Quad Cities Nephrology Associates, P.L.C., LLC

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

Legal business name

QUAD CITIES NEPHROLOGY ASSOCIATES, P.L.C., LLC

Practice address

400 John Deere Rd BLDG 1
Moline, IL 61265-6898

Phone

(309) 517-3036

Fax

(309) 797-1088

NPI assigned

Dec 6, 2006

Last updated

Jun 21, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Venkateswararao Alla, M.D.NPI 1669476339

Title

Medical Director

Phone

(309) 517-3036

Specialties & licenses 1

Addresses

Other identifiers 12

Locations

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Venkateswararao Alla, M.D.

  • Nephrology Physician
  • Moline, IL
  • NPI 1669476339
  Authorized official Same address or phone
• Rajendra Dahal, M.D.

  • Nephrology Physician
  • Moline, IL
  • NPI 1205830981
  NPD (past)
• Anwar Ahmed, MD

  • Nephrology Physician
  • Cedar Rapids, IA
  • NPI 1154377463
  NPD (past)
• Gregory A Bohn, MD

  • Surgery Physician
  • Tawas City, MI
  • NPI 1174597702
  NPD (past)
• Irena M Charysz-Birski, M.D.

  • Neurology Physician
  • Davenport, IA
  • NPI 1821076753
  NPD (past)
• Jason J Deutmeyer, MD

  • Surgery Physician
  • Bettendorf, IA
  • NPI 1104899095
  NPD (past)
• Kazi Imran Majeed, MD

  • Pediatrics Physician
  • Temple, TX
  • NPI 1669459798
  NPD (past)
• Chijioke Ejiofor Ogbu, M.D., MPH

  • Nephrology Physician
  • Corpus Christi, TX
  • NPI 1881897288
  NPD (past)
• John M Wright, M.D.

  • Neurology Physician
  • Des Moines, IA
  • NPI 1679550503
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1466467200000",
    "number": "1740349034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 JOHN DEERE RD BLDG 1",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612656898",
            "telephone_number": "309-517-3036",
            "fax_number": "309-797-1088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 JOHN DEERE RD BLDG 1",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612656898",
            "telephone_number": "309-517-3036",
            "fax_number": "309-797-1088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUAD CITIES NEPHROLOGY ASSOCIATES, P.L.C., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-06",
        "last_updated": "2016-06-21",
        "status": "A",
        "authorized_official_last_name": "ALLA",
        "authorized_official_first_name": "VENKATESWARARAO",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "309-517-3036",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036088655",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036103114",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036114547",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0510917",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK",
            "identifier": "56266",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK",
            "identifier": "93122",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLMARK ILLINOIS",
            "identifier": "93122",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036056049",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0175471",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR GP RA ONLY",
            "identifier": "DG2517",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS ILLINOIS",
            "identifier": "08100343",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS IL",
            "identifier": "08100343",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Nephrology Physician in Moline, IL
• Providers in Moline, IL by specialty
• Nephrology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.