Thenuwara 200 Hawkins Dr, Iowa City, IA 52242 ANESTHESIOLOGY
John Kamholz 200 Hawkins Dr, Iowa City, IA 52242 NEUROLOGY

Zip 52242 · Diagnostic Radiology · Medicare Physician

Name Address Specialty
Archana Laroia 200 Hawkins Dr 51300 Pomerantz F, Iowa City, IA 52242 DIAGNOSTIC RADIOLOGY
Monzer Abuyousef 200 Hawkins Dr 51300 Pomerantz F, Iowa City, IA 52242 DIAGNOSTIC RADIOLOGY
Michael D Alessandro 200 Hawkins Dr, Iowa City, IA 52242 DIAGNOSTIC RADIOLOGY
Brian Mullan 200 Hawkins Dr, Iowa City, IA 52242 DIAGNOSTIC RADIOLOGY
Georges El Khoury 200 Hawkins Dr 51300 Pomerantz F, Iowa City, IA 52242 DIAGNOSTIC RADIOLOGY
Catherine Metz 200 Hawkins Dr, Iowa City, IA 52242 DIAGNOSTIC RADIOLOGY
Alan Stolpen 200 Hawkins Dr C660 Gh, Iowa City, IA 52242 DIAGNOSTIC RADIOLOGY

Zip 52242 · Medicare Physician

Name Address Specialty
Jessica Watson 200 Hawkins Dr, Iowa City, IA 52242 OPHTHALMOLOGY
Dawn Ebach 200 Hawkins Dr, Iowa City, IA 52242 PEDIATRIC MEDICINE
Roy Kiberenge 200 Hawkins Dr, Iowa City, IA 52242 ANESTHESIOLOGY
Christoph Randak 200 Hawkins Dr, Iowa City, IA 52242 PULMONARY DISEASE
Andrew Bellizzi 200 Hawkins Dr, Iowa City, IA 52242 PATHOLOGY
Sarina Martini 200 Hawkins Dr, Iowa City, IA 52242 OBSTETRICS/GYNECOLOGY
Mohamad Mokadem 200 Hawkins Dr, Iowa City, IA 52242 GASTROENTEROLOGY
Jose Manaligod 200 Hawkins Dr, Iowa City, IA 52242 OTOLARYNGOLOGY
Rebecca Davis 200 Hawkins Dr, Iowa City, IA 52242 INTERNAL MEDICINE
Andrew Peterson 200 Hawkins Dr, Iowa City, IA 52242 PEDIATRIC MEDICINE
Elizabeth Cramer 200 Hawkins Dr, Iowa City, IA 52242 FAMILY PRACTICE
Carolita Sheetz 200 Hawkins Dr, Iowa City, IA 52242 NURSE PRACTITIONER
Dana Fowler 200 Hawkins Dr, Iowa City, IA 52242 NURSE PRACTITIONER
Fatma Simsek-duran 200 Hawkins Dr, Iowa City, IA 52242 PSYCHIATRY
Surangama Sharma 200 Hawkins Dr, Iowa City, IA 52242 ANESTHESIOLOGY
Sonia Sugg 200 Hawkins Dr, Iowa City, IA 52242 GENERAL SURGERY
Muhammad Sarfraz Nawaz 200 Hawkins Dr, Iowa City, IA 52242 INTERNAL MEDICINE
Julie Osterhaus 200 Hawkins Dr, Iowa City, IA 52242 NURSE PRACTITIONER
Kokila Thenuwara 200 Hawkins Dr, Iowa City, IA 52242 ANESTHESIOLOGY
John Kamholz 200 Hawkins Dr, Iowa City, IA 52242 NEUROLOGY