NPIMap

Individual provider Active NPI

Nilarun Chowdhuri, MD

  • Clinical Cardiac Electrophysiology Physician
  • Davenport, IA
National Provider Identifier
1104278878
Registry record updated Sep 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X
License
MD-53521 Issued in IA
Practice address
1236 E Rusholme St Ste 300
Davenport, IA 52803-2484
Phone
(563) 324-2992
Fax
(563) 324-8562
NPI assigned
Jul 6, 2016
Last updated
Sep 11, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 125.068192 IL
Clinical Cardiac Electrophysiology Physician 207RC0001X MD-53521 IA Primary

Addresses

Primary practice location

1236 E Rusholme St Ste 300
Davenport, IA 52803-2484

Mailing address

1236 E Rusholme St Ste 300
Davenport, IA 52803-2484
Phone (563) 324-2992

Other practice location 1

2451 University Hospital Dr
Mobile, AL 36617-2300
Phone (251) 471-7000

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address nilarun.chowdhurimd.p1@direct.cvmedpc.nextgenshare.com

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
I20240920000387 IA Practitioner - Internal Medicine 7214223148 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Genesis Health SystemGroup PAC ID 7214841436, 217 clinicians
Cardiovascular Medicine PLLCGroup PAC ID 2264334721, 50 clinicians

Practice addresses (Care Compare)

1227 E Rusholme St
Mercyone Genesis Davenport Patholog
Davenport, IA 52803-2459
Phone (563) 421-6610

1236 E Rusholme St
Suite 300
Davenport, IA 52803-2473
Phone (563) 324-2992

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.95 of 100Reported as group
Quality
70.54
Promoting interoperability
97
Improvement activities
40
Cost
75.13

Merit-based Incentive Payment System (MIPS)

Final score
67.53 of 100Reported as apm
Quality
92.42
Promoting interoperability
0
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair46

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
125.068192ILMDInternal Medicine Physician
MD-53521IAMDClinical Cardiac Electrophysiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Trinity Medical Center Current Accepting new patients
Genesis Health System Internal Medicine Current Accepting new patients
Trinity Medical Center Internal Medicine CurrentSince Apr 11, 2025 Accepting new patients
Genesis Health System CurrentSince Sep 30, 2024 Accepting new patients
Genesis Health System CurrentSince Sep 30, 2024 Accepting new patients
Cardiovascular Medicine PLLC CurrentSince Sep 10, 2024 Accepting new patients

Locations

4500 Utica Ridge Rd
Bettendorf, IA 52722
Phone (563) 742-2724

1227 E Rusholme St
Davenport, IA 52803
Phone (563) 324-8160

1236 E Rusholme St
Ste 300
Davenport, IA 52803
Phone (319) 324-2992

1351 W Central Park Ave
Ste 4100
Davenport, IA 52804
Phone (563) 355-9191

1401 W Central Park Ave
Davenport, IA 52804
Phone (563) 421-1900

1100 36th Ave
Moline, IL 61265
Phone (309) 743-6700

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 7

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 5

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

NPI Registry JSON

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

{
    "created_epoch": "1467763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726012800000",
    "number": "1104278878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1236 E RUSHOLME ST STE 300",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528032484",
            "telephone_number": "563-324-2992",
            "fax_number": "563-324-8562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1236 E RUSHOLME ST STE 300",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528032484",
            "telephone_number": "563-324-2992",
            "fax_number": "563-324-8562"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2451 University Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Mobile",
            "state": "AL",
            "postal_code": "366172300",
            "country_code": "US",
            "telephone_number": "251-471-7000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHOWDHURI",
        "first_name": "NILARUN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-07-06",
        "last_updated": "2024-09-11",
        "certification_date": "2024-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "125.068192",
            "primary": false
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "IA",
            "license": "MD-53521",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nilarun.chowdhurimd.p1@direct.cvmedpc.nextgenshare.com",
            "affiliation": "N",
            "address_1": "1236 E Rusholme St Ste 300",
            "city": "Davenport",
            "state": "IA",
            "country_code": "US",
            "postal_code": "528032484",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Davenport, IA

Sources for this page

Verify at the official NPI Registry.