NPIMap

Individual provider Active NPI

Rajendra Dahal, M.D.

  • Nephrology Physician
  • Moline, IL
National Provider Identifier
1205830981
Registry record updated Nov 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
036088655 Issued in IL
Practice address
615 35TH Ave
Moline, IL 61265-6107
Phone
(309) 757-7780
Fax
(309) 757-7719
NPI assigned
Jun 9, 2005
Last updated
Nov 21, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 21, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 036088655 IL Primary

Addresses

Primary practice location

615 35TH Ave
Moline, IL 61265-6107

Mailing address

615 35TH Ave
Moline, IL 61265-6107
Phone (309) 757-7780

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
I20061205000397 IL Practitioner - NephrologyPractitioner - Internal Medicine 5395637961 Reassigns benefits to 1 organization
I20090505000101 IA Practitioner - Nephrology 5395637961 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3682 Utica Ridge Rd
Bettendorf, IA 52722-1648
Phone (309) 757-7780

4500 Utica Ridge Rd
Bettendorf, IA 52722-1626
Phone (563) 742-5000

615 35TH Ave
Moline, IL 61265-6107
Phone (309) 757-7780

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
21.49 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
71.64

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036088655ILMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Luke's Methodist Hospital Current Accepting new patients
Kidney Care Quad Cities, LLC Nephrology CurrentSince Mar 11, 2009 Accepting new patients
Integrative Pain Centers of America LTD Past Accepting new patients
Pekin Dialysis LLC PastSince Jan 13, 2025 Accepting new patients
Quad Cities Nephrology Associates, P.L.C., LLC Nephrology Past Accepting new patients

Locations

1989 Spruce Hills Dr
Bettendorf, IA 52722
Phone (309) 757-7783

3682 Utica Ridge Rd
Bettendorf, IA 52722
Phone (309) 757-7780

4480 Utica Ridge Rd
Bettendorf, IA 52722
Phone (309) 756-6880

4500 Utica Ridge Rd
Bettendorf, IA 52722
Phone (563) 742-2724

3440 38th Ave
Moline, IL 61265
Phone (309) 762-7246

550 30th Ave
Ste 9
Moline, IL 61265
Phone (309) 757-7783

615 35th Ave
Moline, IL 61265
Phone (309) 757-7780

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IHAIBD/Endpoint/IHAIBD
  • Direct secure messaging: rdahal92175@direct.unitypoint.org

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 11

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": "1118275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574294400000",
    "number": "1205830981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 35TH AVE",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612656107",
            "telephone_number": "309-757-7780",
            "fax_number": "309-757-7719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 35TH AVE",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612656107",
            "telephone_number": "309-757-7780",
            "fax_number": "309-757-7719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAHAL",
        "first_name": "RAJENDRA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-09",
        "last_updated": "2019-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "IL",
            "license": "036088655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moline, IL

Sources for this page

Verify at the official NPI Registry.