NPIMap

Organization Active NPI

Quad Cities Pediatrics, P.C.

  • Primary Care Clinic/Center
  • Davenport, IA
National Provider Identifier
1174818447
Registry record updated Apr 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
License
32037 Issued in IA
Legal business name
QUAD CITIES PEDIATRICS, P.C.
Practice address
5510 Utica Ridge Rd Ste 100
Davenport, IA 52807-2935
Phone
(563) 424-2025
Fax
(563) 424-2042
NPI assigned
Jun 15, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2014

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

Authorized official

Name
Dr. Majdi A Omar, M.D.
Title
President
Phone
(563) 424-2025

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X 32037 IA Primary

Addresses

Primary practice location

5510 Utica Ridge Rd Ste 100
Davenport, IA 52807-2935

Mailing address

5510 Utica Ridge Rd Ste 100
Davenport, IA 52807-2935
Phone (563) 424-2025

Other identifiers 1

IdentifierTypeStateIssuer
4225250MedicaidIA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
16D2018287Quad Cities Pediatrics, PC5510 Utica Ridge Road, Ste 100, Davenport, IA 52807Certificate of waiverDec 29, 2026

National Provider Directory

National Provider Directory

Locations

5510 Utica Ridge Rd
Ste 100
Davenport, IA 52807
Phone (563) 355-7258

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1308096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398211200000",
    "number": "1174818447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5510 UTICA RIDGE RD STE 100",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528072935",
            "telephone_number": "563-424-2025",
            "fax_number": "563-424-2042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5510 UTICA RIDGE RD STE 100",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528072935",
            "telephone_number": "563-424-2025",
            "fax_number": "563-424-2042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUAD CITIES PEDIATRICS, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-15",
        "last_updated": "2014-04-23",
        "status": "A",
        "authorized_official_last_name": "OMAR",
        "authorized_official_first_name": "MAJDI",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "563-424-2025",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "IA",
            "license": "32037",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4225250",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Davenport, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.

Verify at the official NPI Registry.