Active NPI
Amanda M Motto, DO
- Family Medicine Physician
- Davenport, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 3972
- Practice address
- 5359 Eastern Ave
Davenport, IA 52807-2738 - Phone
- (563) 742-5900
- Fax
- (563) 742-5905
- NPI assigned
- Apr 3, 2009
- 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 | 3972 | IA | Primary |
Addresses
Primary practice location
5359 Eastern Ave
Davenport, IA 52807-2738
Mailing address
5359 Eastern Ave
Davenport, IA 52807-2738
Phone (563) 742-5900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578705653 | Medicaid | IA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20090709000730 | IA | Practitioner - Family Practice | 8820140510 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Iowa Physicians Clinic Medical Foundation
Practice addresses (Care Compare)
4311 E 53Rd St
Davenport, IA 52807-3860
Phone (563) 441-5860
4480 Utica Ridge Rd
Bettendorf, IA 52722-1644
4480 Utica Ridge Rd
Suite 160
Bettendorf, IA 52722-1637
Phone (563) 742-5950
Hospital & facility affiliations
- Mercyone Genesis
- Trinity - Bettendorf
- Genesis Medical Center-Davenport
- Trinity Rock Island
- Genesis HLTH System Dba Genesis MDL Ctr-Illini
- Ridgecrest Village
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3972 | IA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Iowa Physicians Clinic Medical Foundation | Family Medicine | Current | Accepting new patients |
| St Luke'S Methodist Hospital | Current | Accepting new patients |
Locations
4480 Utica Ridge Rd
Ste 160
Bettendorf, IA 52722
Phone (563) 742-5950
4480 Utica Ridge Rd
Ste 2230
Bettendorf, IA 52722
Phone (563) 742-5150
4500 Utica Ridge Rd
Bettendorf, IA 52722
Phone (563) 742-2724
3411 Spring St
Davenport, IA 52807
Phone (563) 359-4200
5359 Eastern Ave
Davenport, IA 52807
Phone (563) 355-6626
4317 E 53rd St
Davenport, IA 52807
Phone (309) 779-4800
Interoperability endpoints
- amotto92387@direct.unitypoint.org
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 and National Provider Directory roles.
-
- General Practice Physician
- West Des Moines, IA
- NPI 1366425274
Family Medicine, IA
-
- Clinical Medical Laboratory
- Cedar Falls, IA
- NPI 1538617840
-
- General Acute Care Hospital
- Cedar Rapids, IA
- NPI 1083708226
Hospital & facility affiliations 6
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": "1238716800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1326931200000",
"number": "1578705653",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5359 EASTERN AVE",
"city": "DAVENPORT",
"state": "IA",
"postal_code": "528072738",
"telephone_number": "563-742-5900",
"fax_number": "563-742-5905"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5359 EASTERN AVE",
"city": "DAVENPORT",
"state": "IA",
"postal_code": "528072738",
"telephone_number": "563-742-5900",
"fax_number": "563-742-5905"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOTTO",
"first_name": "AMANDA",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-04-03",
"last_updated": "2012-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IA",
"license": "3972",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1578705653",
"state": "IA"
}
],
"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 Jan 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; 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.