Individual provider Active NPI

Morris J Gist, MD

  • Urology Physician
  • Moline, IL
National Provider Identifier
1902879851
Registry record updated Jan 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
036-097670 Issued in IL
Practice address
608 35TH Ave
Moline, IL 61265-6145
Phone
(309) 277-3500
Fax
(309) 277-3050
NPI assigned
Feb 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 036097670 IL
Urology Physician 208800000X 036-097670 IL Primary
Urology Physician 208800000X MD-32339 IA

Addresses

Primary practice location

608 35TH Ave
Moline, IL 61265-6145

Mailing address

608 35TH Ave
Moline, IL 61265-6145
Phone (309) 277-3500

Other identifiers 1

IdentifierTypeStateIssuer
036097670MedicaidIL

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
I20100120000034 IL Practitioner - Urology 5294812384 Reassigns benefits to 2 organizations
I20100722000551 IA Practitioner - Urology 5294812384 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Indiana University School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Acute Care Surgery of South Dakota PCGroup PAC ID 5698195030, 67 clinicians
Iowa Physicians Clinic Medical FoundationGroup PAC ID 8729992318, 1,254 clinicians

Practice addresses (Care Compare)

4500 Utica Ridge Rd
Bettendorf, IA 52722-1626
Phone (563) 742-3661

500 John Deere Rd
Moline, IL 61265-6892
Phone (563) 277-0300

600 John Deere Rd
Suite 308
Moline, IL 61265-6812
Phone (309) 779-4960

Hospital & facility affiliations

  • Trinity Rock Island Hospital, Rock Island, IL, CCN 140280
  • Trinity Muscatine Hospital, Muscatine, IA, CCN 160013
  • Trinity - Bettendorf Hospital, Bettendorf, IA, CCN 160104
  • Genesis HLTH System Dba Genesis MDL Ctr-Illini Hospital, Silvis, IL, CCN 140275
  • Hammond Henry Hospital Hospital, Geneseo, IL, CCN 141319

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD-32339IAMDUrology Physician
036-097670ILMDUrology Physician
036097670ILMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Acute Care Surgery of South Dakota PC Urology CurrentSince Feb 1, 2025 Accepting new patients
St Luke'S Methodist Hospital Current Accepting new patients
Iowa Physicians Clinic Medical Foundation CurrentSince Jul 16, 2020 Accepting new patients

Locations

4480 Utica Ridge Rd
Ste 2230
Bettendorf, IA 52722
Phone (563) 742-5150

4480 Utica Ridge Rd
Ste 160
Bettendorf, IA 52722
Phone (563) 742-5950

4500 Utica Ridge Rd
Bettendorf, IA 52722
Phone (563) 742-2724

1776 Westlakes Pkwy
Ste 400
West Des Moines, IA 50266
Phone (515) 241-6161

600 N College Ave
Ste 120
Geneseo, IL 61254
Phone (309) 944-5342

500 John Deere Rd
Moline, IL 61265
Phone (309) 779-2840

600 John Deere Rd
Ste 308
Moline, IL 61265
Phone (309) 779-4550

600 S 13th St
Pekin, IL 61554
Phone (309) 347-1151

Interoperability endpoints

  • Direct secure messaging: morris.gist.p2@direct.urologyqc.nextgenshare.com
  • Direct secure messaging: mgist92241@direct.unitypoint.org

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

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": "1139529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1453161600000",
    "number": "1902879851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "608 35TH AVE",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612656145",
            "telephone_number": "309-277-3500",
            "fax_number": "309-277-3050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "608 35TH AVE",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612656145",
            "telephone_number": "309-277-3500",
            "fax_number": "309-277-3050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIST",
        "first_name": "MORRIS",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-10",
        "last_updated": "2016-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "IL",
            "license": "036097670",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "IL",
            "license": "036-097670",
            "primary": true
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "IA",
            "license": "MD-32339",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036097670",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Moline, IL

Sources for this page

Verify at the official NPI Registry.