NPIMap

Individual provider Active NPI

David B Staub, M.D.

  • Rheumatology Physician
  • Bettendorf, IA
National Provider Identifier
1255319422
Registry record updated Apr 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
27098 Issued in IA
Practice address
3740 Utica Ridge Rd Ste a
Bettendorf, IA 52722-1624
Phone
(563) 359-4440
Fax
(563) 359-4644
NPI assigned
Jan 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2017

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X 27098 IA Primary
Rheumatology Physician 207RR0500X 036079818 IL
Rheumatology Physician 207RR0500X MD-27098 IA

Addresses

Primary practice location

3740 Utica Ridge Rd Ste a
Bettendorf, IA 52722-1624

Mailing address

3740 Utica Ridge Rd Ste a
Bettendorf, IA 52722-1624
Phone (563) 359-4440

Other identifiers 8

IdentifierTypeStateIssuer
57866OtherIAWELLMARK
043120OtherHEALTH ALLIANCE
0500347MedicaidIA
19854OtherIA HEALTH SOLUTIONS
T81130OtherIAJOHN DEERE FAMILY
8121085OtherILBCBS
13498OtherMIDLANDS CHOICE
200029102OtherRR MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080226000154 IA Practitioner - Rheumatology 3274526975 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Rheumatology
Education
University of Minnesota Medical School, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rheumatology Associates, PCGroup PAC ID 2264516558, 6 clinicians

Practice addresses (Care Compare)

2979 Victoria St
Bettendorf, IA 52722-2784
Phone (563) 359-4440

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.77 of 100Reported as group
Quality
88.01
Promoting interoperability
94
Improvement activities
40
Cost
69.57

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
27098IAMDRheumatology Physician
036079818ILMDRheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rheumatology Associates, PC Rheumatology CurrentSince Feb 26, 2008 Accepting new patients
Ora Orthopedics, PC Past Accepting new patients
Ora Orthopedics PC Rheumatology Past Accepting new patients

Locations

3740 Utica Ridge Rd
Ste A
Bettendorf, IA 52722
Phone (563) 359-4440

2979 Victoria St
Bettendorf, IA 52722
Phone (563) 332-8528

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: david.staub.p1@direct.rapc.nextgenshare.com

Organizations & group practices 3

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 6

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": "1136505600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491955200000",
    "number": "1255319422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3740 UTICA RIDGE RD STE A",
            "city": "BETTENDORF",
            "state": "IA",
            "postal_code": "527221624",
            "telephone_number": "563-359-4440",
            "fax_number": "563-359-4644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3740 UTICA RIDGE RD STE A",
            "city": "BETTENDORF",
            "state": "IA",
            "postal_code": "527221624",
            "telephone_number": "563-359-4440",
            "fax_number": "563-359-4644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAUB",
        "first_name": "DAVID",
        "middle_name": "B",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-06",
        "last_updated": "2017-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "IA",
            "license": "27098",
            "primary": true
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "IL",
            "license": "036079818",
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "IA",
            "license": "MD-27098",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK",
            "identifier": "57866",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH ALLIANCE",
            "identifier": "043120",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0500347",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IA HEALTH SOLUTIONS",
            "identifier": "19854",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JOHN DEERE FAMILY",
            "identifier": "T81130",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "8121085",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MIDLANDS CHOICE",
            "identifier": "13498",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "200029102",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bettendorf, IA

Sources for this page

Verify at the official NPI Registry.