Active NPI
Anuradha Ranganath, M.D.
- Family Medicine Physician
- East Moline, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 036-148179
- 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, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, IA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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 Inc
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
| License | State | Type | Specialty |
|---|---|---|---|
| 036-148179 | IL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Health Care, Inc. | Current | Accepting new patients | |
| Community Health Care, Inc. | Current | Accepting new patients | |
| Community Health Care Inc | Current | Accepting new patients | |
| Community Health Care, Inc. | Current | 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
- 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.
-
- Federally Qualified Health Center (FQHC)
- Rock Island, IL
- NPI 1598759292
-
- Federally Qualified Health Center (FQHC)
- Davenport, IA
- NPI 1932193224
-
dba Community Health Care Inc - Glenview Middle School
- Federally Qualified Health Center (FQHC)
- East Moline, IL
- NPI 1669360459
-
- Clinical Medical Laboratory
- Davenport, IA
- NPI 1649461310
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Genesis Medical Center - Silvis
- General Acute Care Hospital
- Silvis, IL
- NPI 1427132604
-
dba Trinity Rock Island
- General Acute Care Hospital
- Rock Island, IL
- NPI 1316047632
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2019; 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.