Individual provider Active NPI

Ilesh Amratlal Kurani, MD

  • Family Medicine Physician
  • Moline, IL
National Provider Identifier
1508838848
Registry record updated Sep 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036094638 Issued in IL
Practice address
4350 7TH St
Ste B
Moline, IL 61265-6890
Phone
(309) 517-1180
Fax
(309) 517-1113
NPI assigned
Feb 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 036094638 IL Primary

Addresses

Primary practice location

4350 7TH St
Ste B
Moline, IL 61265-6890

Mailing address

4350 7TH St
Ste B
Moline, IL 61265-6890
Phone (309) 517-1180

Other identifiers 1

IdentifierTypeStateIssuer
036-094638MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, IN2 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
I20101019000054 IL Practitioner - Family Practice 5395746440 Reassigns benefits to 2 organizations
I20160120001313 IN Practitioner - Family Practice 5395746440

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Quad Cities Wellness ClinicGroup PAC ID 5799207346, 3 clinicians

Practice addresses (Care Compare)

4350 7TH St
Suite B
Moline, IL 61265-6870
Phone (309) 517-1180

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions13

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036094638ILMDFamily Medicine Physician
036061174ILMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Quad Cities Wellness Clinic Family Medicine CurrentSince Feb 1, 2025 Accepting new patients
Jai Swaminarayan Inc Family Medicine CurrentSince Sep 19, 2011 Accepting new patients
Family Care Partners of the Quad Cities, P.C. Family Medicine PastSince Apr 30, 2003 Accepting new patients

Locations

4350 7th St
Ste B
Moline, IL 61265
Phone (309) 517-1180

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1138838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316736000000",
    "number": "1508838848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4350 7TH ST",
            "address_2": "STE B",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612656890",
            "telephone_number": "309-517-1180",
            "fax_number": "309-571-1113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4350 7TH ST",
            "address_2": "STE B",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612656890",
            "telephone_number": "309-517-1180",
            "fax_number": "309-517-1113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KURANI",
        "first_name": "ILESH",
        "middle_name": "AMRATLAL",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-02",
        "last_updated": "2011-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036094638",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036-094638",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Moline, IL

Sources for this page

Verify at the official NPI Registry.