Individual provider Active NPI

Akshay Kantilal Mahadevia, MD

  • Pulmonary Disease Physician
  • Davenport, IA
National Provider Identifier
1104891704
Registry record updated Apr 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
23595 Issued in IA
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

Updated by the provider on Apr 9, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1025718MedicaidIA
290001149OtherIARAILROAD MEDICARE
290010032OtherILRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, IL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040518000688 IA Practitioner - Sleep MedicinePractitioner - Internal MedicinePractitioner - Pulmonary Disease 0749179703 Reassigns benefits to 2 organizations
I20061205000335 IL Practitioner - Internal MedicinePractitioner - Sleep 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 SystemGroup PAC ID 6103829338, 262 clinicians
Hammond Henry Dist HospitalGroup PAC ID 0143115949, 41 clinicians

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 Hospital, Geneseo, IL, CCN 141319
  • Genesis Medical Center-Davenport Hospital, Davenport, IA, CCN 160033

Merit-based Incentive Payment System (MIPS)

Final score
34.85 of 100Reported as group
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

LicenseStateTypeSpecialty
23595IAMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Salahuddin Syed MD PC Current Accepting new patients
Mississippi Valley Sleep Disorder Center LC Current Accepting new patients
Unitypoint Health - Marshalltown CurrentSince Nov 26, 2018 Accepting new patients
Unitypoint Health - Marshalltown CurrentSince Nov 26, 2018 Accepting new patients
Hammond Henry Dist Hospital Current Accepting new patients
Genesis Health System CurrentSince Aug 15, 2022 Accepting new patients
Hammond Henry Dist Hospital CurrentSince Mar 1, 2023 Accepting new patients
Genesis Health System Pulmonary Disease CurrentSince Aug 15, 2022 Accepting new patients
Stephen C Rasmus MD PC Past Accepting new patients
Sound Sleep Centers PastSince Mar 1, 2012 Accepting new patients
ENT Medical Services Sleep Center PLC PastSince Nov 1, 2002 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

  • Direct secure messaging: 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.

View all 17

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

Verify at the official NPI Registry.