BHG Lxxxvi, LLC

Primary specialty

Addiction Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084A0401X

Legal business name

BHG LXXXVI, LLC

Practice address

95 University Ave Ste 8
Obot Room #100
Des Moines, IA 50314-3120

Phone

(515) 244-9500

Fax

(515) 244-9500

NPI assigned

Nov 30, 2022

Organization subpart

No

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

Authorized official

Name

Anthony Kilgore

Title

Ceo

Phone

(214) 365-6112

Specialties & licenses 10

Addresses

Other names 1

• BHG Medical Services - Idaho Doing business as

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• BHG Lxxxvi, LLC

  • Addiction Medicine (Psychiatry & Neurology) Physician
  • Davenport, IA
  • NPI 1093421026

  O20230817001579

  Same enrollment

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

BHG Lxxxvi LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• BHG Lxxxvi, LLC

  • Addiction Medicine (Psychiatry & Neurology) Physician
  • Davenport, IA
  • NPI 1093421026
  NPD tax ID

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kathleen Fitzgerald, ARNP

  • Nurse Practitioner
  • Des Moines, IA
  • NPI 1730190059
  Medicare reassignment NPD
• Paul L Mulhausen, MD

  • Geriatric Medicine (Internal Medicine) Physician
  • Des Moines, IA
  • NPI 1588647887
  Medicare reassignment NPD
• Ashley Rosas, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Bettendorf, IA
  • NPI 1891272373
  Medicare reassignment NPD
• Jacqueline Beth Blackburn, NP-C

  • Family Nurse Practitioner
  • Knoxville, TN
  • NPI 1326578725

  IA

  Medicare reassignment NPD

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

{
    "created_epoch": "1669766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758499200000",
    "number": "1831809862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5001 SPRING VALLEY RD STE 600",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752443946",
            "telephone_number": "214-365-6100",
            "fax_number": "214-365-6150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 UNIVERSITY AVE STE 8",
            "address_2": "OBOT ROOM #100",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503143120",
            "telephone_number": "515-244-9500",
            "fax_number": "515-244-9500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BHG LXXXVI, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-30",
        "last_updated": "2025-09-22",
        "certification_date": "2025-09-22",
        "status": "A",
        "authorized_official_last_name": "KILGORE",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "214-365-6112"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RA0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2083A0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Preventive Medicine, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084A0401X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BHG Medical Services - Idaho",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Carolyn Louise Beverly, MD, MPH
• Aaron Joshua Bewyer, DPT
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• Vipin B Bhasvar, M.D.
• Andrea Naomi Bianchi, LPN
• Marqueta Bibbins
• Tammera L Bibbins, LISW
• Eric D Bickel, RPH, MBA
• Alexandra Biedenbach, LMSW

• Addiction Medicine (Psychiatry & Neurology) Physician in Des Moines, IA
• Providers in Des Moines, IA by specialty
• Addiction Medicine (Psychiatry & Neurology) Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.