Active NPI
Kari Ann Dodds
- Family Medicine Physician
- Davenport, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- R-9429
- Practice address
- 1345 W Central Park Ave
Davenport, IA 52804-1844 - Phone
- (563) 421-4400
- Fax
- (563) 421-4449
- NPI assigned
- Jun 6, 2012
- Last updated
- Jun 6, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | R-9429 | IA | Primary |
Addresses
Primary practice location
1345 W Central Park Ave
Davenport, IA 52804-1844
Mailing address
1345 W Central Park Ave
Davenport, IA 52804-1844
Phone (563) 421-4400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Des Moines University of Osteopathic Medicine and Health Sciences, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Unity HealthcareAdvanced Physical Therapy Services, LTD.Iowa Physicians Clinic Medical Foundation
Practice addresses (Care Compare)
1518 Mulberry Ave
Muscatine, IA 52761-3433
300 Tenney St
Kewanee, IL 61443-3452
Phone (309) 853-5500
3426 N Port Dr
Muscatine, IA 52761-2242
4311 E 53Rd St
Davenport, IA 52807-3860
Phone (563) 441-5860
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R-9429 | IA | MD | Family Medicine Physician |
| 4177 | TN | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Unity Healthcare | Current | Accepting new patients | |
| Unity Healthcare | Family Medicine | Current | Accepting new patients |
| Unity Healthcare | Family Medicine | Current | Accepting new patients |
| Trinity Regional Medical Center | Past | Accepting new patients |
Locations
1518 Mulberry Ave
Muscatine, IA 52761
Phone (563) 262-4110
3426 N Port Dr
Ste 100
Muscatine, IA 52761
Phone (563) 262-4101
400 Ovesen Dr
Wilton, IA 52778
Phone (563) 732-2121
Ownership & related parties
All facility ownership & control disclosures 1
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Unitypoint Clinic - North Port | Rural health clinic | Contracted Managing Employee Operational/Managerial Control |
Jul 1, 2021 Jul 1, 2021 |
Owned or controlled facilities with NPI records 1
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
dba Unitypoint Clinic - North Port
- Rural Health Clinic/Center
- Muscatine, IA
- NPI 1144872805
Contracted Managing Employee, Operational/Managerial Control
Organizations & group practices 4
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.
-
dba Unity Physician Clinics
- Internal Medicine Physician
- Muscatine, IA
- NPI 1629122742
Family Medicine
-
dba Unitypoint Clinic - Mulberry
- Rural Health Clinic/Center
- Muscatine, IA
- NPI 1447802400
-
dba Trinity Muscatine
- General Acute Care Hospital
- Muscatine, IA
- NPI 1861444333
Family Medicine
-
dba UnityPoint Clinic
- Emergency Medicine Physician
- Fort Dodge, IA
- NPI 1073594156
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Trinity Bettendorf
- General Acute Care Hospital
- Bettendorf, IA
- NPI 1124110820
-
dba Trinity Rock Island
- General Acute Care Hospital
- Rock Island, IL
- NPI 1316047632
-
- Home Health Agency
- Moline, IL
- NPI 1427351956
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1338940800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1338940800000",
"number": "1477814416",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1345 W CENTRAL PARK AVE",
"city": "DAVENPORT",
"state": "IA",
"postal_code": "528041844",
"telephone_number": "563-421-4400",
"fax_number": "563-421-4449"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1345 W CENTRAL PARK AVE",
"city": "DAVENPORT",
"state": "IA",
"postal_code": "528041844",
"telephone_number": "563-421-4400",
"fax_number": "563-421-4449"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DODDS",
"first_name": "KARI",
"middle_name": "ANN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-06-06",
"last_updated": "2012-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IA",
"license": "R-9429",
"primary": true
}
],
"identifiers": [],
"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 Jun 6, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- 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.