Amenah Al-Juboori, MD

Individual provider Active NPI Endocrinology, Diabetes & Metabolism Physician · Bettendorf, IA

NPI 1700451697 · NPPES record last updated Jul 27, 2026

Key facts

NPI
1700451697
Entity type
Individual (NPI type 1)
Primary specialty
Endocrinology, Diabetes & Metabolism Physician 207RE0101X
License
MD-55550 (IA)
Practice address
2535 Maplecrest Rd Ste 10
Bettendorf, IA 52722-2799
Phone
(563) 421-4620
Fax
(563) 421-4625
NPI assigned
May 24, 2021
Sex
Female
Sole proprietor
No

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.

Medicare Care Compare profile

Specialty
Endocrinology
Education
Other, 2020
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1351 W Central Park Ave
Suite 4100
Davenport, IA 52804-1847

600 1St St NW
Suite 101
Mason City, IA 50401-2932

Medicare participation

Medicare fee-for-service enrollment
Enrolled in IA
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20260603000862 IA Practitioner - Endocrinology 4880134006 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X MD-55550 IA Yes

Addresses

Primary practice location

2535 Maplecrest Rd Ste 10
Bettendorf, IA 52722-2799

Mailing address

22 S Greene St
Baltimore, MD 21201-1544
Phone (410) 328-8667

Other practice location 1

2535 Maplecrest Rd Ste 13
Bettendorf, IA 52722-2794
Phone (563) 421-3261

Other providers in Bettendorf, IA

All providers in Bettendorf, IA · Endocrinology, Diabetes & Metabolism Physician in Iowa

Sources for this page

Verify at the official NPI Registry.