Individual provider Active NPI

Sunita Kammila Penmatcha, M.D.

  • Rheumatology Physician
  • Bettendorf, IA
National Provider Identifier
1407065006
Registry record updated Jan 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
32381 Issued in IA
Practice address
3740 Utica Ridge Rd
Bettendorf, IA 52722-1624
Phone
(563) 359-4440
Fax
(563) 359-4644
NPI assigned
May 21, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X 32381 IA Primary

Addresses

Primary practice location

3740 Utica Ridge Rd
Bettendorf, IA 52722-1624

Mailing address

3740 Utica Ridge Rd
Suite a
Bettendorf, IA 52722-1624
Phone (563) 359-4440

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
I20080805000773 IA Practitioner - RheumatologyPractitioner - Internal Medicine 8325112550 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
RheumatologyAlso: Internal Medicine
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rheumatology Associates, PCGroup PAC ID 2264516558, 6 clinicians
Advanced Physical Therapy Services, LTD.Group PAC ID 9133101462, shared by 5 NPIs, 216 clinicians
Quad City Physical Therapy and SpineGroup PAC ID 1850332651, 29 clinicians

Practice addresses (Care Compare)

2979 Victoria St
Bettendorf, IA 52722-2784
Phone (563) 359-4440

300 Tenney St
Kewanee, IL 61443-3452
Phone (309) 853-5500

5254 Utica Ridge Rd
Davenport, IA 52807-3872
Phone (563) 359-3799

Hospital & facility affiliations

  • Northwestern Medicine Central Dupage Hospital Hospital, Winfield, IL, CCN 140242
  • Genesis Medical Center-Davenport Hospital, Davenport, IA, CCN 160033
  • Genesis HLTH System Dba Genesis MDL Ctr-Illini Hospital, Silvis, IL, CCN 140275
  • Hammond Henry Hospital Hospital, Geneseo, IL, CCN 141319
  • Mercyone Genesis Dewitt Medical Center Hospital, Dewitt, IA, CCN 161313

Merit-based Incentive Payment System (MIPS)

Final score
85.77 of 100Reported as group
Quality
88.01
Promoting interoperability
94
Improvement activities
40
Cost
69.57

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Rheumatology Associates, PC Rheumatology CurrentSince Sep 1, 2008 Accepting new patients
St Luke'S Methodist Hospital Current Accepting new patients

Locations

3740 Utica Ridge Rd
Ste A
Bettendorf, IA 52722
Phone (563) 359-4440

2979 Victoria St
Bettendorf, IA 52722
Phone (563) 332-8528

3740 Utica Ridge Rd
Bettendorf, IA 52722
Phone (563) 344-7400

Interoperability endpoints

  • Direct secure messaging: sunita.penmatcha.p1@direct.rapc.nextgenshare.com
  • Direct secure messaging: spenmatcha92427@direct.unitypoint.org
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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 6

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": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1232496000000",
    "number": "1407065006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3740 UTICA RIDGE RD",
            "address_2": "SUITE A",
            "city": "BETTENDORF",
            "state": "IA",
            "postal_code": "527221624",
            "telephone_number": "563-359-4440",
            "fax_number": "563-359-4644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3740 UTICA RIDGE RD",
            "city": "BETTENDORF",
            "state": "IA",
            "postal_code": "527221624",
            "telephone_number": "563-359-4440",
            "fax_number": "563-359-4644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PENMATCHA",
        "first_name": "SUNITA",
        "middle_name": "KAMMILA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-21",
        "last_updated": "2009-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "IA",
            "license": "32381",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bettendorf, IA

Sources for this page

Verify at the official NPI Registry.