NPIMap

Organization Active NPI

Urological Associates PC

  • Non-Pharmacy Dispensing Site
  • Davenport, IA
National Provider Identifier
1346229192
Registry record updated Nov 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Pharmacy Dispensing SiteTaxonomy code 332900000X
Legal business name
UROLOGICAL ASSOCIATES PC
Practice address
3319 Spring St Ste 202
Davenport, IA 52807-2125
Phone
(563) 359-1641
Fax
(563) 359-4634
NPI assigned
Jan 11, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2023

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

Authorized official

Name
Dr. David Paul Rohlf, M.D.NPI 1912900820
Title
President
Phone
(563) 359-1641

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X
Non-Pharmacy Dispensing Site 332900000X Primary

Addresses

Primary practice location

3319 Spring St Ste 202
Davenport, IA 52807-2125

Mailing address

3319 Spring St Ste 202
Davenport, IA 52807-2125
Phone (563) 359-1641

Other identifiers 4

IdentifierTypeStateIssuer
07364OtherIABLUE CROSS BLUE SHIELD
91338OtherILBLUE CROSS BLUE SHIELD
0904060MedicaidIA
0073643MedicaidIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, IL3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20040315000699 IA Part B Supplier - Clinic/Group Practice 7618866815 Receives reassigned benefits from 23 practitioners
Practice locations: Davenport, IA
O20051202000161 IL Part B Supplier - Clinic/Group Practice 7618866815 Receives reassigned benefits from 20 practitioners
Practice locations: Moline, IL
O20100930088093 IA DME Supplier - Physician - Urology 7618866815 Practice locations: Davenport, IA

National Provider Directory

National Provider Directory

Locations

240 N Bluff Blvd
Ste 103
Clinton, IA 52732
Phone (319) 243-5600

600 Valley View Dr
Ste 1
Moline, IL 61265

600 Valley View Dr
Ste 2
Moline, IL 61265

Practitioners & affiliated clinicians

Practitioners 25

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 25

NPI Registry JSON

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

{
    "created_epoch": "1136937600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1699833600000",
    "number": "1346229192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3319 SPRING ST STE 202",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528072125",
            "telephone_number": "563-359-1641",
            "fax_number": "563-359-4634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3319 SPRING ST STE 202",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528072125",
            "telephone_number": "563-359-1641",
            "fax_number": "563-359-4634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UROLOGICAL ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-11",
        "last_updated": "2023-11-13",
        "certification_date": "2023-10-31",
        "status": "A",
        "authorized_official_last_name": "ROHLF",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "563-359-1641",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "07364",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "91338",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0904060",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0073643",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Davenport, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.