Benjamin Kumor, M.D.
Individual provider Active NPI Adult Medicine Physician · Dubuque, IA
NPI 1043445141 · NPPES record last updated Mar 23, 2021
Key facts
- NPI
- 1043445141
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Adult Medicine Physician 207QA0505X
- License
- 42572 (IA)
- Practice address
- 1515 Delhi St
Suite 100
Dubuque, IA 52001-6389 - Phone
- (563) 557-9111
- NPI assigned
- May 19, 2009
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 13
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Ohio State University College of Medicine, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Iowa Physicians Clinic Medical Foundation
Unified Therapy Services, Inc
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
- Unitypoint at Home
- Above and Beyond Home Health
- 24 Hour Care, LLC
- Hospice of Dubuque
- Finley Hospital
- Mercyone Dubuque Medical Center
- Jackson County Regional Health Center
- Guttenberg Municipal Hospital
- Stonehill Care Center
- Hawkeye Care Center Dubuque
- Ennoble Nursing and Rehab
- Luther Manor at Hillcrest
- Grand Meadows Senior Living & Health Care
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150629000687 | IA | Practitioner - Family Practice | 9537388004 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Luke'S Methodist Hospital | Current | Accepting new patients | |
| Iowa Physicians Clinic Medical Foundation | Family Medicine | Current |
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
- bkumor261143@direct.unitypoint.org
- benjamin.kumor@grandrivermedicalgroup.eclinicaldirectplus.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Medicine Physician | 207QA0505X | 42572 | IA | Yes |
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
Other providers in Dubuque, IA
- Beverly Kueter
- Cortney M Kueter
- Crystal Kueter
- Emily Claire Kuhl
- Lawrence Joseph Kukla
- Shiny Susan Kunjummen
- Molly Justine Kunkel
- Benjamin Kunz
- Coreyne Lynne Kurjatko
- Michelle Kurt-Mangold
All providers in Dubuque, IA · Adult Medicine Physician in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 23, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.