Individual provider Active NPI

Anuradha Ranganath, M.D.

  • Family Medicine Physician
  • East Moline, IL
National Provider Identifier
1881046050
Registry record updated Jul 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
036-148179 Issued in IL
Practice address
708 15TH Ave
East Moline, IL 61244-2134
Phone
(563) 336-3000
Fax
(563) 336-3212
NPI assigned
Jul 12, 2016
Last updated
Jul 22, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 125-068172 IL
Family Medicine Physician 207Q00000X 036-148179 IL Primary

Addresses

Primary practice location

708 15TH Ave
East Moline, IL 61244-2134

Mailing address

500 W River Dr
Davenport, IA 52801-1014
Phone (563) 336-3000

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190730000436 IL Practitioner - Family Practice 4284927666 Reassigns benefits to 1 organization
I20200817001857 IA Practitioner - Family Practice 4284927666 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Health Care IncGroup PAC ID 9830008895, shared by 17 NPIs, 56 clinicians

Practice addresses (Care Compare)

500 W River Dr
Davenport, IA 52801-1014
Phone (563) 336-3000

708 15TH Ave
East Moline, IL 61244-2134
Phone (563) 327-2015

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-148179ILMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Health Care, Inc. CurrentSince Jul 22, 2019 Accepting new patients
Community Health Care, Inc. Current Accepting new patients
Community Health Care Inc CurrentSince Jul 22, 2019 Accepting new patients
Community Health Care, Inc. CurrentSince Aug 6, 2020 Accepting new patients

Locations

925 S 4th St
Clinton, IA 52732
Phone (563) 205-3578

1510 E Rusholme St
Davenport, IA 52803
Phone (563) 359-6633

500 W River Dr
Davenport, IA 52801

2925 Cedar St
Ste 2
Muscatine, IA 52761
Phone (563) 263-7410

312 Iowa Ave
Muscatine, IA 52761
Phone (563) 264-8506

708 15th Ave
East Moline, IL 61244
Phone (309) 751-4023

1106 4th Ave
Moline, IL 61265
Phone (309) 623-4817

4101 John Deere Rd
Moline, IL 61265
Phone (309) 757-1905

2200 3rd Ave
Rock Island, IL 61201
Phone (309) 779-2094

2750 11th St
Rock Island, IL 61201
Phone (563) 327-2000

Interoperability endpoints

  • Direct secure messaging: aranganath635587@direct.ochin.org

Organizations & group practices 4

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.

Hospital & facility affiliations 2

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": "1468281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563753600000",
    "number": "1881046050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 W RIVER DR",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528011014",
            "telephone_number": "563-336-3000",
            "fax_number": "563-336-3125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "708 15TH AVE",
            "city": "EAST MOLINE",
            "state": "IL",
            "postal_code": "612442134",
            "telephone_number": "563-336-3000",
            "fax_number": "563-336-3212"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANGANATH",
        "first_name": "ANURADHA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-12",
        "last_updated": "2019-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "125-068172",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036-148179",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Moline, IL

Sources for this page

Verify at the official NPI Registry.