Individual provider Active NPI

Amitkumar Patel, MD

  • Gastroenterology Physician
  • Moline, IL
National Provider Identifier
1598059826
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
036143487 Issued in IL
Practice address
545 Valley View Dr
Moline, IL 61265-6138
Phone
(309) 762-5560
Fax
(309) 743-9128
NPI assigned
Jun 3, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RG0100X 036143487 IL Primary

Addresses

Primary practice location

545 Valley View Dr
Moline, IL 61265-6138

Mailing address

545 Valley View Dr
Moline, IL 61265-6138
Phone (309) 762-5560

Other identifiers 2

IdentifierTypeStateIssuer
036143487OtherILLICENSE
336105008OtherILCONTROL SUBSTANCE

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
I20170824001791 IL Practitioner - Gastroenterology 9133491236 Reassigns benefits to 1 organization
I20201104000407 IA Practitioner - Gastroenterology 9133491236 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gastrointestinal Clinic of Quad Cities PCGroup PAC ID 6608768353, 9 clinicians

Practice addresses (Care Compare)

5041 Utica Ridge Rd
Suite 100
Davenport, IA 52807-3480
Phone 5633599696110

545 Valley View Dr
Moline, IL 61265-6138
Phone (309) 762-5560

Hospital & facility affiliations

  • Trinity Rock Island Hospital, Rock Island, IL, CCN 140280
  • Trinity - Bettendorf Hospital, Bettendorf, IA, CCN 160104
  • Genesis HLTH System Dba Genesis MDL Ctr-Illini Hospital, Silvis, IL, CCN 140275
  • Hammond Henry Hospital Hospital, Geneseo, IL, CCN 141319
  • Trinity Muscatine Hospital, Muscatine, IA, CCN 160013

Merit-based Incentive Payment System (MIPS)

Final score
16.81 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
56.02

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy390
Upper gastrointestinal (GI) endoscopy for acid reflux628

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
St Luke'S Methodist Hospital Current Accepting new patients
Gastrointestinal Clinic of Quad Cities, P.C. Multi-Specialty CurrentSince Aug 27, 2020 Accepting new patients

Locations

5041 Utica Ridge Rd
Ste 100
Davenport, IA 52807
Phone (563) 359-5490

4340 7th St
Moline, IL 61265
Phone (309) 277-5624

545 Valley View Dr
Moline, IL 61265
Phone (309) 277-1180

Interoperability endpoints

  • Direct secure messaging: apatel777647@direct.unitypoint.org
  • Direct secure messaging: amitkumar.patel@qcg.directbygreenway.com

Organizations & group practices 2

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": "1307059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1598059826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "545 VALLEY VIEW DR",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612656138",
            "telephone_number": "309-762-5560",
            "fax_number": "309-743-9128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "545 VALLEY VIEW DR",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612656138",
            "telephone_number": "309-762-5560",
            "fax_number": "309-743-9128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "AMITKUMAR",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-06-03",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "IL",
            "license": "036143487",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "036143487",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONTROL SUBSTANCE",
            "identifier": "336105008",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Moline, IL

Sources for this page

Verify at the official NPI Registry.