Individual provider Active NPI

David Warren Schroeder, D.P.M.

  • Podiatrist
  • Bettendorf, IA
National Provider Identifier
1225091671
Registry record updated Apr 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
0492 Issued in IA
Practice address
2332 Cumberland Square Dr
Bettendorf, IA 52722-3219
Phone
(563) 391-2889
NPI assigned
Apr 7, 2006
Last updated
Apr 6, 2022By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 6, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 0492 IA Primary

Addresses

Primary practice location

2332 Cumberland Square Dr
Bettendorf, IA 52722-3219

Mailing address

430 W 35TH St
Davenport, IA 52806-5820
Phone (563) 391-2889

Other identifiers 1

IdentifierTypeStateIssuer
0067066MedicaidIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041115000832 IA Practitioner - Podiatry 1658335146 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
William M. Scholl College of Podiatric Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Quad Cities Foot and Ankle Associates PCGroup PAC ID 7618102831, 4 clinicians

Practice addresses (Care Compare)

2332 Cumberland Square Dr
Bettendorf, IA 52722-3219
Phone (563) 391-2889

Merit-based Incentive Payment System (MIPS)

Final score
87.29 of 100Reported as individual
Quality
74.33
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue26
Removal of nail tissue1387
Removal or shaving of skin growth729
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0492IAMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Quad Cities Foot & Ankle Associates PC Podiatrist CurrentSince Jun 7, 2013 Accepting new patients

Locations

2332 Cumberland Square Dr
Bettendorf, IA 52722
Phone (563) 391-2889

430 W 35th St
Davenport, IA 52806
Phone (563) 386-9494

Interoperability endpoints

  • Direct secure messaging: david.schroeder.1@11329.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/11329/brand/1/csg/1/fhir/r4

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1144368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649203200000",
    "number": "1225091671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 W 35TH ST",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528065820",
            "telephone_number": "563-391-2889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2332 CUMBERLAND SQUARE DR",
            "city": "BETTENDORF",
            "state": "IA",
            "postal_code": "527223219",
            "telephone_number": "563-391-2889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHROEDER",
        "first_name": "DAVID",
        "middle_name": "WARREN",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-07",
        "last_updated": "2022-04-06",
        "certification_date": "2022-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "IA",
            "license": "0492",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0067066",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bettendorf, IA

Sources for this page

Verify at the official NPI Registry.