Active NPI
Taha Anwar
- Surgery Physician
- Davenport, IA
National Provider Identifier
1659721074
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 2016019975
- Practice address
- 3319 Spring St
Davenport, IA 52807-2125 - Phone
- (563) 359-1641
- Fax
- (563) 359-4634
- NPI assigned
- Jun 16, 2016
- Last updated
- May 2, 2022
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 2016019975 | MO | Primary |
Addresses
Primary practice location
3319 Spring St
Davenport, IA 52807-2125
Mailing address
1 Hospital Dr
Mc404
Columbia, MO 65212-1000
Phone (573) 884-2000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2016019975 | Other | MO | MISSOURI BOARD OF HEALING ARTS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Urology
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
3319 Spring St
Davenport, IA 52807-2125
Phone (563) 359-1641
600 Valley View Dr
Moline, IL 61265-6118
Phone (563) 359-2997
Hospital & facility affiliations
- Genesis Medical Center-Davenport
- Genesis HLTH System Dba Genesis MDL Ctr-Illini
- St Mary Medical Center
- Osf Saint Luke Medical Center
- Osf Holy Family Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 85.93 of 100
- Quality
- 76.66
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 76.43
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Prostate resection | 17 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spring Park Surgery Center L L C | Past | Accepting new patients |
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- taha.anwar.p1@direct.urologyqc.nextgenshare.com
- taha.anwar.p2@direct.urologyqc.nextgenshare.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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Ambulatory Surgical Clinic/Center
- Davenport, IA
- NPI 1073516795
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Genesis Medical Center Davenport
- General Acute Care Hospital
- Davenport, IA
- NPI 1972542264
-
dba Genesis Medical Center - Silvis
- General Acute Care Hospital
- Silvis, IL
- NPI 1427132604
-
dba Osf Holy Family Medical Center
- Critical Access Hospital
- Monmouth, IL
- NPI 1548393184
-
dba Osf Saint Luke Medical Center
- Critical Access Hospital
- Kewanee, IL
- NPI 1871919381
-
dba OSF Saint Mary Medical Center
- General Acute Care Hospital
- Galesburg, IL
- NPI 1164485363
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1466035200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1651449600000",
"number": "1659721074",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 HOSPITAL DR",
"address_2": "MC404",
"city": "COLUMBIA",
"state": "MO",
"postal_code": "652121000",
"telephone_number": "573-884-2000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3319 SPRING ST",
"city": "DAVENPORT",
"state": "IA",
"postal_code": "528072125",
"telephone_number": "563-359-1641",
"fax_number": "563-359-4634"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANWAR",
"first_name": "TAHA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-06-16",
"last_updated": "2022-05-02",
"certification_date": "2022-05-02",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "MO",
"license": "2016019975",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MISSOURI BOARD OF HEALING ARTS",
"identifier": "2016019975",
"state": "MO"
}
],
"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 May 2, 2022; 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.