Individual provider Active NPI

Lewis T Mann, M.D.

  • Nephrology Physician
  • Moline, IL
National Provider Identifier
1730530148
Registry record updated Jun 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
MD-47669 Issued in IA
Practice address
400 John Deere Rd BLDG 2
Moline, IL 61265-6898
Phone
(309) 517-3036
Fax
(309) 797-1088
NPI assigned
Jun 27, 2016
Last updated
Jun 24, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X R-10643 IA
Nephrology Physician 207RN0300X MD-47669 IA Primary

Addresses

Primary practice location

400 John Deere Rd BLDG 2
Moline, IL 61265-6898

Mailing address

420 NE Glen Oak Ave Ste 401
Peoria, IL 61603-3112
Phone (309) 676-8123

Other practice location 1

600 N College Ave Ste 220
Geneseo, IL 61254-1092
Phone (309) 517-3036

Other practice location 2

311 Parham St
Muscatine, IA 52761-2604
Phone (309) 517-3036

Other practice location 3

4480 Utica Ridge Rd Ste 2222
Bettendorf, IA 52722-1644
Phone (309) 517-3036

Other practice location 4

120 W Locust St
Davenport, IA 52803-2826
Phone (309) 517-3036

Other practice location 5

1514 Mulberry Ave Ste 302
Muscatine, IA 52761-3433
Phone (309) 517-3036

Other practice location 6

2623 17th St
Rock Island, IL 61201
Phone (309) 571-3036

Other practice location 7

880 Crosstown Ave
Silvis, IL 61282-1621
Phone (309) 517-3036

Other practice location 8

400 John Deere Rd Bldg 1
Moline, IL 61265-6898
Phone (309) 517-3036

Other practice location 9

4480 Utica Ridge Rd Ste 1130
Bettendorf, IA 52722-1644
Phone (309) 517-3036

Other practice location 10

1000 Health Center Dr
Mattoon, IL 61938-4644
Phone (217) 238-6247

Other practice location 11

101 W 2nd St
Dixon, IL 61021-3030
Phone (309) 517-3036

Other identifiers 2

IdentifierTypeStateIssuer
2504957MedicaidIA
036155111MedicaidIL

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
I20200915002516 IA Practitioner - Internal MedicinePractitioner - Hospitalist 7315230026 Reassigns benefits to 2 organizations
I20210506001236 IL Practitioner - NephrologyPractitioner - Internal Medicine 7315230026 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Hospitalist
Education
University of Iowa, RJ & L Carver College of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Renalcare Associates, S.C.Group PAC ID 7012818347, 48 clinicians
Sarah Bush Lincoln Health CenterGroup PAC ID 5092614867, 411 clinicians

Practice addresses (Care Compare)

120 W Locust St
Davenport, IA 52803-2826
Phone (309) 517-3036

400 John Deere Rd
BLDG 2
Moline, IL 61265-6898
Phone (309) 517-3036

420 NE Glen Oak Ave
Suite 401
Peoria, IL 61603-3112
Phone (217) 238-6247

4480 Utica Ridge Rd
Bettendorf, IA 52722-1644
Phone (309) 517-3036

Hospital & facility affiliations

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
Osf Multi-Specialty Group Internal Medicine CurrentSince Oct 1, 2021 Accepting new patients
Iowa Physicians Clinic Medical Foundation Internal Medicine CurrentSince Sep 14, 2020 Accepting new patients
Central PA Pharmacy LLC. Current Accepting new patients
Renalcare Associates, S.C. Nephrology CurrentSince Jul 1, 2021 Accepting new patients
Sarah Bush Lincoln Health Center Current Accepting new patients
Sarah Bush Lincoln Health Center CurrentSince Jun 1, 2022 Accepting new patients
Osf Multi-Specialty Group Internal Medicine CurrentSince Oct 1, 2021 Accepting new patients

