Individual provider Active NPI

Jana Van Rybroek

  • Obstetrics & Gynecology Physician
  • Davenport, IA
National Provider Identifier
1265877591
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
DO-04978 Issued in IA
Practice address
5350 Eastern Ave
Davenport, IA 52807-2709
Phone
(563) 355-1853
NPI assigned
Apr 30, 2013
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X DO-04978 IA Primary

Addresses

Primary practice location

5350 Eastern Ave
Davenport, IA 52807-2709

Mailing address

5350 Eastern Ave
Davenport, IA 52807-2709
Phone (563) 355-1853

Other practice location 1

1 Genesys Pkwy
Grand Blanc, MI 48439-8065
Phone (810) 606-5127

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170817003812 IA Practitioner - Obstetrics/Gynecology 6507186723 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Obstetrics and Gynecology Specialists PCGroup PAC ID 8426947813, 8 clinicians

Practice addresses (Care Compare)

5350 Eastern Ave
Davenport, IA 52807-2709
Phone (563) 355-1853

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Iowa Physicians Clinic Medical Foundation Obstetrics & Gynecology CurrentSince Feb 15, 2026 Accepting new patients
Obstetrics and Gynecology Specialists PC Obstetrics & Gynecology CurrentSince Aug 1, 2017 Accepting new patients
Genesis Health System Past Accepting new patients

Locations

4480 Utica Ridge Rd
Ste 1140
Bettendorf, IA 52722
Phone (563) 359-9805

5350 Eastern Ave
Davenport, IA 52807
Phone (563) 355-1853

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.1036

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1367280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1265877591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5350 EASTERN AVE",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528072709",
            "telephone_number": "563-355-1853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5350 EASTERN AVE",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528072709",
            "telephone_number": "563-355-1853"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Genesys Pkwy",
            "address_purpose": "LOCATION",
            "city": "Grand Blanc",
            "state": "MI",
            "postal_code": "484398065",
            "country_code": "US",
            "telephone_number": "810-606-5127",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VAN RYBROEK",
        "first_name": "JANA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-30",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IA",
            "license": "DO-04978",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Davenport, IA

Sources for this page

Verify at the official NPI Registry.