Active NPI
Rao V Movva, M.D.
- Gastroenterology Physician
- Moline, IL
National Provider Identifier
1073515243
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 036060553
- Practice address
- 545 Valley View Dr
Moline, IL 61265-6138 - Phone
- (309) 762-5560
- Fax
- (309) 762-7351
- NPI assigned
- Jun 1, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 036060553 | IL | Primary |
Addresses
Primary practice location
545 Valley View Dr
Moline, IL 61265-6138
Mailing address
545 Valley View Dr
Moline, IL 61265-6138
Phone (309) 762-5560
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036060553001 | Medicaid | IL | |
| 100006541 | Other | IL | RR MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22737 | IA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| RSC Illinois LLC | Current | Accepting new patients | |
| Trinity Medical Center | Gastroenterology | Past | Accepting new patients |
| RSC Illinois LLC | Past | Accepting new patients | |
| Gi Pathology LLC | Past | Accepting new patients |
Locations
545 Valley View Dr
Moline, IL 61265
Phone (309) 277-1180
Organizations & group practices 4
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.
-
- Clinical Medical Laboratory
- Moline, IL
- NPI 1710127048
-
- Ambulatory Surgical Clinic/Center
- Moline, IL
- NPI 1174778047
-
- Ambulatory Surgical Clinic/Center
- Moline, IL
- NPI 1376288050
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1117584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1393545600000",
"number": "1073515243",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "545 VALLEY VIEW DR",
"city": "MOLINE",
"state": "IL",
"postal_code": "612656138",
"telephone_number": "309-762-5560",
"fax_number": "309-762-7351"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "545 VALLEY VIEW DR",
"city": "MOLINE",
"state": "IL",
"postal_code": "612656138",
"telephone_number": "309-762-5560",
"fax_number": "309-762-7351"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOVVA",
"first_name": "RAO",
"middle_name": "V",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-01",
"last_updated": "2014-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "IL",
"license": "036060553",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036060553001",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "100006541",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Moline, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.