Individual provider Active NPI

Andrew Michael Ganshirt, DPM

  • Foot & Ankle Surgery Podiatrist
  • Bettendorf, IA
National Provider Identifier
1780213223
Registry record updated Oct 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
116358 Issued in IA
Practice address
2140 53Rd Ave
Bettendorf, IA 52722-6279
Phone
(563) 421-4370
NPI assigned
Apr 6, 2020
Last updated
Oct 7, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 116358 IA Primary
Foot & Ankle Surgery Podiatrist 213ES0103X 016006005 IL

Addresses

Primary practice location

2140 53Rd Ave
Bettendorf, IA 52722-6279

Mailing address

2140 53Rd Ave
Bettendorf, IA 52722-6279
Phone (563) 421-4370

Other practice location 1

3900 28th Avenue Dr
Moline, IL 61265-5536
Phone (563) 421-4370

Other identifiers 2

IdentifierTypeStateIssuer
016006005OtherILIL LICENSE
116358OtherIAIA LICENSE

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230523001629 IL Practitioner - Podiatry 4688030380 Reassigns benefits to 2 organizations
I20230801004134 IA Practitioner - Podiatry 4688030380 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Des Moines University of Osteopathic Medicine and Health Sciences, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Genesis Health SystemGroup PAC ID 7214841436, 217 clinicians
Genesis Health SystemGroup PAC ID 6103829338, shared by 2 NPIs, 262 clinicians

Practice addresses (Care Compare)

1227 E Rusholme St
Davenport, IA 52803-2459

1401 W Central Park Ave
Mercyone Genesis Davenport West Med
Davenport, IA 52804-1707
Phone (563) 421-2120

2300 53Rd Ave
Bettendorf, IA 52722-7564
Phone (563) 421-4370

3900 28TH Ave Dr
Moline, IL 61265-5536
Phone (309) 281-2220

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Melanoma (skin cancer) excision1-10
Removal of tissue100
Removal of skin lesions11
Removal of nail tissue53
Removal or shaving of skin growth27

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
116358IAMDFoot & Ankle Surgery Podiatrist
016006005ILMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
St Luke's Methodist Hospital Current Accepting new patients
Mercy Specialty Clinic CurrentSince Jul 2, 2025 Accepting new patients
Mercy Specialty Clinic CurrentSince Jul 2, 2025 Accepting new patients
Genesis Health System CurrentSince May 22, 2025 Accepting new patients
Genesis Health System Current Accepting new patients
Genesis Health System CurrentSince May 22, 2025 Accepting new patients
Genesis Health System CurrentSince May 22, 2025 Accepting new patients
Medical Associates of Clinton, Iowa P.L.C. Current Accepting new patients
Genesis Health System CurrentSince May 22, 2025 Accepting new patients
Genesis Health System Past Accepting new patients
Ora Orthopedics, PC Past Accepting new patients

Locations

2140 53rd Ave
Bettendorf, IA 52722
Phone (563) 421-5700

2300 53rd Ave
Bettendorf, IA 52722
Phone (563) 332-4422

2300 53rd Ave
Ste 100
Bettendorf, IA 52722
Phone (563) 459-4005

2300 53rd Ave
Ste LL04
Bettendorf, IA 52722

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

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

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

1351 W Central Park Ave
Ste 4100
Davenport, IA 52804
Phone (563) 355-9191

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

1414 W Lombard St
Davenport, IA 52804
Phone (563) 326-6431

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

621 S Illinois Ave
Ste 103
Mason City, IA 50401

3900 28th Avenue Dr
Moline, IL 61265
Phone (309) 281-6000

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

Interoperability endpoints

  • Direct secure messaging: aganshirt@ora2099.srs-direct.com
  • Direct secure messaging: aganshirt253931@direct.unitypoint.org
  • Direct secure messaging: aganshirt4443724@direct.trinity-health.org

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 3

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": "1586131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759795200000",
    "number": "1780213223",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2140 53RD AVE",
            "city": "BETTENDORF",
            "state": "IA",
            "postal_code": "527226279",
            "telephone_number": "563-421-4370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2140 53RD AVE",
            "city": "BETTENDORF",
            "state": "IA",
            "postal_code": "527226279",
            "telephone_number": "563-421-4370"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3900 28th Avenue Dr",
            "address_purpose": "LOCATION",
            "city": "Moline",
            "state": "IL",
            "postal_code": "612655536",
            "country_code": "US",
            "telephone_number": "563-421-4370",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GANSHIRT",
        "first_name": "ANDREW",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-06",
        "last_updated": "2025-10-07",
        "certification_date": "2025-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IA",
            "license": "116358",
            "primary": true
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IL",
            "license": "016006005",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IL LICENSE",
            "identifier": "016006005",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IA LICENSE",
            "identifier": "116358",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bettendorf, IA

Sources for this page

Verify at the official NPI Registry.