Individual provider Active NPI

Jon A Robken, M.D.

  • Cardiovascular Disease Physician
  • Davenport, IA
National Provider Identifier
1750360764
Registry record updated Jan 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
21068 Issued in IA
Practice address
1236 E Rusholme St
Suite 300
Davenport, IA 52803-2473
Phone
(563) 324-2992
Fax
(563) 888-0499
NPI assigned
Jan 10, 2006
Last updated
Jan 7, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 21068 IA Primary

Addresses

Primary practice location

1236 E Rusholme St
Suite 300
Davenport, IA 52803-2473

Mailing address

1236 E Rusholme St
Davenport, IA 52803-2434
Phone (563) 324-2992

Other identifiers 2

IdentifierTypeStateIssuer
2025700MedicaidIA
060021825OtherMEDICARE RAILROAD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, IA2 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
I20060913000045 IL Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 3476455940 Reassigns benefits to 1 organization
I20070131000779 IA Practitioner - Cardiovascular Disease (Cardiology) 3476455940 Reassigns benefits to 4 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
21068IAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Trinity Medical Center Current Accepting new patients
St Luke's Methodist Hospital Current Accepting new patients
Mercy Specialty Clinic CurrentSince Oct 1, 2024 Accepting new patients
Mercy Specialty Clinic Current Accepting new patients
Genesis Health System Current Accepting new patients
Medical Associates of Clinton, Iowa P.L.C. Cardiovascular Disease Current Accepting new patients
Cardiovascular Medicine PLLC Cardiovascular Disease CurrentSince Jun 1, 1987 Accepting new patients
Iowa Physicians Clinic Medical Foundation Cardiovascular Disease PastSince Jan 12, 2025 Accepting new patients
CGH Medical Center Past Accepting new patients

Locations

4500 Utica Ridge Rd
Bettendorf, IA 52722
Phone (563) 742-2724

1410 N 4th St
Clinton, IA 52732
Phone (563) 244-5555

915 13th Ave N
Clinton, IA 52732
Phone (319) 243-2511

1227 E Rusholme St
Davenport, IA 52803
Phone (563) 324-8160

1236 E Rusholme St
Ste 300
Davenport, IA 52803
Phone (319) 324-2992

1401 W Central Park Ave
Davenport, IA 52804
Phone (563) 421-1900

2701 17th St
Rock Island, IL 61201
Phone (309) 779-3200

801 Illini Dr
Silvis, IL 61282
Phone (309) 281-4000

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: jon.robkenmd.p1@direct.cvmedpc.nextgenshare.com
  • Direct secure messaging: jrobken92476@direct.unitypoint.org

Organizations & group practices 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1136851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736208000000",
    "number": "1750360764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1236 E RUSHOLME ST",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528032434",
            "telephone_number": "563-324-2992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1236 E RUSHOLME ST",
            "address_2": "SUITE 300",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528032473",
            "telephone_number": "563-324-2992",
            "fax_number": "563-888-0499"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBKEN",
        "first_name": "JON",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-10",
        "last_updated": "2025-01-07",
        "certification_date": "2025-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IA",
            "license": "21068",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2025700",
            "state": "IA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "060021825",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Davenport, IA

Sources for this page

Verify at the official NPI Registry.