NPIMap

Edmund P Coyne, M.D.

Individual provider Active NPI Cardiovascular Disease Physician · Davenport, IA

NPI 1114906138 · NPPES record last updated Feb 10, 2021

Key facts

NPI
1114906138
Entity type
Individual (NPI type 1)
Primary specialty
Cardiovascular Disease Physician 207RC0000X
License
MD-28620 (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
Sex
Male
Sole proprietor
No

Organizations & group practices 22

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.

Hospital & facility affiliations 5

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

Owned or controlled facilities with NPI records 12

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

Medicare Care Compare profile

Specialty
Interventional Cardiology
Also: 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 PLLC (50 clinicians)
Genesis Health System (217 clinicians)
Mercy Specialty Clinic (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

  • Genesis Medical Center-Davenport Hospital · Davenport, IA · CCN 160033
  • Genesis HLTH System Dba Genesis MDL Ctr-Illini Hospital · Silvis, IL · CCN 140275
  • Mercyone Clinton Medical Center Hospital · Clinton, IA · CCN 160080
  • Jackson County Regional Health Center Hospital · Maquoketa, IA · CCN 161329
  • Mercyone Genesis Dewitt Medical Center Hospital · Dewitt, IA · CCN 161313

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal1-10

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in IA, IL
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

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 Center
Silvis, IL · CCN 140275		 Hospital Corporate Director Dec 4, 2008
Mercyone Genesis
Davenport, IA · CCN 160033		 Hospital Corporate Director Dec 4, 2008
Mercyone Genesis Dewitt Medical Center
De Witt, IA · CCN 161313		 Hospital Corporate Director Dec 4, 2008
Mercyone Genesis
Davenport, IA · CCN 16T033		 Hospital Corporate Director Dec 4, 2008
Mercyone Genesis Dewitt Medical Center
De Witt, IA · CCN 16Z313		 Hospital Corporate Director Dec 4, 2008
Mercyone Genesis
Aledo, IL · CCN 141304		 Hospital Corporate Director Dec 4, 2008
Mercyone Genesis
Aledo, IL · CCN 14Z304		 Hospital Corporate Director Dec 4, 2008
Mercyone Genesis
Bettendorf, IA · CCN 167012		 Home health agency Corporate Director Dec 4, 2008
Mercyone Genesis
Bettendorf, IA · CCN 161520		 Hospice Corporate Director Dec 4, 2008
Mercyone Genesis
Aledo, IL · CCN 143453		 Rural health clinic Corporate Director Dec 4, 2008
Mercyone Genesis Dewitt Family Medicine
De Witt, IA · CCN 168667		 Rural health clinic Corporate Director Dec 4, 2008
Mercyone Genesis Dewitt Family Medicine
De Witt, IA · CCN 168671		 Rural health clinic Corporate Director Dec 4, 2008

Medicare enrollment records

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

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

Practice roles

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

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

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

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

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

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

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

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

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

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

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

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

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

Specialties & licenses

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

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

Other identifiers

IdentifierTypeStateIssuer
0083220MedicaidIA
060021828OtherMEDICARE RAILROAD

Electronic endpoints

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

Other providers in Davenport, IA

All providers in Davenport, IA · Cardiovascular Disease Physician in Iowa

Sources for this page

Verify at the official NPI Registry.