Karen Marie Fitzsimmons, MD
Individual provider Active NPI Anatomic Pathology & Clinical Pathology Physician · Davenport, IA
NPI 1821099490 · NPPES record last updated Apr 4, 2021
Key facts
- NPI
- 1821099490
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Anatomic Pathology & Clinical Pathology Physician 207ZP0102X
- License
- 31689 (IA)
- Practice address
- 1227 E Rusholme St
Davenport, IA 52803-2459 - Phone
- (563) 421-6777
- Fax
- (563) 421-6770
- NPI assigned
- Aug 4, 2005
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 12
Hospital & facility affiliations 3
Owned or controlled facilities with NPI records 12
Medicare Care Compare profile
- Specialty
- Pathology
- Education
- University of Iowa, RJ & L Carver College of Medicine, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Genesis Health System
Practice addresses (Care Compare)
1227 E Rusholme St
Mercyone Genesis Davenport Patholog
Davenport, IA 52803-2459
Phone (563) 421-6610
855 Illini Dr
Suite 203
Silvis, IL 61282-2904
Phone (563) 421-6772
Hospital & facility affiliations
- Genesis Medical Center-Davenport
- Genesis HLTH System Dba Genesis MDL Ctr-Illini
- Mercyone Clinton Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in IA, IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
All facility ownership & control disclosures 12
| Facility | Type | Role | Since |
|---|---|---|---|
| Mercyone Genesis Silvis Medical Center |
Hospital | Corporate Director | Nov 6, 2020 |
| Mercyone Genesis |
Hospital | Corporate Director | Nov 6, 2020 |
| Mercyone Genesis Dewitt Medical Center |
Hospital | Corporate Director | Nov 6, 2020 |
| Mercyone Genesis |
Hospital | Corporate Director | Nov 6, 2020 |
| Mercyone Genesis Dewitt Medical Center |
Hospital | Corporate Director | Nov 6, 2020 |
| Mercyone Genesis |
Hospital | Corporate Director | Nov 6, 2020 |
| Mercyone Genesis |
Hospital | Corporate Director | Nov 6, 2020 |
| Mercyone Genesis |
Home health agency | Corporate Director | Nov 6, 2020 |
| Mercyone Genesis |
Hospice | Corporate Director | Nov 6, 2020 |
| Mercyone Genesis |
Rural health clinic | Corporate Director | Nov 6, 2020 |
| Mercyone Genesis Dewitt Family Medicine |
Rural health clinic | Corporate Director | Nov 6, 2020 |
| Mercyone Genesis Dewitt Family Medicine |
Rural health clinic | Corporate Director | Nov 6, 2020 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040209000648 | IA | Practitioner - Pathology | 4789578154 | Reassigns benefits to 1 organization |
| I20100517000652 | IL | Practitioner - Pathology | 4789578154 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31689 | IA | MD | Anatomic Pathology & Clinical Pathology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Genesis Health System | Current | Accepting new patients | |
| Genesis Health System | Current |
Accepting new patients | |
| Genesis Health System | Anatomic Pathology & Clinical Pathology | Current |
Accepting new patients |
Locations
210 W 53rd St
Davenport, IA 52806
Phone (563) 386-3436
1401 W Central Park Ave
Davenport, IA 52804
Phone (563) 421-1900
1227 E Rusholme St
Davenport, IA 52803
Phone (563) 324-8160
1351 W Central Park Ave
Ste 340
Davenport, IA 52804
Phone (563) 421-1287
619 5th St
Durant, IA 52747
Phone (563) 785-4487
409 NW 9th Ave
Aledo, IL 61231
Phone (309) 582-2227
202 Picard St
Alpha, IL 61413
Phone (309) 629-4601
306 46th Ave
East Moline, IL 61244
Phone (309) 796-2329
801 Illini Dr
Silvis, IL 61282
Phone (309) 281-4000
855 Illini Dr
Ste 203
Silvis, IL 61282
Phone (309) 281-4812
Interoperability endpoints
- karen.fitzsimmons@direct.genesishealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology & Clinical Pathology Physician | 207ZP0102X | 31689 | IA | Yes |
Addresses
Primary practice location
1227 E Rusholme St
Davenport, IA 52803-2459
Mailing address
1227 E Rusholme St
Davenport, IA 52803-2459
Phone (563) 421-6777
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1149682 | Medicaid | IA |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | karen.fitzsimmons@direct.genesishealth.com | Direct |
Other providers in Davenport, IA
- Travis Michael Fisher-King
- Megan Fisher
- Pella S. Fisher
- Mintesinot Fitamo
- Katherine Anne Fitzpatrick
- Five Points Chiropractic Inc
- Andrea Fjelstul-Bonert
- Anabel Lee Flaherty
- Tanner Flaherty
- Roseanne Irene Flamm
All providers in Davenport, IA · Anatomic Pathology & Clinical Pathology Physician in Iowa
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 4, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.