Lisa A Kopp, DO

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

03155 Issued in IA

Practice address

4626 Progress Dr
Suite C
Davenport, IA 52807-3485

Phone

(563) 441-9100

Fax

(563) 441-9101

NPI assigned

Jan 12, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Family Practice

Education

Des Moines University of Osteopathic Medicine and Health Sciences, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Quad Cities Primary Care LLCGroup PAC ID 2961800933, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Unity Point at Home Home health agency, Moline, IL, CCN 147009
• Genesis Medical Center-Davenport Hospital, Davenport, IA, CCN 160033
• Trinity - Bettendorf Hospital, Bettendorf, IA, CCN 160104
• Trinity Rock Island Hospital, Rock Island, IL, CCN 140280
• Mercyone Genesis Dewitt Medical Center Hospital, Dewitt, IA, CCN 161313
• Genesis HLTH System Dba Genesis MDL Ctr-Illini Hospital, Silvis, IL, CCN 140275

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/GCFFCD

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.

• Quad Cities Primary Care, LLC

  • Family Medicine Physician
  • Davenport, IA
  • NPI 1588332977

  Internal Medicine

  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Genesis Health System

  • Critical Access Hospital
  • De Witt, IA
  • NPI 1649368523
  Care Compare affiliation
• Genesis Health System

  • General Acute Care Hospital
  • Davenport, IA
  • NPI 1972542264
  Care Compare affiliation
• Trinity Medical Center

  • General Acute Care Hospital
  • Bettendorf, IA
  • NPI 1124110820
  Care Compare affiliation
• Genesis Health System

  • General Acute Care Hospital
  • Silvis, IL
  • NPI 1427132604
  Care Compare affiliation
• Trinity Medical Center

  • General Acute Care Hospital
  • Rock Island, IL
  • NPI 1316047632
  Care Compare affiliation
• Unitypoint at Home

  • Home Health Agency
  • Moline, IL
  • NPI 1427351956
  Care Compare affiliation

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

{
    "created_epoch": "1137024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184544000000",
    "number": "1821077322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4626 PROGRESS DR",
            "address_2": "SUITE C",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528073485",
            "telephone_number": "563-441-9100",
            "fax_number": "563-441-9101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4626 PROGRESS DR",
            "address_2": "SUITE C",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528073485",
            "telephone_number": "563-441-9100",
            "fax_number": "563-441-9101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOPP",
        "first_name": "LISA",
        "middle_name": "A",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-12",
        "last_updated": "2007-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IA",
            "license": "03155",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Kolwey, ARNP
• Anand Kommuri, MBBS,MD
• Sherry Reed Kontos, CRNA
• Joseph David Kopera, DNP, ARNP
• Brian Andrew Kopf, RPH
• Steve G Kopp, PH.D.
• Samantha Koranda, PHARMD
• Nehemiah Sahr Koroma, BEHAVIOR ANALYST
• Robert Koupal, LCSW
• Valerie Lynn Koutny, RPH

• Internal Medicine Physician in Davenport, IA
• Providers in Davenport, IA by specialty
• Internal Medicine Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.