Individual provider Active NPI

Mohammed Irshad, M.D.

  • Gastroenterology Physician
  • Clinton, IA
National Provider Identifier
1508854589
Registry record updated Oct 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
34541 Issued in IA
Practice address
638 S Bluff Blvd
Clinton, IA 52732-4742
Phone
(563) 244-5900
Fax
(563) 244-2801
NPI assigned
Oct 12, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 34541 IA Primary

Addresses

Primary practice location

638 S Bluff Blvd
Clinton, IA 52732-4742

Mailing address

638 S Bluff Blvd
Clinton, IA 52732-4742
Phone (563) 244-5900

Other identifiers 11

IdentifierTypeStateIssuer
036086296MedicaidIL
236173OtherMIDLANDS CHOICE
P00144291OtherIARAILROAD MEDICARE
207287608MedicaidMO
2255364MedicaidIA
P00456174OtherIARR MC MSC
201487OtherIOWA HEALTH SOLUTIONS
IA01B1OtherJOHN DEERE HC-RIV. VALLEY
097743OtherHEALTH ALLIANCE
37072OtherWELLMARK BC/BS
1508854589MedicaidIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, IL2 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
I20040909001004 IA Practitioner - GastroenterologyPractitioner - Internal Medicine 1759374788 Reassigns benefits to 2 organizations
I20041001001019 IL Practitioner - Gastroenterology 1759374788 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Genesis Health SystemGroup PAC ID 6103829338, 262 clinicians
Swedishamerican HospitalGroup PAC ID 5799698346, 386 clinicians

Practice addresses (Care Compare)

1227 E Rusholme St
Davenport, IA 52803-2459

1401 E State St
Rockford, IL 61104-2315
Phone (815) 489-4400

4700 E 56TH St
Davenport, IA 52807-2904

Hospital & facility affiliations

  • Genesis Medical Center-Davenport Hospital, Davenport, IA, CCN 160033
  • Mercyone Genesis Dewitt Medical Center Hospital, Dewitt, IA, CCN 161313
  • Genesis HLTH System Dba Genesis MDL Ctr-Illini Hospital, Silvis, IL, CCN 140275
  • Uw Health Hospital, Rockford, IL, CCN 140228
  • Mercyone Clinton Medical Center Hospital, Clinton, IA, CCN 160080

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy120
Upper gastrointestinal (GI) endoscopy for acid reflux229

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34541IAMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Specialty Clinic CurrentSince Dec 3, 2007 Accepting new patients
Mercy Specialty Clinic CurrentSince Dec 3, 2007 Accepting new patients
Genesis Health System CurrentSince Aug 9, 2021 Accepting new patients
Medical Associates of Clinton, Iowa P.L.C. Gastroenterology Current Accepting new patients
Genesis Health System CurrentSince Aug 9, 2021 Accepting new patients
Consultants in Gastroenterology, PC PastSince Jul 11, 2011 Accepting new patients
Excel Anesthesia, LLC Past Accepting new patients
Genesis Health System Past Accepting new patients

Locations

865 Lincoln Rd
Ste 100
Bettendorf, IA 52722
Phone (563) 355-1000

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

638 S Bluff Blvd
Clinton, IA 52732
Phone (563) 243-5601

4700 E 56th St
Ste 100
Davenport, IA 52807
Phone (563) 383-2667

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

621 S Illinois Ave
Ste 103
Mason City, IA 50401

1705 16th Ave
Fulton, IL 61252
Phone (815) 589-2121

4350 7th St
Ste C
Moline, IL 61265
Phone (309) 757-0083

303 N Jackson St
Morrison, IL 61270
Phone (815) 772-4003

Interoperability endpoints

  • Direct secure messaging: mirshad4458540@direct.trinity-health.org

Organizations & group practices 9

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.

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": "1129075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222905600000",
    "number": "1508854589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "638 S BLUFF BLVD",
            "city": "CLINTON",
            "state": "IA",
            "postal_code": "527324742",
            "telephone_number": "563-244-5900",
            "fax_number": "563-244-2801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "638 S BLUFF BLVD",
            "city": "CLINTON",
            "state": "IA",
            "postal_code": "527324742",
            "telephone_number": "563-244-5900",
            "fax_number": "563-244-2801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IRSHAD",
        "first_name": "MOHAMMED",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-12",
        "last_updated": "2008-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "IA",
            "license": "34541",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036086296",
            "state": "IL"
        },
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            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MIDLANDS CHOICE",
            "identifier": "236173",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
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        },
        {
            "code": "05",
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            "issuer": null,
            "identifier": "207287608",
            "state": "MO"
        },
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            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2255364",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MC MSC",
            "identifier": "P00456174",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IOWA HEALTH SOLUTIONS",
            "identifier": "201487",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JOHN DEERE HC-RIV. VALLEY",
            "identifier": "IA01B1",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH ALLIANCE",
            "identifier": "097743",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK BC/BS",
            "identifier": "37072",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1508854589",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton, IA

Sources for this page

Verify at the official NPI Registry.