Active NPI
Rajendra Dahal, M.D.
- Nephrology Physician
- Moline, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 036088655
- Practice address
- 615 35TH Ave
Moline, IL 61265-6107 - Phone
- (309) 757-7780
- Fax
- (309) 757-7719
- NPI assigned
- Jun 9, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Other identifiers 11
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 56266 | Other | IA | NORIDIAN |
| 0510917 | Medicaid | IA | |
| 08100343 | Other | IL | BLUE CROSS BLUE SHIELD |
| 90937 | Other | IL | WELLMARK |
| 1136127 | Medicaid | IA | |
| 0136127 | Medicaid | IA | |
| 036088655 | Medicaid | IL | |
| 55645 | Other | IA | WELLMARK |
| 0175471 | Medicaid | IA | |
| 56266 | Other | IA | WELLMARK |
| 93122 | Other | IL | WELLMARK GROUP |
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 |
|---|---|---|---|---|
| I20061205000397 | IL | Practitioner - Nephrology | 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
- DaVita Green Country Dialysis
- DaVita Moline Home Training
- FMC - Silvis
- FMC - Moline
- FMC - Rock Island
- Trinity Rock Island
- Genesis HLTH System Dba Genesis MDL Ctr-Illini
- Northwestern Medicine Central Dupage Hospital
- Trinity - Bettendorf
- Hammond Henry Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 21.49 of 100
- Quality
- 0
- Improvement activities
- 0
- Cost
- 71.64
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036088655 | IL | MD | Nephrology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Luke'S Methodist Hospital | Current | Accepting new patients | |
| Kidney Care Quad Cities, LLC | Nephrology | Current | Accepting new patients |
| Quad Cities Nephrology Associates, P.L.C., LLC | Nephrology | Past | Accepting new patients |
| Pekin Dialysis LLC | Past | Accepting new patients | |
| Integrative Pain Centers of America LTD | Past | Accepting new patients |
Locations
4480 Utica Ridge Rd
Bettendorf, IA 52722
Phone (309) 756-6880
1989 Spruce Hills Dr
Bettendorf, IA 52722
Phone (309) 757-7783
3682 Utica Ridge Rd
Bettendorf, IA 52722
Phone (309) 757-7780
4500 Utica Ridge Rd
Bettendorf, IA 52722
Phone (563) 742-2724
550 30th Ave
Ste 9
Moline, IL 61265
Phone (309) 757-7783
615 35th Ave
Moline, IL 61265
Phone (309) 757-7780
3440 38th Ave
Moline, IL 61265
Phone (309) 762-7246
2701 17th St
Rock Island, IL 61201
Phone (309) 779-3200
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/IHAIBD/Endpoint/IHAIBD
- 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 and National Provider Directory roles.
-
- General Acute Care Hospital
- Cedar Rapids, IA
- NPI 1083708226
-
- Interventional Pain Medicine Physician
- Rock Island, IL
- NPI 1255310306
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Pekin, IL
- NPI 1619218732
-
- Nephrology Physician
- Moline, IL
- NPI 1740349034
Nephrology
Hospital & facility affiliations 11
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Rock Island, IL
- NPI 1043670417
Dialysis facility
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Silvis, IL
- NPI 1780044156
Dialysis facility
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Moline, IL
- NPI 1821458282
Dialysis facility
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Moline, IL
- NPI 1982940664
Dialysis facility
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Davenport, IA
- NPI 1881975662
Dialysis facility
-
- General Acute Care Hospital
- Winfield, IL
- NPI 1003864810
Hospital
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": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NORIDIAN",
"identifier": "56266",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0510917",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "08100343",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLMARK",
"identifier": "90937",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1136127",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0136127",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036088655",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLMARK",
"identifier": "55645",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0175471",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLMARK",
"identifier": "56266",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLMARK GROUP",
"identifier": "93122",
"state": "IL"
}
],
"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 Nov 21, 2019; 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.