NPIMap

Individual provider Active NPI

Todd Michael Wenck, MD

  • Family Medicine Physician
  • Bettendorf, IA
National Provider Identifier
1750353595
Registry record updated Jul 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
34193 Issued in IA
Practice address
3740 Utica Ridge Rd
Ste B
Bettendorf, IA 52722-1624
Phone
(563) 344-7400
Fax
(563) 359-9395
NPI assigned
Feb 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 34193 IA Primary
Family Medicine Physician 207Q00000X 036107635 IL

Addresses

Primary practice location

3740 Utica Ridge Rd
Ste B
Bettendorf, IA 52722-1624

Mailing address

3740 Utica Ridge Rd
Ste B
Bettendorf, IA 52722-1624
Phone (563) 344-7400

Other identifiers 8

IdentifierTypeStateIssuer
036107635OtherILLIC #
35176OtherIABCBS
P00109991OtherMEDICARE RAILROAD
34193OtherIALIC #
1214049MedicaidIA
8122900OtherILBCBS GROUP NUMBER
036-107635MedicaidIL
087306OtherHEALTH ALLIANCE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031106000646 IA Practitioner - Family Practice 0840103800 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Iowa, RJ & L Carver College of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Unity HealthcareGroup PAC ID 8224931548, shared by 7 NPIs, 65 clinicians
Iowa Physicians Clinic Medical FoundationGroup PAC ID 8729992318, 1,254 clinicians

Practice addresses (Care Compare)

1518 Mulberry Ave
Muscatine, IA 52761-3433

3740 Utica Ridge Rd
Suite B
Bettendorf, IA 52722-1624
Phone (563) 344-7400

Hospital & facility affiliations

  • Unity Point at Home Home health agency, Moline, IL, CCN 147009
  • Genesis Vna Home health agency, Bettendorf, IA, CCN 167012
  • Unitypoint Hospice Hospice, Moline, IL, CCN 141583
  • Trinity Rock Island Hospital, Rock Island, IL, CCN 140280
  • Trinity - Bettendorf Hospital, Bettendorf, IA, CCN 160104
  • Genesis Medical Center-Davenport Hospital, Davenport, IA, CCN 160033
  • Trinity Muscatine Hospital, Muscatine, IA, CCN 160013
  • Genesis HLTH System Dba Genesis MDL Ctr-Illini Hospital, Silvis, IL, CCN 140275

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
34193IAMDFamily Medicine Physician
036107635ILMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Luke'S Methodist Hospital Current Accepting new patients
Iowa Physicians Clinic Medical Foundation Family Medicine CurrentSince Dec 1, 2018 Accepting new patients
Unity Healthcare CurrentSince May 1, 2024 Accepting new patients
Unity Healthcare Family Medicine Current Accepting new patients
Unity Healthcare Family Medicine CurrentSince May 1, 2024 Accepting new patients
Trinity Regional Medical Center Past Accepting new patients

Locations

3740 Utica Ridge Rd
Ste B
Bettendorf, IA 52722
Phone (563) 344-7400

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

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

1518 Mulberry Ave
Ste 201
Muscatine, IA 52761
Phone (563) 262-4110

1518 Mulberry Ave
Muscatine, IA 52761
Phone (563) 262-4110

8101 Birchwood Ct
Unit R
Urbandale, IA 50131
Phone (515) 471-9363

400 Ovesen Dr
Wilton, IA 52778
Phone (563) 732-2121

555 Valley View Dr
Moline, IL 61265
Phone (309) 764-9675

Interoperability endpoints

  • Direct secure messaging: twenck92560@direct.unitypoint.org

Ownership & related parties

All facility ownership & control disclosures 12

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Unitypoint at HomeUrbandale, IA, CCN 167148A Home health agency Corporate Director Jan 1, 2021
Unitypoint at HomeSioux City, IA, CCN 167159 Home health agency Corporate Director Jan 1, 2021
Unitypoint at HomeFort Dodge, IA, CCN 167149 Home health agency Corporate Director Jan 1, 2021
Unitypoint at HomeMoline, IL, CCN 147009 Home health agency Corporate Director Jan 1, 2021
Unitypoint at HomeWaterloo, IA, CCN 167147 Home health agency Corporate Director Jan 1, 2021
Unitypoint at HomeStorm Lake, IA, CCN 167180 Home health agency Corporate Director Jan 1, 2021
Unitypoint at HomeCedar Rapids, IA, CCN 167005 Home health agency Corporate Director Jan 1, 2021
Unitypoint HospiceUrbandale, IA, CCN 161554A Hospice Corporate Director Jan 1, 2021
Unitypoint HospiceFort Dodge, IA, CCN 161549 Hospice Corporate Director Jan 1, 2021
Unitypoint HospiceMoline, IL, CCN 141583 Hospice Corporate Director Jan 1, 2021
Unitypoint HospiceWaterloo, IA, CCN 161598 Hospice Corporate Director Jan 1, 2021
Unitypoint HospiceCedar Rapids, IA, CCN 161516 Hospice Corporate Director Jan 1, 2021

Owned or controlled facilities with NPI records 12

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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 and National Provider Directory roles.

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.

{
    "created_epoch": "1139184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1468454400000",
    "number": "1750353595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3740 UTICA RIDGE RD",
            "address_2": "STE B",
            "city": "BETTENDORF",
            "state": "IA",
            "postal_code": "527221624",
            "telephone_number": "563-344-7400",
            "fax_number": "563-359-9395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3740 UTICA RIDGE RD",
            "address_2": "STE B",
            "city": "BETTENDORF",
            "state": "IA",
            "postal_code": "527221624",
            "telephone_number": "563-344-7400",
            "fax_number": "563-359-9395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WENCK",
        "first_name": "TODD",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-06",
        "last_updated": "2016-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IA",
            "license": "34193",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036107635",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LIC #",
            "identifier": "036107635",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "35176",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "P00109991",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LIC #",
            "identifier": "34193",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1214049",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS GROUP NUMBER",
            "identifier": "8122900",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036-107635",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH ALLIANCE",
            "identifier": "087306",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bettendorf, IA

Sources for this page

Verify at the official NPI Registry.