Individual provider Active NPI

Anne Mireille Metuge Ahone, MD

  • Internal Medicine Physician
  • Davenport, IA
National Provider Identifier
1669623583
Registry record updated Aug 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
40770 Issued in IA
Practice address
500 W River Dr
Davenport, IA 52801-1014
Phone
(563) 336-3000
Fax
(563) 336-3125
NPI assigned
Oct 9, 2008
Last updated
Aug 19, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 40770 IA Primary

Addresses

Primary practice location

500 W River Dr
Davenport, IA 52801-1014

Mailing address

500 W River Dr
Davenport, IA 52801-1014
Phone (563) 336-3000

Other identifiers 1

IdentifierTypeStateIssuer
19321924MedicaidIA

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
I20130701000611 IA Practitioner - Internal Medicine 8123268877 Reassigns benefits to 1 organization
I20210209002400 IL Practitioner - Internal Medicine 8123268877 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Health Care IncGroup PAC ID 9830008895, shared by 17 NPIs, 56 clinicians

Practice addresses (Care Compare)

1106 4TH Ave
Moline, IL 61265-1231
Phone (563) 327-2000

500 W River Dr
Davenport, IA 52801-1014
Phone (563) 336-3000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
40770IAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Care, Inc CurrentSince Nov 6, 2020 Accepting new patients
Community Health Care Inc CurrentSince Mar 11, 2013 Accepting new patients
Community Health Care, Inc. Current Accepting new patients
Community Health Care, Inc. Current Accepting new patients
Community Health Care Inc CurrentSince Mar 11, 2013 Accepting new patients
Community Health Care, Inc. Current Accepting new patients

Locations

925 S 4th St
Clinton, IA 52732
Phone (563) 205-3578

1510 E Rusholme St
Davenport, IA 52803
Phone (563) 359-6633

500 W River Dr
Davenport, IA 52801

2925 Cedar St
Ste 2
Muscatine, IA 52761
Phone (563) 263-7410

708 15th Ave
East Moline, IL 61244
Phone (309) 751-4023

1106 4th Ave
Moline, IL 61265
Phone (309) 623-4817

4101 John Deere Rd
Moline, IL 61265
Phone (309) 757-1905

2200 3rd Ave
Rock Island, IL 61201
Phone (309) 779-2094

2750 11th St
Rock Island, IL 61201
Phone (563) 327-2000

Interoperability endpoints

  • Direct secure messaging: ametugeahone635545@direct.ochin.org

Organizations & group practices 6

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.

Hospital & facility affiliations 1

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": "1223510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376870400000",
    "number": "1669623583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 W RIVER DR",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528011014",
            "telephone_number": "563-336-3000",
            "fax_number": "563-336-3125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 W RIVER DR",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528011014",
            "telephone_number": "563-336-3000",
            "fax_number": "563-336-3125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "METUGE AHONE",
        "first_name": "ANNE",
        "middle_name": "MIREILLE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-09",
        "last_updated": "2013-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IA",
            "license": "40770",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "19321924",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Davenport, IA

Sources for this page

Verify at the official NPI Registry.