Individual provider Active NPI

Jeffrey Michael Wright, D.O.

  • Emergency Medicine Physician
  • Davenport, IA
National Provider Identifier
1770586463
Registry record updated May 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
03055 Issued in IA
Practice address
1227 E Rusholme St
Davenport, IA 52803-2459
Phone
(563) 421-6610
NPI assigned
May 27, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 6, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 03055 IA Primary

Addresses

Primary practice location

1227 E Rusholme St
Davenport, IA 52803-2459

Mailing address

204 N 4TH Ave E
Newton, IA 50208-3135
Phone (641) 792-1273

Other identifiers 2

IdentifierTypeStateIssuer
57938OtherIABCBS PROVIDER #
0146373MedicaidIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20100506000925 IA Practitioner - Emergency MedicinePractitioner - Family Practice 6800924119 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency MedicineAlso: Family Practice
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Vituity-Iowa PLLCGroup PAC ID 3476909409, 29 clinicians

Practice addresses (Care Compare)

1227 E Rusholme St
Davenport, IA 52803-2459
Phone (563) 421-1000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.57 of 100Reported as group
Quality
71.8
Improvement activities
40
Cost
80.85

Merit-based Incentive Payment System (MIPS)

Final score
34.85 of 100Reported as group
Quality
21.4
Improvement activities
0
Cost
76.92

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
03055IAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Salahuddin Syed MD PC Current Accepting new patients
Vituity-Iowa PLLC Emergency Medicine CurrentSince Oct 17, 2023 Accepting new patients
Vituity-Iowa PLLC Emergency Medicine CurrentSince Oct 17, 2023 Accepting new patients
Genesis Health System CurrentSince Oct 1, 2019 Accepting new patients
Unitypoint Health - Marshalltown CurrentSince Sep 1, 2017 Accepting new patients
Unitypoint Health - Marshalltown Emergency Medicine CurrentSince Sep 1, 2017 Accepting new patients
Genesis Health System Emergency Medicine CurrentSince Oct 1, 2019 Accepting new patients

Locations

2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

865 Lincoln Rd
Ste 100
Bettendorf, IA 52722
Phone (563) 355-1000

4700 E 56th St
Ste 100
Davenport, IA 52807
Phone (563) 383-2667

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

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

55 Unitypoint Way
Marshalltown, IA 50158
Phone (641) 754-5145

204 N 4th Ave E
Newton, IA 50208
Phone (641) 791-4800

Organizations & group practices 7

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 1

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": "1117152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620259200000",
    "number": "1770586463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "204 N 4TH AVE E",
            "city": "NEWTON",
            "state": "IA",
            "postal_code": "502083135",
            "telephone_number": "641-792-1273",
            "fax_number": "641-791-4852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1227 E RUSHOLME ST",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528032459",
            "telephone_number": "563-421-6610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRIGHT",
        "first_name": "JEFFREY",
        "middle_name": "MICHAEL",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-27",
        "last_updated": "2021-05-06",
        "certification_date": "2021-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IA",
            "license": "03055",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER #",
            "identifier": "57938",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0146373",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Davenport, IA

Sources for this page

Verify at the official NPI Registry.