Active NPI
Medical Arts Associates, LTD.
- Internal Medicine Physician
- Moline, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- Legal business name
- MEDICAL ARTS ASSOCIATES, LTD.
- Practice address
- 600 John Deere Rd
Suite 200
Moline, IL 61265-6869 - Phone
- (309) 779-4200
- Fax
- (309) 779-4305
- NPI assigned
- Jan 11, 2006
- Last updated
- Feb 23, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Catherine A Levsen
- Title
- Administrator
- Phone
- (309) 779-4200
Specialties & licenses 10
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy & Immunology Physician | 207K00000X | NU | ||
| MOHS-Micrographic Surgery Physician | 207ND0101X | NU | ||
| Internal Medicine Physician | 207R00000X | NU | Primary | |
| Hematology & Oncology Physician | 207RH0003X | NU | ||
| Pulmonary Disease Physician | 207RP1001X | NU | ||
| Obstetrics & Gynecology Physician | 207V00000X | NU | ||
| Neurology Physician | 2084N0400X | NU | ||
| Diagnostic Radiology Physician | 2085R0202X | NU | ||
| Diagnostic Ultrasound Physician | 2085U0001X | NU | ||
| Foot & Ankle Surgery Podiatrist | 213ES0103X | NU |
Addresses
Primary practice location
600 John Deere Rd
Suite 200
Moline, IL 61265-6869
Mailing address
600 John Deere Rd
Suite 200
Moline, IL 61265-6869
Phone (309) 779-4200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8115563 | Other | IL | BLUE SHIELD IL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 2
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 14D0430744 | Medical Arts Associates, LTD | Compliance | Nov 30, 2027 |
National Provider Directory
National Provider DirectoryLocations
600 John Deere Rd
Ste 102
Moline, IL 61265
Phone (309) 779-4200
2701 17th St
#A
Rock Island, IL 61201
Phone (309) 779-4270
2701 17th St
Ste A
Rock Island, IL 61201
Phone (309) 779-4270
Practitioners & affiliated clinicians
Practitioners 26
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Dermatology Physician
- Moline, IL
- NPI 1215196316
-
- Allergy & Immunology Physician
- Moline, IL
- NPI 1982683264
-
- Internal Medicine Physician
- Moline, IL
- NPI 1811976137
-
- Obstetrics & Gynecology Physician
- Moline, IL
- NPI 1902879588
-
- Obstetrics & Gynecology Physician
- Moline, IL
- NPI 1770870222
-
- Internal Medicine Physician
- Moline, IL
- NPI 1679892707
-
- Internal Medicine Physician
- Moline, IL
- NPI 1437237542
-
- Dermatology Physician
- Moline, IL
- NPI 1073879128
-
- Internal Medicine Physician
- Moline, IL
- NPI 1538139100
-
- Internal Medicine Physician
- Moline, IL
- NPI 1912292582
-
- MOHS-Micrographic Surgery Physician
- Moline, IL
- NPI 1780655936
-
- Foot Surgery Podiatrist
- Moline, IL
- NPI 1104822691
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": "1614038400000",
"number": "1396724183",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 JOHN DEERE RD",
"address_2": "SUITE 200",
"city": "MOLINE",
"state": "IL",
"postal_code": "612656869",
"telephone_number": "309-779-4200",
"fax_number": "309-779-4305"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "600 JOHN DEERE RD",
"address_2": "SUITE 200",
"city": "MOLINE",
"state": "IL",
"postal_code": "612656869",
"telephone_number": "309-779-4200",
"fax_number": "309-779-4305"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEDICAL ARTS ASSOCIATES, LTD.",
"organizational_subpart": "NO",
"enumeration_date": "2006-01-11",
"last_updated": "2021-02-23",
"certification_date": "2021-02-23",
"status": "A",
"authorized_official_last_name": "LEVSEN",
"authorized_official_first_name": "CATHERINE",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "309-779-4200"
},
"taxonomies": [
{
"code": "207K00000X",
"taxonomy_group": "",
"desc": "Allergy & Immunology",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207ND0101X",
"taxonomy_group": "",
"desc": "Dermatology, MOHS-Micrographic Surgery",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "2085U0001X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Ultrasound",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD IL",
"identifier": "8115563",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Moline, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.