Active NPI
Richard B Kasper, MD
- Family Medicine Physician
- Bettendorf, IA
National Provider Identifier
1639167307
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 21017
- Practice address
- 4017 Devils Glen Rd
Ste 100
Bettendorf, IA 52722-7221 - Phone
- (563) 332-6387
- Fax
- (563) 332-9197
- NPI assigned
- Oct 7, 2005
- Sex
- Male
- 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 | 21017 | IA | Primary |
Addresses
Primary practice location
4017 Devils Glen Rd
Ste 100
Bettendorf, IA 52722-7221
Mailing address
865 Lincoln Rd
Ste L10
Bettendorf, IA 52722-4190
Phone (563) 355-9191
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 18471 | Other | IA | WELLMARK HEALTH PLAN |
| IA01N5 | Other | JOHN DEERE HEALTH PLAN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21017 | IA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Genesis Health System | Family Medicine | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Family Medicine Physician
- Davenport, IA
- NPI 1477654945
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128643200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1639167307",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "865 LINCOLN RD",
"address_2": "STE L10",
"city": "BETTENDORF",
"state": "IA",
"postal_code": "527224190",
"telephone_number": "563-355-9191",
"fax_number": "563-355-3419"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4017 DEVILS GLEN RD",
"address_2": "STE 100",
"city": "BETTENDORF",
"state": "IA",
"postal_code": "527227221",
"telephone_number": "563-332-6387",
"fax_number": "563-332-9197"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KASPER",
"first_name": "RICHARD",
"middle_name": "B",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-07",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IA",
"license": "21017",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLMARK HEALTH PLAN",
"identifier": "18471",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "JOHN DEERE HEALTH PLAN",
"identifier": "IA01N5",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bettendorf, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.