NPIMap

Individual provider Active NPI

Edmund P Coyne, M.D.

  • Cardiovascular Disease Physician
  • Davenport, IA
National Provider Identifier
1114906138
Registry record updated Feb 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
MD-28620 Issued in IA
Practice address
1236 E Rusholme St
Suite 300
Davenport, IA 52803-2473
Phone
(563) 324-2992
Fax
(563) 888-0499
NPI assigned
Jan 10, 2006
Last updated
Feb 10, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X MD-28620 IA Primary

Addresses

Primary practice location

1236 E Rusholme St
Suite 300
Davenport, IA 52803-2473

Mailing address

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

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address edmund.coynemd.p1@direct.cvmedpc.nextgenshare.com

Medicare participation

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

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20051108000472 IA Practitioner - Cardiac ElectrophysiologyPractitioner - Cardiovascular Disease (Cardiology)Practitioner - Interventional Cardiology 4587566047 Reassigns benefits to 6 organizations
I20061017000544 IL Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology) 4587566047 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology)
Education
Boston University School of Medicine, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cardiovascular Medicine PLLCGroup PAC ID 2264334721, 50 clinicians
Genesis Health SystemGroup PAC ID 7214841436, 217 clinicians
Mercy Specialty ClinicGroup PAC ID 3375639586, 65 clinicians

Practice addresses (Care Compare)

1100 36TH Ave
Moline, IL 61265-7127
Phone (309) 743-6700

1227 E Rusholme St
Davenport, IA 52803-2459

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

1401 W Central Park Ave
Mercyone Genesis Davenport West Med
Davenport, IA 52804-1707
Phone (563) 421-2120

1410 N 4TH St
Clinton, IA 52732-2940
Phone (563) 244-5900

210 W Elk St
Geneseo, IL 61254-1067
Phone (309) 944-4625

915 13TH Ave N
Mercyone Clinton Plaza
Clinton, IA 52732-5067
Phone (563) 243-2511

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD-28620IAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Trinity Medical Center Current Accepting new patients
St Luke's Methodist Hospital Current Accepting new patients
Mercy Specialty Clinic CurrentSince Oct 1, 2024 Accepting new patients
Mercy Specialty Clinic Current Accepting new patients
Genesis Health System CurrentSince Jul 1, 2012 Accepting new patients
CGH Medical Center CurrentSince May 16, 2018 Accepting new patients
Genesis Health System Current Accepting new patients
CGH Medical Center CurrentSince May 16, 2018 Accepting new patients
Trinity Medical Center Cardiovascular Disease CurrentSince Oct 1, 2013 Accepting new patients
Genesis Health System CurrentSince Jul 1, 2006 Accepting new patients
Medical Associates of Clinton, Iowa P.L.C. Cardiovascular Disease Current Accepting new patients
CGH Medical Center Current Accepting new patients
Genesis Health System CurrentSince Jul 1, 2006 Accepting new patients
Cardiovascular Medicine PLLC Cardiovascular Disease CurrentSince Jul 1, 1992 Accepting new patients

Locations

4480 Utica Ridge Rd
Ste 2222
Bettendorf, IA 52722
Phone (563) 742-3111

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

1410 N 4th St
Clinton, IA 52732
Phone (563) 244-5555

2635 Lincoln Way
Clinton, IA 52732
Phone (563) 243-1413

915 13th Ave N
Clinton, IA 52732
Phone (319) 243-2511

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 340
Davenport, IA 52804
Phone (563) 421-1287

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

1118 11th St
De Witt, IA 52742
Phone (563) 242-7522

601 Hospital Dr
Maquoketa, IA 52060
Phone (563) 652-2474

210 W Elk St
Geneseo, IL 61254
Phone (309) 743-6700

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

350 John Deere Rd
Moline, IL 61265
Phone (309) 743-6700

2560 24th St
Ste 101
Rock Island, IL 61201
Phone (309) 779-3970

2701 17th St
Rock Island, IL 61201
Phone (309) 779-3200

801 Illini Dr
Silvis, IL 61282
Phone (309) 281-4000

101 E Miller Rd
Sterling, IL 61081
Phone (815) 632-5285

1809 Locust St
Sterling, IL 61081
Phone (815) 564-4002

Interoperability endpoints

  • Direct secure messaging: ecoyne3931145@direct.trinity-health.org
  • Direct secure messaging: ecoyne92168@direct.unitypoint.org
  • Direct secure messaging: edmund.coynemd.p1@direct.cvmedpc.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Ownership & related parties

All facility ownership & control disclosures 12

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Mercyone Genesis Silvis Medical CenterSilvis, IL, CCN 140275 Hospital Corporate Director Dec 4, 2008
Mercyone GenesisDavenport, IA, CCN 160033 Hospital Corporate Director Dec 4, 2008
Mercyone Genesis Dewitt Medical CenterDe Witt, IA, CCN 161313 Hospital Corporate Director Dec 4, 2008
Mercyone GenesisDavenport, IA, CCN 16T033 Hospital Corporate Director Dec 4, 2008
Mercyone Genesis Dewitt Medical CenterDe Witt, IA, CCN 16Z313 Hospital Corporate Director Dec 4, 2008
Mercyone GenesisAledo, IL, CCN 141304 Hospital Corporate Director Dec 4, 2008
Mercyone GenesisAledo, IL, CCN 14Z304 Hospital Corporate Director Dec 4, 2008
Mercyone GenesisBettendorf, IA, CCN 167012 Home health agency Corporate Director Dec 4, 2008
Mercyone GenesisBettendorf, IA, CCN 161520 Hospice Corporate Director Dec 4, 2008
Mercyone GenesisAledo, IL, CCN 143453 Rural health clinic Corporate Director Dec 4, 2008
Mercyone Genesis Dewitt Family MedicineDe Witt, IA, CCN 168667 Rural health clinic Corporate Director Dec 4, 2008
Mercyone Genesis Dewitt Family MedicineDe Witt, IA, CCN 168671 Rural health clinic Corporate Director Dec 4, 2008

Owned or controlled facilities with NPI records 12

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 15

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.

View all 15

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": "1136851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612915200000",
    "number": "1114906138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1236 E RUSHOLME ST",
            "address_2": "SUITE 300",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528032473",
            "telephone_number": "563-324-2992",
            "fax_number": "563-888-0499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1236 E RUSHOLME ST",
            "address_2": "SUITE 300",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528032473",
            "telephone_number": "563-324-2992",
            "fax_number": "563-888-0499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COYNE",
        "first_name": "EDMUND",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-10",
        "last_updated": "2021-02-10",
        "certification_date": "2021-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IA",
            "license": "MD-28620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "edmund.coynemd.p1@direct.cvmedpc.nextgenshare.com",
            "affiliation": "N",
            "address_1": "1236 E Rusholme St",
            "address_2": "Suite 300",
            "city": "Davenport",
            "state": "IA",
            "country_code": "US",
            "postal_code": "528032473",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Davenport, IA

Sources for this page

Verify at the official NPI Registry.