Active NPI
Akshay Kantilal Mahadevia, MD
- Pulmonary Disease Physician
- Davenport, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 23595
- Practice address
- 3385 Dexter CT Ste 102
Davenport, IA 52807-3471 - Phone
- (563) 323-1352
- Fax
- (855) 274-1654
- NPI assigned
- Feb 17, 2006
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | 036059280 | IL | |
| Pulmonary Disease Physician | 207RP1001X | 23595 | IA | Primary |
| Pulmonary Disease Physician | 207RP1001X | 51566 | TN |
Addresses
Primary practice location
3385 Dexter CT Ste 102
Davenport, IA 52807-3471
Mailing address
3385 Dexter CT Ste 102
Davenport, IA 52807-3471
Phone (563) 323-1352
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1025718 | Medicaid | IA | |
| 290001149 | Other | IA | RAILROAD MEDICARE |
| 290010032 | Other | IL | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040518000688 | IA | Practitioner - Sleep Medicine | 0749179703 | Reassigns benefits to 2 organizations |
| I20061205000335 | IL | Practitioner - Internal Medicine | 0749179703 | Reassigns benefits to 4 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1975
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Genesis Health SystemHammond Henry Dist Hospital
Practice addresses (Care Compare)
1227 E Rusholme St
Davenport, IA 52803-2459
1351 W Central Park Ave
Davenport, IA 52804-1889
4700 E 56TH St
Davenport, IA 52807-2904
600 N College Ave
Geneseo, IL 61254-1007
Hospital & facility affiliations
- Hammond Henry Hospital
- Genesis Medical Center-Davenport
Merit-based Incentive Payment System (MIPS)
- Final score
- 34.85 of 100
- Quality
- 21.4
- Improvement activities
- 0
- Cost
- 76.92
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23595 | IA | MD | Pulmonary Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Salahuddin Syed MD PC | Current | Accepting new patients | |
| Mississippi Valley Sleep Disorder Center LC | Current | Accepting new patients | |
| Unitypoint Health - Marshalltown | Current | Accepting new patients | |
| Unitypoint Health - Marshalltown | Current | Accepting new patients | |
| Hammond Henry Dist Hospital | Current | Accepting new patients | |
| Genesis Health System | Current | Accepting new patients | |
| Hammond Henry Dist Hospital | Current | Accepting new patients | |
| Genesis Health System | Pulmonary Disease | Current | Accepting new patients |
| Stephen C Rasmus MD PC | Past | Accepting new patients | |
| Sound Sleep Centers | Past | Accepting new patients | |
| ENT Medical Services Sleep Center PLC | Past | Accepting new patients | |
| Genesis Health System | Past | Accepting new patients |
Locations
865 Lincoln Rd
Ste 100
Bettendorf, IA 52722
Phone (563) 355-1000
1401 W Central Park Ave
Davenport, IA 52804
Phone (563) 421-1900
1227 E Rusholme St
Davenport, IA 52803
Phone (563) 324-8160
4700 E 56th St
Ste 100
Davenport, IA 52807
Phone (563) 383-2667
1801 E 54th St
Ste 100
Davenport, IA 52807
Phone (563) 323-1229
3 S 4th Ave
Marshalltown, IA 50158
Phone (641) 754-5145
55 Unitypoint Way
Marshalltown, IA 50158
Phone (641) 754-5145
600 N College Ave
Ste 110
Geneseo, IL 61254
Phone (309) 944-1595
600 N College Ave
Ste 120
Geneseo, IL 61254
Phone (309) 944-5342
600 N College Ave
Geneseo, IL 61254
Phone (309) 944-6431
1258 W South St
Ste 2
Kewanee, IL 61443
801 Illini Dr
Silvis, IL 61282
Phone (309) 281-4000
Interoperability endpoints
- akshay.mahadevia@direct.genesishealth.com
Organizations & group practices 17
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.
-
- Rural Health Clinic/Center
- Annawan, IL
- NPI 1114582913
-
- Rural Health Clinic/Center
- Geneseo, IL
- NPI 1093213308
-
- Rehabilitation Hospital Unit
- Geneseo, IL
- NPI 1164535431
-
- Home Health Agency
- Geneseo, IL
- NPI 1699882191
-
- Medicare Defined Swing Bed Hospital Unit
- Geneseo, IL
- NPI 1740397447
-
- Clinical Medical Laboratory
- Clinton, IA
- NPI 1073610341
-
- Anatomic Pathology & Clinical Pathology Physician
- Marshalltown, IA
- NPI 1083054464
Hospital & facility affiliations 2
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": "1140134400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1617926400000",
"number": "1104891704",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3385 DEXTER CT STE 102",
"city": "DAVENPORT",
"state": "IA",
"postal_code": "528073471",
"telephone_number": "563-323-1352",
"fax_number": "855-274-1654"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3385 DEXTER CT STE 102",
"city": "DAVENPORT",
"state": "IA",
"postal_code": "528073471",
"telephone_number": "563-323-1352",
"fax_number": "855-274-1654"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAHADEVIA",
"first_name": "AKSHAY",
"middle_name": "KANTILAL",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-17",
"last_updated": "2021-04-09",
"certification_date": "2021-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "IL",
"license": "036059280",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "IA",
"license": "23595",
"primary": true
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "TN",
"license": "51566",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1025718",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "290001149",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "290010032",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Davenport, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2021; 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.