Locations

4480 Utica Ridge Rd
Ste 1130
Bettendorf, IA 52722
Phone (563) 344-9977

4480 Utica Ridge Rd
Ste 160
Bettendorf, IA 52722
Phone (563) 742-5950

4480 Utica Ridge Rd
Ste 2222
Bettendorf, IA 52722
Phone (563) 742-3111

4480 Utica Ridge Rd
Ste 2230
Bettendorf, IA 52722
Phone (563) 742-5150

1026 A Ave NE
Cedar Rapids, IA 52402
Phone (319) 369-5970

120 W Locust St
Davenport, IA 52803
Phone (319) 323-3300

1514 Mulberry Ave
Ste 302
Muscatine, IA 52761
Phone (309) 571-3036

311 Parham St
Muscatine, IA 52761
Phone (309) 762-5570

101 W 2nd St
Dixon, IL 61021
Phone (815) 284-0555

600 N College Ave
Geneseo, IL 61254
Phone (309) 944-6431

600 N College Ave
Ste 110
Geneseo, IL 61254
Phone (309) 944-1595

600 N College Ave
Ste 220
Geneseo, IL 61254
Phone (309) 944-1595

1000 Health Center Dr
Mattoon, IL 61938
Phone (217) 258-2389

101 Professional Plz
Mattoon, IL 61938
Phone (217) 238-3730

400 John Deere Rd
Bldg 1
Moline, IL 61265
Phone (309) 762-5570

400 John Deere Rd
Bldg 2
Moline, IL 61265
Phone (309) 797-0594

1050 E Norris Dr
Ste 2C
Ottawa, IL 61350
Phone (815) 431-0785

420 NE Glen Oak Ave
Ste 401
Peoria, IL 61603
Phone (309) 624-9259

8600 State Route 91
Ste 130
Peoria, IL 61615
Phone (309) 683-5050

2623 17th St
Rock Island, IL 61201
Phone (309) 786-1400

880 Crosstown Ave
Silvis, IL 61282
Phone (309) 792-3517

Interoperability endpoints

  • Direct secure messaging: lmann31716@direct.acumenmd.com
  • Direct secure messaging: lmann774266@direct.unitypoint.org

Organizations & group practices 8

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 8

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.

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    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782259200000",
    "number": "1730530148",
    "addresses": [
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            "address_1": "420 NE GLEN OAK AVE STE 401",
            "city": "PEORIA",
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        },
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            "postal_code": "612656898",
            "telephone_number": "309-517-3036",
            "fax_number": "309-797-1088"
        }
    ],
    "practiceLocations": [
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        {
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            "telephone_number": "309-517-3036",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4480 Utica Ridge Rd Ste 2222",
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            "country_name": "United States",
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        },
        {
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            "country_code": "US",
            "telephone_number": "309-517-3036",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1514 Mulberry Ave Ste 302",
            "address_purpose": "LOCATION",
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            "postal_code": "527613433",
            "country_code": "US",
            "telephone_number": "309-517-3036",
            "fax_number": "309-676-8455",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2623 17th St",
            "address_purpose": "LOCATION",
            "city": "Rock Island",
            "state": "IL",
            "postal_code": "61201",
            "country_code": "US",
            "telephone_number": "309-571-3036",
            "fax_number": "309-676-8455",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "880 Crosstown Ave",
            "address_purpose": "LOCATION",
            "city": "Silvis",
            "state": "IL",
            "postal_code": "612821621",
            "country_code": "US",
            "telephone_number": "309-517-3036",
            "fax_number": "309-676-8455",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 John Deere Rd Bldg 1",
            "address_purpose": "LOCATION",
            "city": "Moline",
            "state": "IL",
            "postal_code": "612656898",
            "country_code": "US",
            "telephone_number": "309-517-3036",
            "fax_number": "309-676-8455",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4480 Utica Ridge Rd Ste 1130",
            "address_purpose": "LOCATION",
            "city": "Bettendorf",
            "state": "IA",
            "postal_code": "527221644",
            "country_code": "US",
            "telephone_number": "309-517-3036",
            "fax_number": "309-676-8455",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1000 Health Center Dr",
            "address_purpose": "LOCATION",
            "city": "Mattoon",
            "state": "IL",
            "postal_code": "619384644",
            "country_code": "US",
            "telephone_number": "217-238-6247",
            "fax_number": "217-258-4175",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "101 W 2nd St",
            "address_purpose": "LOCATION",
            "city": "Dixon",
            "state": "IL",
            "postal_code": "610213030",
            "country_code": "US",
            "telephone_number": "309-517-3036",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANN",
        "first_name": "LEWIS",
        "middle_name": "T",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-27",
        "last_updated": "2026-06-24",
        "certification_date": "2026-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IA",
            "license": "R-10643",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "IA",
            "license": "MD-47669",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2504957",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036155111",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Moline, IL

Sources for this page

Verify at the official NPI Registry.