Organization Active NPI

Digestive Disease Specialists PC

  • Gastroenterology Physician
  • Moline, IL
National Provider Identifier
1891077160
Registry record updated May 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
DIGESTIVE DISEASE SPECIALISTS PC
Practice address
525 Valley View Drive
Moline, IL 61265
Phone
(309) 601-2814
Fax
(309) 601-2803
NPI assigned
Sep 13, 2011
Last updated
May 28, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 28, 2026

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

Authorized official

Name
Poonputt Chotiprasidhi, M.D.NPI 1558363713
Title
Owner/Physician
Phone
(309) 601-2814

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X NU Primary

Addresses

Primary practice location

525 Valley View Drive
Moline, IL 61265

Mailing address

525 Valley View Dr
Moline, IL 61265-6138
Phone (309) 601-2814

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, IA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20111212000470 IL Part B Supplier - Clinic/Group Practice 7618142183 Receives reassigned benefits from 8 practitioners
Practice locations: Moline, IL; Rock Island, IL; Silvis, IL
O20130419000366 IA Part B Supplier - Clinic/Group Practice 7618142183 Receives reassigned benefits from 8 practitioners
Practice locations: Bettendorf, IA; Davenport, IA

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
14D2150450Digestive Disease Specialists525 Valley View Drive, Moline, IL 61265ComplianceOct 25, 2027

National Provider Directory

National Provider Directory

Locations

1908 Middle Rd
Bettendorf, IA 52722

3400 Dexter Ct
Ste 108
Davenport, IA 52807
Phone (563) 345-2438

2570 24th St
Ste 125
Rock Island, IL 61201
Phone (309) 779-2011

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1315872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779926400000",
    "number": "1891077160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 VALLEY VIEW DR",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612656138",
            "telephone_number": "309-601-2814",
            "fax_number": "309-601-2803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 VALLEY VIEW DRIVE",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "61265",
            "telephone_number": "309-601-2814",
            "fax_number": "309-601-2803"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIGESTIVE DISEASE SPECIALISTS PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-13",
        "last_updated": "2026-05-28",
        "certification_date": "2026-05-28",
        "status": "A",
        "authorized_official_last_name": "CHOTIPRASIDHI",
        "authorized_official_first_name": "POONPUTT",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "309-601-2814",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moline, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2026; 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.