Active NPI
Nandita Alla, MD
- Family Medicine Physician
- Moline, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 036141575
- Practice address
- 600 John Deere Rd Ste 401
Moline, IL 61265-6812 - Phone
- (309) 779-3627
- Fax
- (309) 779-4500
- NPI assigned
- Apr 22, 2014
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
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.
-
- General Practice Physician
- West Des Moines, IA
- NPI 1366425274
Family Medicine, IA, IL
-
- Clinical Medical Laboratory
- Cedar Falls, IA
- NPI 1538617840
-
- General Acute Care Hospital
- Cedar Rapids, IA
- NPI 1083708226
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Iowa Physicians Clinic Medical Foundation
Practice addresses (Care Compare)
4480 Utica Ridge Rd
Bettendorf, IA 52722-1644
600 John Deere Rd
Suite 401
Moline, IL 61265-6812
Phone (309) 779-4950
Hospital & facility affiliations
- Trinity - Bettendorf
- Trinity Rock Island
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, IA
- 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 |
|---|---|---|---|---|
| I20171120001776 | IL | Practitioner - Family Practice | 7416173877 | Reassigns benefits to 1 organization |
| I20200804000590 | IA | Practitioner - Family Practice | 7416173877 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Iowa Physicians Clinic Medical Foundation | Family Medicine | Current | Accepting new patients |
| St Luke'S Methodist Hospital | Current | Accepting new patients |
Locations
4480 Utica Ridge Rd
Ste 2230
Bettendorf, IA 52722
Phone (563) 742-5150
4480 Utica Ridge Rd
Ste 160
Bettendorf, IA 52722
Phone (563) 742-5950
1518 Mulberry Ave
Muscatine, IA 52761
Phone (563) 262-4110
8101 Birchwood Ct
Unit R
Urbandale, IA 50131
Phone (515) 471-9363
600 N College Ave
Ste 120
Geneseo, IL 61254
Phone (309) 944-5342
600 John Deere Rd
Ste 401
Moline, IL 61265
Phone (309) 779-3627
2701 17th St
Rock Island, IL 61201
Phone (309) 779-3200
Interoperability endpoints
- nalla520891@direct.unitypoint.org
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 036141575 | IL | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
600 John Deere Rd Ste 401
Moline, IL 61265-6812
Mailing address
600 John Deere Rd Ste 401
Moline, IL 61265-6812
Phone (309) 779-3627
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 5, 2018.
{
"created_epoch": "1398124800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1522886400000",
"number": "1154741825",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 JOHN DEERE RD STE 401",
"city": "MOLINE",
"state": "IL",
"postal_code": "612656812",
"telephone_number": "309-779-3627",
"fax_number": "309-779-4500"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 JOHN DEERE RD STE 401",
"city": "MOLINE",
"state": "IL",
"postal_code": "612656812",
"telephone_number": "309-779-3627",
"fax_number": "309-779-4500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALLA",
"first_name": "NANDITA",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-04-22",
"last_updated": "2018-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IL",
"license": "036141575",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Moline, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2018; 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.