Vivara Rages

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

3054 Cherrywood Dr
Bettendorf, IA 52722-7550

Phone

(573) 823-4632

NPI assigned

Sep 19, 2020

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Quad Cities Wellness ClinicGroup PAC ID 5799207346, 3 clinicians

Quad City Physical Therapy and SpineGroup PAC ID 1850332651, 29 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Northwestern Medicine Central Dupage Hospital Hospital, Winfield, IL, CCN 140242

Medicare enrollment (NPD)

Enrolled

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Quad Cities Wellness Clinic

  • Family Medicine Physician
  • Moline, IL
  • NPI 1912719832
  Medicare reassignment Care Compare group
• Jai Swaminarayan Inc

  • Family Medicine Physician
  • Moline, IL
  • NPI 1063794188
  Medicare reassignment
• Quad City Physical Therapy & Spine

  • Physical Therapy Clinic/Center
  • Davenport, IA
  • NPI 1033166749
  Care Compare group

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Central Dupage Hospital Association

  • General Acute Care Hospital
  • Winfield, IL
  • NPI 1003864810
  Care Compare affiliation
• Central Dupage Hospital Association

  • Psychiatric Hospital Unit
  • Winfield, IL
  • NPI 1740230895
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1600473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600473600000",
    "number": "1023624699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3054 CHERRYWOOD DR",
            "city": "BETTENDORF",
            "state": "IA",
            "postal_code": "527227550",
            "telephone_number": "573-823-4632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3054 CHERRYWOOD DR",
            "city": "BETTENDORF",
            "state": "IA",
            "postal_code": "527227550",
            "telephone_number": "573-823-4632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAGES",
        "first_name": "VIVARA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-19",
        "last_updated": "2020-09-19",
        "certification_date": "2020-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Quad Cities Kidney Center Bettendorf, LLC
• Quad-Cities Counseling
• Brooke Hall Allender Radech, TLMHC, NCC, SCHOOLCO
• John Thomas Rader, D.C.
• Emily Marie Radtke, NP
• Farida Rajput, MD
• Samyuktha Ramavaram, M.D
• Cindy J Ramsay, CNM
• Zachary Dennis Rasmussen, MD
• Andrew Paul Rauwolf, MD

• Physician Assistant in Bettendorf, IA
• Providers in Bettendorf, IA by specialty
• Physician Assistant in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.