Individual provider Active NPI

Cory Lynn Straub, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Moline, IL
National Provider Identifier
1154634996
Registry record updated Dec 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
132359 Issued in IL
Practice address
612 35TH Ave Ste 1
Moline, IL 61265
Phone
(309) 788-0014
Fax
(309) 623-4638
NPI assigned
Jul 21, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X 132359 IL Primary

Addresses

Primary practice location

612 35TH Ave Ste 1
Moline, IL 61265

Mailing address

3912 16TH St
Moline, IL 61265-1275
Phone (309) 623-7030

Other practice location 1

1518 Mulberry Ave Ste 204
Muscatine, IA 52761-3433
Phone (309) 623-7030

Other names 1

  • Cory Lynn Wilczynski Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, IA, KS3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20150701000436 IL Practitioner - Endocrinology 8628399045 Reassigns benefits to 1 organization
I20150916002504 IA Practitioner - Endocrinology 8628399045 Reassigns benefits to 2 organizations
I20240229002826 KS Practitioner - Endocrinology 8628399045 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Endocrinology
Education
Rush Medical College of Rush University, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Iowa Physicians Clinic Medical FoundationGroup PAC ID 8729992318, 1,254 clinicians

Practice addresses (Care Compare)

1518 Mulberry Ave
Muscatine, IA 52761-3433
Phone (563) 262-4115

3904 16TH St
Moline, IL 61265-1275

3912 16TH St
Moline, IL 61265-1275
Phone (309) 581-7600

3924 16TH St
Moline, IL 61265-1275
Phone (309) 779-5260

600 N College Ave
Suite 110
Geneseo, IL 61254-1092
Phone (563) 264-9300

600 N College Ave
Suite 120
Geneseo, IL 61254-1095
Phone (309) 944-5342

600 N College Ave
Suite 130
Geneseo, IL 61254-1007
Phone (309) 623-7030

Hospital & facility affiliations

  • Hammond Henry Hospital Hospital, Geneseo, IL, CCN 141319
  • Trinity Rock Island Hospital, Rock Island, IL, CCN 140280
  • Trinity Muscatine Hospital, Muscatine, IA, CCN 160013
  • Trinity - Bettendorf Hospital, Bettendorf, IA, CCN 160104
  • Genesis HLTH System Dba Genesis MDL Ctr-Illini Hospital, Silvis, IL, CCN 140275

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
132359ILMDEndocrinology, Diabetes & Metabolism Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Great Plains of Smith Co., Inc. CurrentSince Feb 3, 2024 Accepting new patients
Unity Healthcare Current Accepting new patients
Iowa Physicians Clinic Medical Foundation CurrentSince May 30, 2023 Accepting new patients
Unity Healthcare CurrentSince May 22, 2023 Accepting new patients
Unity Healthcare CurrentSince May 22, 2023 Accepting new patients
Norton County Hospital Current Accepting new patients
St Luke'S Methodist Hospital Current Accepting new patients
Ozarks Medical Center Past Accepting new patients
County of Logan Past Accepting new patients
Kiowa County Memorial Hospital Past Accepting new patients
Trinity Regional Medical Center Past Accepting new patients
Advanced Radiology, S.C. PastSince Dec 15, 2024 Accepting new patients

Locations

4480 Utica Ridge Rd
Ste 2230
Bettendorf, IA 52722
Phone (563) 742-5150

4480 Utica Ridge Rd
Ste 140
Bettendorf, IA 52722
Phone (563) 241-4000

4480 Utica Ridge Rd
Ste 160
Bettendorf, IA 52722
Phone (563) 742-5950

1518 Mulberry Ave
Ste 302
Muscatine, IA 52761
Phone (309) 623-7030

1518 Mulberry Ave
Ste 203
Muscatine, IA 52761
Phone (563) 262-4113

1518 Mulberry Ave
Ste 301
Muscatine, IA 52761
Phone (563) 262-4113

1518 Mulberry Ave
Ste 101
Muscatine, IA 52761
Phone (563) 262-4110

1518 Mulberry Ave
Ste 204
Muscatine, IA 52761
Phone (309) 623-7030

1518 Mulberry Ave
Muscatine, IA 52761
Phone (563) 262-4110

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

3924 16th St
Moline, IL 61265
Phone (309) 779-5260

3912 16th St
Moline, IL 61265
Phone (309) 581-7600

2560 24th St
Ste 102
Rock Island, IL 61201
Phone (309) 779-3670

102 E Holme St
Norton, KS 67654
Phone (785) 628-3231

921 E Highway 36
Smith Center, KS 66967
Phone (785) 282-6834

Interoperability endpoints

  • Direct secure messaging: cory.straub.1@13372.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/11985/brand/1/csg/1/fhir/r4
  • Direct secure messaging: cwilczynski268477@direct.unitypoint.org
  • Direct secure messaging: cory.straub.1@17074.direct.athenahealth.com

Organizations & group practices 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1279670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733875200000",
    "number": "1154634996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3912 16TH ST",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612651275",
            "telephone_number": "309-623-7030",
            "fax_number": "309-623-7039"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 35TH AVE STE 1",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "61265",
            "telephone_number": "309-788-0014",
            "fax_number": "309-623-4638"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1518 Mulberry Ave Ste 204",
            "address_purpose": "LOCATION",
            "city": "Muscatine",
            "state": "IA",
            "postal_code": "527613433",
            "country_code": "US",
            "telephone_number": "309-623-7030",
            "fax_number": "309-623-7039",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STRAUB",
        "first_name": "CORY",
        "middle_name": "LYNN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-21",
        "last_updated": "2024-12-11",
        "certification_date": "2024-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "IL",
            "license": "132359",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CORY",
            "last_name": "WILCZYNSKI",
            "middle_name": "LYNN",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Moline, IL

Sources for this page

Verify at the official NPI Registry.