NPIMap

Individual provider Active NPI

Benjamin Kumor, M.D.

  • Adult Medicine Physician
  • Dubuque, IA
National Provider Identifier
1043445141
Registry record updated Mar 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
License
42572 Issued in IA
Practice address
1515 Delhi St
Suite 100
Dubuque, IA 52001-6389
Phone
(563) 557-9111
NPI assigned
May 19, 2009
Last updated
Mar 23, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine Physician 207QA0505X 42572 IA Primary

Addresses

Primary practice location

1515 Delhi St
Suite 100
Dubuque, IA 52001-6389

Mailing address

1515 Delhi St
Suite 100
Dubuque, IA 52001-6389
Phone (563) 557-9111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150629000687 IA Practitioner - Family Practice 9537388004 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Ohio State University College of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Unified Therapy Services, IncGroup PAC ID 7618985714, 124 clinicians

Practice addresses (Care Compare)

1515 Delhi St
Suite 100
Dubuque, IA 52001-6320
Phone (563) 557-9111

4025 Westmark Dr
Suite 100
Dubuque, IA 52002-2626
Phone (563) 583-9300

4135 Pennsylvania Ave
Dubuque, IA 52002-2628

4480 Utica Ridge Rd
Bettendorf, IA 52722-1644

4480 Utica Ridge Rd
Suite 160
Bettendorf, IA 52722-1637
Phone (563) 742-5950

8456 Peosta Commercial CT
Suite 100
Peosta, IA 52068-7123
Phone (563) 557-3960

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
42572IAMDAdult Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Luke's Methodist Hospital Current Accepting new patients
Iowa Physicians Clinic Medical Foundation Family Medicine CurrentSince May 4, 2025 Accepting new patients

Locations

4480 Utica Ridge Rd
Ste 160
Bettendorf, IA 52722
Phone (563) 742-5950

4480 Utica Ridge Rd
Ste 2230
Bettendorf, IA 52722
Phone (563) 742-5150

1515 Delhi St
Ste 100
Dubuque, IA 52001
Phone (319) 557-9111

Interoperability endpoints

  • Direct secure messaging: benjamin.kumor@grandrivermedicalgroup.eclinicaldirectplus.com
  • Direct secure messaging: bkumor261143@direct.unitypoint.org

Organizations & group practices 3

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

Hospital & facility affiliations 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1242691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616457600000",
    "number": "1043445141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 DELHI ST",
            "address_2": "SUITE 100",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520016389",
            "telephone_number": "563-557-9111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 DELHI ST",
            "address_2": "SUITE 100",
            "city": "DUBUQUE",
            "state": "IA",
            "postal_code": "520016389",
            "telephone_number": "563-557-9111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUMOR",
        "first_name": "BENJAMIN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-05-19",
        "last_updated": "2021-03-23",
        "certification_date": "2021-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "IA",
            "license": "42572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dubuque, IA

Sources for this page

Verify at the official NPI Registry.