Active NPI
Una Clare Miniter, M.D.
- Dermatology Physician
- Moline, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 036160480
- Practice address
- 600 John Deere Rd Ste 200
Moline, IL 61265-6897 - Phone
- (309) 779-4200
- Fax
- (309) 779-4305
- NPI assigned
- Apr 3, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | MD176337 | OR | |
| Dermatology Physician | 207N00000X | 036160480 | IL | Primary |
Addresses
Primary practice location
600 John Deere Rd Ste 200
Moline, IL 61265-6897
Mailing address
600 John Deere Rd Ste 200
Moline, IL 61265-6897
Phone (309) 779-4200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 500659596 | Medicaid | OR |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | uminiter868549@oc.providencedirect.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- Loyola University of Chicago, Stritch School of Medicine, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
600 John Deere Rd
Suite 200
Moline, IL 61265-6812
Phone (309) 779-4200
Hospital & facility affiliations
- Trinity Rock Island
- Genesis HLTH System Dba Genesis MDL Ctr-Illini
Merit-based Incentive Payment System (MIPS)
- Final score
- 62.74 of 100
- Quality
- 78.19
- Promoting interoperability
- 0
- Improvement activities
- 40
- Cost
- 80.95
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 52 |
| Removal of tissue | 1-10 |
| Removal of skin lesions | 1180 |
| Removal or shaving of skin growth | 24 |
| Skin biopsy | 299 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036160480 | IL | MD | Dermatology Physician |
| MD176337 | OR | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Arts Associates, LTD. | Current | Accepting new patients | |
| Kaiser Foundation Health Plan of the Northwest | Dermatology | Current | Accepting new patients |
| Kaiser Foundation Health Plan of the Northwest | Current | Accepting new patients |
Locations
600 John Deere Rd
Ste 200
Moline, IL 61265
Phone (309) 779-4200
10100 SE Sunnyside Rd
Clackamas, OR 97015
Phone (503) 571-2946
3600 N Interstate Ave
Portland, OR 97227
Phone (503) 285-9321
2400 Lancaster Dr NE
Salem, OR 97305
Phone (503) 361-5400
1230 7th Ave
Longview, WA 98632
Phone (360) 575-4801
7101 NE 137th Ave
Vancouver, WA 98682
Phone (360) 418-6000
Interoperability endpoints
- uminiter868549@oc.providencedirect.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 and National Provider Directory roles.
-
- Internal Medicine Physician
- Moline, IL
- NPI 1396724183
-
- General Practice Physician
- Portland, OR
- NPI 1184786527
Dermatology
-
- Radiation Oncology Clinic/Center
- Portland, OR
- NPI 1093043424
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Silvis, IL
- NPI 1427132604
-
- General Acute Care Hospital
- Rock Island, IL
- NPI 1316047632
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1333411200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690502400000",
"number": "1073879128",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 JOHN DEERE RD STE 200",
"city": "MOLINE",
"state": "IL",
"postal_code": "612656897",
"telephone_number": "309-779-4200",
"fax_number": "309-779-4305"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 JOHN DEERE RD STE 200",
"city": "MOLINE",
"state": "IL",
"postal_code": "612656897",
"telephone_number": "309-779-4200",
"fax_number": "309-779-4305"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MINITER",
"first_name": "UNA",
"middle_name": "CLARE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-04-03",
"last_updated": "2023-07-28",
"certification_date": "2023-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "OR",
"license": "MD176337",
"primary": false
},
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "IL",
"license": "036160480",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "500659596",
"state": "OR"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "uminiter868549@oc.providencedirect.org",
"affiliation": "N",
"address_1": "10151 SE Sunnyside Rd Ste 240",
"city": "Clackamas",
"state": "OR",
"country_code": "US",
"postal_code": "97015",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Jul 28, 2023; 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.