Kurt A Andersen, MD
Individual provider Active NPI Family Medicine Physician · Davenport, IA
NPI 1477558799 · NPPES record last updated Jan 28, 2021
Key facts
- NPI
- 1477558799
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 32593 (IA)
- Practice address
- 1345 W Central Park Ave
Davenport, IA 52804-1844 - Phone
- (563) 421-4400
- Fax
- (563) 386-7349
- NPI assigned
- Jun 14, 2005
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 7
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No · DME: Yes · Home health: No · Power mobility devices: Yes · Hospice: No
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 32593 | IA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Genesis Health System | Current |
Accepting new patients | |
| Genesis Health System | Family Medicine | Current |
Accepting new patients |
| Mercy Health Services- Iowa Corp | Past |
Accepting new patients | |
| Covenant Medical Center, Inc. | Past |
Accepting new patients | |
| Genesis Medical Education Foundation Inc | Family Medicine | Past | Accepting new patients |
| Genesis Health System | Family Medicine | Past | Accepting new patients |
| Genesis Health System | Family Medicine | Past | Accepting new patients |
Locations
865 Lincoln Rd
Ste L10
Bettendorf, IA 52722
Phone (563) 355-9191
210 W 53rd St
Davenport, IA 52806
Phone (563) 386-3436
1345 W Central Park Ave
Davenport, IA 52804
Phone (563) 421-4400
1351 W Central Park Ave
Ste 340
Davenport, IA 52804
Phone (563) 421-1287
1401 W Central Park Ave
Davenport, IA 52804
Phone (563) 421-1900
3618 N Division St
Davenport, IA 52806
Phone (319) 391-4827
619 5th St
Durant, IA 52747
Phone (563) 785-4487
2560 24th St
Ste 202
Rock Island, IL 61201
Phone (309) 786-3395
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 32593 | IA | Yes |
Addresses
Primary practice location
1345 W Central Park Ave
Davenport, IA 52804-1844
Mailing address
865 Lincoln Rd
Ste L10
Bettendorf, IA 52722-4159
Phone (563) 355-9191
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 059360 | Other | HEALTH ALLIANCE | |
| 2157347 | Medicaid | IA | |
| 29883 | Other | IA | WELLMARK BC/BS |
| 50309 | Other | IOWA HEALTH SOLUTIONS | |
| 4796890006 | Other | DMERC |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | kurt.andersen@direct.genesishealth.com | Direct |
Other providers in Davenport, IA
- American Prosthetics & Orthotics, Inc.
- Amity Point, LLC
- Sameer Amra
- Anam Cara Corporation
- Christine Marie Anciaux
- Autumn Sage Anderson
- Blake J. Anderson
- Brett A Anderson
- David Allen Anderson
- Gary E Anderson
All providers in Davenport, IA · Family Medicine Physician in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 28, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.