Individual provider Active NPI

Neeru Aggarwal, M.D.

  • Pediatrics Physician
  • Bettendorf, IA
National Provider Identifier
1467410084
Registry record updated Sep 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
31880 Issued in IA
Practice address
4321 53Rd Ave
Bettendorf, IA 52722-1269
Phone
(563) 421-5300
Fax
(563) 421-5309
NPI assigned
May 3, 2006
Last updated
Sep 29, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 31880 IA Primary

Addresses

Primary practice location

4321 53Rd Ave
Bettendorf, IA 52722-1269

Mailing address

4321 53Rd Ave
Bettendorf, IA 52722-1269
Phone (563) 421-5300

Other identifiers 6

IdentifierTypeStateIssuer
033327OtherHEALTH ALLIANCE
18966OtherMIDLANDS CHOICE
0154633MedicaidIA
41521OtherWELLMARK BC/BS
34033OtherIOWA HEALTH SOLUTIONS
IA0170OtherJOHN DEERE HEALTH

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address neeru.aggarwal@direct.genesishealth.com Direct

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
I20100104000063 IA Practitioner - Pediatric Medicine 5294624078 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
31880IAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Genesis Health System Pediatrics CurrentSince Jul 1, 2019 Accepting new patients
Genesis Health System CurrentSince Jul 1, 2019 Accepting new patients
Genesis Health System Past Accepting new patients
Obstetrics and Gynecology Specialists PC PastSince Jun 22, 2021 Accepting new patients
Genesis Health System Past Accepting new patients
Genesis Health System Past Accepting new patients

Locations

1227 E Rusholme St
Davenport, IA 52803
Phone (563) 324-8160

1351 W Central Park Ave
Ste 340
Davenport, IA 52804
Phone (563) 421-1287

210 W 53rd St
Davenport, IA 52806
Phone (563) 386-3436

619 5th St
Durant, IA 52747
Phone (563) 785-4487

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.1036
  • Direct secure messaging: neeru.aggarwal@direct.genesishealth.com

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790640000000",
    "number": "1467410084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4321 53RD AVE",
            "city": "BETTENDORF",
            "state": "IA",
            "postal_code": "527221269",
            "telephone_number": "563-421-5300",
            "fax_number": "563-421-5309"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4321 53RD AVE",
            "city": "BETTENDORF",
            "state": "IA",
            "postal_code": "527221269",
            "telephone_number": "563-421-5300",
            "fax_number": "563-421-5309"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AGGARWAL",
        "first_name": "NEERU",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-03",
        "last_updated": "2026-09-29",
        "certification_date": "2021-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IA",
            "license": "31880",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH ALLIANCE",
            "identifier": "033327",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MIDLANDS CHOICE",
            "identifier": "18966",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0154633",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK BC/BS",
            "identifier": "41521",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IOWA HEALTH SOLUTIONS",
            "identifier": "34033",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JOHN DEERE HEALTH",
            "identifier": "IA0170",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "neeru.aggarwal@direct.genesishealth.com",
            "affiliation": "N",
            "endpointDescription": "Genesis health System direct Email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "4321 53rd Ave",
            "city": "Bettendorf",
            "state": "IA",
            "country_code": "US",
            "postal_code": "527221269",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bettendorf, IA

Sources for this page

Verify at the official NPI Registry.