NPIMap

Individual provider Active NPI

Alexander David Pinc, M.D.

  • Emergency Medicine Physician
  • Silvis, IL
National Provider Identifier
1174577225
Registry record updated Mar 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
036-104415 Issued in IL
Practice address
801 Illini Dr
Silvis, IL 61282-1804
Phone
(309) 792-9363
NPI assigned
May 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 036-104415 IL Primary

Addresses

Primary practice location

801 Illini Dr
Silvis, IL 61282-1804

Mailing address

2725 8TH Street CT
Moline, IL 61265-5174
Phone (309) 792-7056

Other identifiers 5

IdentifierTypeStateIssuer
H38603OtherTRICARE
930110724OtherRAILROAD MEDICARE
H38603OtherILBLUE CROSS BLUE SHIELD
98651OtherIABLUE CROSS BLUE SHIELD
072074OtherHEALTH ALLIANCE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, IA2 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
I20050915000650 IL Practitioner - Emergency Medicine 1658304019 Reassigns benefits to 2 organizations
I20110810000340 IA Practitioner - Emergency Medicine 1658304019 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Genesis Health SystemGroup PAC ID 7214841436, 217 clinicians

Practice addresses (Care Compare)

1118 11TH St
De Witt, IA 52742-1353
Phone (563) 242-7522

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-104415ILMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jackson County Public Hospital CurrentSince Sep 30, 2018 Accepting new patients
Genesis Medical Center, Aledo CurrentSince Jun 9, 2022 Accepting new patients
Jackson County Public Hospital Current Accepting new patients
Genesis Health System CurrentSince Dec 21, 2018 Accepting new patients
Genesis Health System CurrentSince Nov 19, 2018 Accepting new patients
Jackson County Public Hospital Current Accepting new patients
Genesis Medical Center, Aledo CurrentSince Jun 9, 2022 Accepting new patients
Jackson County Public Hospital CurrentSince Sep 30, 2018 Accepting new patients
Iowa Emergency Services LLC Emergency Medicine CurrentSince May 14, 2018 Accepting new patients
Genesis Health System Past Accepting new patients
New Century Physicians of Southern Illinois Inc Emergency Medicine Past Accepting new patients
New Century Physicians of Western Illinois, Inc Emergency Medicine Past Accepting new patients

Locations

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

1351 W Central Park Ave
Ste 4100
Davenport, IA 52804
Phone (563) 355-9191

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

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

1007 NW 3rd St
Aledo, IL 61231
Phone (309) 582-3701

409 NW 9th Ave
Aledo, IL 61231
Phone (309) 582-2227

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

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 4

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": "1148256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1236556800000",
    "number": "1174577225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2725 8TH STREET CT",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612655174",
            "telephone_number": "309-792-7056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 ILLINI DR",
            "city": "SILVIS",
            "state": "IL",
            "postal_code": "612821804",
            "telephone_number": "309-792-9363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PINC",
        "first_name": "ALEXANDER",
        "middle_name": "DAVID",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-22",
        "last_updated": "2009-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IL",
            "license": "036-104415",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE",
            "identifier": "H38603",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "930110724",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "H38603",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "98651",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH ALLIANCE",
            "identifier": "072074",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Silvis, IL

Sources for this page

Verify at the official NPI Registry.