Individual provider Active NPI

Rafat F Padaria, M.D.

  • Cardiovascular Disease Physician
  • Davenport, IA
National Provider Identifier
1497734388
Registry record updated Feb 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
35269 Issued in IA
Practice address
1236 E Rusholme St
Suite 300
Davenport, IA 52803-2473
Phone
(563) 324-2992
Fax
(563) 888-0499
NPI assigned
Jan 10, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 35269 IA Primary

Addresses

Primary practice location

1236 E Rusholme St
Suite 300
Davenport, IA 52803-2473

Mailing address

1236 E Rusholme St
Suite 300
Davenport, IA 52803-2473
Phone (563) 324-2992

Other identifiers 3

IdentifierTypeStateIssuer
036109923MedicaidIL
2424358MedicaidIA
P00064262OtherMEDICARE RAILROAD

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rafat.padariamd.p1@direct.cvmedpc.nextgenshare.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, IA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040123001056 IL Practitioner - Cardiovascular Disease (Cardiology) 7911809488 Reassigns benefits to 4 organizations
I20040414000640 IA Practitioner - Cardiovascular Disease (Cardiology) 7911809488 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cardiovascular Medicine PLLCGroup PAC ID 2264334721, 50 clinicians
Genesis Health SystemGroup PAC ID 7214841436, 217 clinicians

Practice addresses (Care Compare)

1100 36TH Ave
Moline, IL 61265-7127
Phone (309) 743-6700

1118 11TH St
De Witt, IA 52742-1353
Phone (563) 242-7522

1236 E Rusholme
Suite 300
Davenport, IA 52803-2473

1236 E Rusholme St
Davenport, IA 52803-2473
Phone (563) 324-2992

210 W Elk St
Geneseo, IL 61254-1067
Phone (309) 944-4625

2635 Lincoln Way
Clinton, IA 52732-7226
Phone (563) 324-2992

Hospital & facility affiliations

  • Genesis Medical Center-Davenport Hospital, Davenport, IA, CCN 160033
  • Hammond Henry Hospital Hospital, Geneseo, IL, CCN 141319
  • Genesis HLTH System Dba Genesis MDL Ctr-Illini Hospital, Silvis, IL, CCN 140275
  • Mercyone Genesis Dewitt Medical Center Hospital, Dewitt, IA, CCN 161313
  • Trinity Muscatine Hospital, Muscatine, IA, CCN 160013

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal258

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
CGH Medical Center CurrentSince Feb 18, 2019 Accepting new patients
Genesis Health System CurrentSince Jul 1, 2006 Accepting new patients
CGH Medical Center CurrentSince Feb 18, 2019 Accepting new patients
Mercy Specialty Clinic CurrentSince Oct 1, 2024 Accepting new patients
Genesis Health System CurrentSince Apr 3, 2008 Accepting new patients
Trinity Medical Center Current Accepting new patients
Cardiovascular Medicine PLLC Cardiovascular Disease CurrentSince Oct 6, 2003 Accepting new patients
Genesis Health System CurrentSince Jul 1, 2006 Accepting new patients
Trinity Medical Center Cardiovascular Disease CurrentSince Jun 1, 2006 Accepting new patients
CGH Medical Center Current Accepting new patients
St Luke'S Methodist Hospital Current Accepting new patients
Mercy Specialty Clinic CurrentSince Oct 1, 2024 Accepting new patients
Genesis Health System Current Accepting new patients
Medical Associates of Clinton, Iowa P.L.C. Cardiovascular Disease Current Accepting new patients

Locations

4500 Utica Ridge Rd
Bettendorf, IA 52722
Phone (563) 742-2724

915 13th Ave N
Clinton, IA 52732
Phone (319) 243-2511

1410 N 4th St
Clinton, IA 52732
Phone (563) 244-5555

1236 E Rusholme St
Ste 300
Davenport, IA 52803
Phone (319) 324-2992

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

1401 W Central Park Ave
Davenport, IA 52804
Phone (563) 421-1900

1118 11th St
De Witt, IA 52742
Phone (563) 242-7522

621 S Illinois Ave
Ste 103
Mason City, IA 50401

600 N College Ave
Geneseo, IL 61254
Phone (309) 944-6431

210 W Elk St
Geneseo, IL 61254
Phone (309) 743-6700

1100 36th Ave
Moline, IL 61265
Phone (309) 743-6700

2701 17th St
Rock Island, IL 61201
Phone (309) 779-3200

801 Illini Dr
Silvis, IL 61282
Phone (309) 281-4000

101 E Miller Rd
Sterling, IL 61081
Phone (815) 632-5285

Interoperability endpoints

  • Direct secure messaging: rpadaria20936@cghmc.direct-ci.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: rpadaria92411@direct.unitypoint.org

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 5

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": "1136851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1612915200000",
    "number": "1497734388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1236 E RUSHOLME ST",
            "address_2": "SUITE 300",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528032473",
            "telephone_number": "563-324-2992",
            "fax_number": "563-888-0499"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1236 E RUSHOLME ST",
            "address_2": "SUITE 300",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528032473",
            "telephone_number": "563-324-2992",
            "fax_number": "563-888-0499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PADARIA",
        "first_name": "RAFAT",
        "middle_name": "F",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-10",
        "last_updated": "2021-02-10",
        "certification_date": "2021-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IA",
            "license": "35269",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036109923",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2424358",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00064262",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rafat.padariamd.p1@direct.cvmedpc.nextgenshare.com",
            "affiliation": "N",
            "address_1": "1236 E Rusholme St",
            "address_2": "Suite 300",
            "city": "Davenport",
            "state": "IA",
            "country_code": "US",
            "postal_code": "528032473",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Davenport, IA

Sources for this page

Verify at the official NPI Registry.