Individual provider Active NPI

Sreenivas Chintalapani, M.D.

  • Specialist
  • Davenport, IA
National Provider Identifier
1255320511
Registry record updated Oct 29, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
31406 Issued in IA
Practice address
5041 Utica Ridge Rd
Suite 100
Davenport, IA 52807-3480
Phone
(563) 359-9696
Fax
(563) 359-1730
NPI assigned
Oct 19, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 31406 IA Primary
Specialist 174400000X 036093942 IL

Addresses

Primary practice location

5041 Utica Ridge Rd
Suite 100
Davenport, IA 52807-3480

Mailing address

5041 Utica Ridge Rd
Suite 100
Davenport, IA 52807-3480
Phone (563) 359-9696

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, IL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040617001665 IA Practitioner - Gastroenterology 3779567227 Reassigns benefits to 1 organization
I20041122000047 IL Practitioner - Gastroenterology 3779567227 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gastrointestinal Clinic of Quad Cities PCGroup PAC ID 6608768353, 9 clinicians

Practice addresses (Care Compare)

4340 7TH St
Moline, IL 61265-6867
Phone (309) 277-9220

5041 Utica Ridge Rd
Suite 100
Davenport, IA 52807-3480
Phone 5633599696110

Hospital & facility affiliations

  • Trinity Rock Island Hospital, Rock Island, IL, CCN 140280
  • Genesis HLTH System Dba Genesis MDL Ctr-Illini Hospital, Silvis, IL, CCN 140275
  • Trinity - Bettendorf Hospital, Bettendorf, IA, CCN 160104
  • Trinity Muscatine Hospital, Muscatine, IA, CCN 160013
  • Genesis Medical Center-Davenport Hospital, Davenport, IA, CCN 160033

Merit-based Incentive Payment System (MIPS)

Final score
20.78 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
69.25

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy131
Upper gastrointestinal (GI) endoscopy for acid reflux176

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
31406IAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Gastrointestinal Clinic of Quad Cities, P.C. CurrentSince Aug 1, 1996 Accepting new patients
St Luke'S Methodist Hospital Current Accepting new patients
Quad City Endoscopy, L.L.C. CurrentSince Mar 15, 2005 Accepting new patients

Locations

5041 Utica Ridge Rd
Ste 100
Davenport, IA 52807
Phone (563) 359-5490

545 Valley View Dr
Moline, IL 61265
Phone (309) 277-1180

4340 7th St
Moline, IL 61265
Phone (309) 277-5624

2508 25th St
Rock Island, IL 61201
Phone (309) 757-9220

Interoperability endpoints

  • Direct secure messaging: schintalapani92152@direct.unitypoint.org
  • Direct secure messaging: sreenivas.chintalapani@qcg.directbygreenway.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 5

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": "1129680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193616000000",
    "number": "1255320511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5041 UTICA RIDGE RD",
            "address_2": "SUITE 100",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528073480",
            "telephone_number": "563-359-9696",
            "fax_number": "563-359-1730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5041 UTICA RIDGE RD",
            "address_2": "SUITE 100",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528073480",
            "telephone_number": "563-359-9696",
            "fax_number": "563-359-1730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHINTALAPANI",
        "first_name": "SREENIVAS",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-19",
        "last_updated": "2007-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "IA",
            "license": "31406",
            "primary": true
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "IL",
            "license": "036093942",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davenport, IA

Sources for this page

Verify at the official NPI Registry.