Active NPI
Naveen R Kanathur, MD
- Pulmonary Disease Physician
- Bettendorf, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 41197
- Practice address
- 4480 Utica Ridge Rd
Suite 108
Bettendorf, IA 52722-1656 - Phone
- (563) 742-5250
- Fax
- (563) 742-5255
- NPI assigned
- Jun 15, 2005
- Last updated
- Feb 5, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | 040317 | CT | |
| Pulmonary Disease Physician | 207RP1001X | 41197 | IA | Primary |
| Pulmonary Disease Physician | 207RP1001X | 036.133781 | IL |
Addresses
Primary practice location
4480 Utica Ridge Rd
Suite 108
Bettendorf, IA 52722-1656
Mailing address
4480 Utica Ridge Rd
Suite 108
Bettendorf, IA 52722-1656
Phone (563) 742-5250
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P01362492 | Other | IA | RR MEDICARE |
| P01362487 | Other | IL | RR MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Critical Care (Intensivists)
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1518 Mulberry Ave
Muscatine, IA 52761-3433
Phone (563) 264-9100
2560 24TH St
Rock Island, IL 61201-5389
2570 24TH St
Rock Island, IL 61201-5394
2701 17TH St
Rock Island, IL 61201-5351
Phone (309) 779-5000
4480 Utica Ridge Rd
Suite 160
Bettendorf, IA 52722-1637
Phone (563) 742-5950
4500 Utica Ridge Rd
Bettendorf, IA 52722-1626
Phone (563) 742-5000
500 John Deere Rd
Moline, IL 61265-6892
Phone (309) 779-5000
Hospital & facility affiliations
- Trinity Rock Island
- Trinity - Bettendorf
- Trinity Muscatine
- Hammond Henry Hospital
- Genesis HLTH System Dba Genesis MDL Ctr-Illini
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.54 of 100
- Quality
- 87.45
- Promoting interoperability
- 84
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 41197 | IA | MD | Pulmonary Disease Physician |
| 036.133781 | IL | MD | Pulmonary Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trinity Medical Center | Current | Accepting new patients | |
| St Luke's Methodist Hospital | Current | Accepting new patients |
Locations
4500 Utica Ridge Rd
Bettendorf, IA 52722
Phone (563) 742-2724
2701 17th St
Rock Island, IL 61201
Phone (309) 779-3200
Interoperability endpoints
- nkanathur155301@direct.unitypoint.org
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.
-
- Emergency Medicine Physician
- Rock Island, IL
- NPI 1568414134
-
- General Acute Care Hospital
- Cedar Rapids, IA
- NPI 1083708226
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Trinity Bettendorf
- General Acute Care Hospital
- Bettendorf, IA
- NPI 1124110820
-
dba Genesis Medical Center - Silvis
- General Acute Care Hospital
- Silvis, IL
- NPI 1427132604
-
dba Hammond Henry Hospital
- Critical Access Hospital
- Geneseo, IL
- NPI 1457344491
-
dba Trinity Rock Island
- General Acute Care Hospital
- Rock Island, IL
- NPI 1316047632
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118793600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1423094400000",
"number": "1326043514",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4480 UTICA RIDGE RD",
"address_2": "SUITE 108",
"city": "BETTENDORF",
"state": "IA",
"postal_code": "527221656",
"telephone_number": "563-742-5250",
"fax_number": "563-742-5255"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4480 UTICA RIDGE RD",
"address_2": "SUITE 108",
"city": "BETTENDORF",
"state": "IA",
"postal_code": "527221656",
"telephone_number": "563-742-5250",
"fax_number": "563-742-5255"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KANATHUR",
"first_name": "NAVEEN",
"middle_name": "R",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-15",
"last_updated": "2015-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "CT",
"license": "040317",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "IA",
"license": "41197",
"primary": true
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "IL",
"license": "036.133781",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P01362492",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "P01362487",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bettendorf, IA
- Joseph Kadavy
- Mudappa Karineravanda Kalaiah, MD
- Kaminski Pain and Performance Care,P.C.
- Kathleen Marie Kaminski, D.C.
- Robert Thomas Kaminski, D.C.
- Francis Leo Kane, MD
- Maruti Ratan Kari, M.D., M.P.H.
- Karin S. Campion, LLC (Synergy Chiropractic & Holistic Health)
- Thielen A Karll, DC
- Kimberly Karnstedt, NP-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2015; 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.