Active NPI
Michael Joseph Howcroft, MD
- Ophthalmology Physician
- Bettendorf, IA
National Provider Identifier
1932186277
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 22408
- Practice address
- 777 Tanglefoot LN
Bettendorf, IA 52722-1650 - Phone
- (563) 323-2020
- Fax
- (563) 328-5694
- NPI assigned
- Dec 28, 2005
- Last updated
- Mar 4, 2014
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 22408 | IA | Primary |
| Ophthalmology Physician | 207W00000X | 036-106965 | IL |
Addresses
Primary practice location
777 Tanglefoot LN
Bettendorf, IA 52722-1650
Mailing address
777 Tanglefoot LN
Bettendorf, IA 52722-1650
Phone (563) 323-2020
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0060350 | Other | IA | IA GROUP MEDICAID |
| 26568 | Other | IA | IA GROUP MEDICARE |
| 790730 | Other | IL | IL GROUP MEDICARE |
| 0255190 | Medicaid | IA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036106955 | IL | MD | Internal Medicine Physician |
| 22408 | IA | MD | Ophthalmology Physician |
| 036-106965 | IL | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eye Surgeons Associates PC | Ophthalmology | Past | Accepting new patients |
Interoperability endpoints
- michael.howcroft.p2@direct.urologyqc.nextgenshare.com
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135728000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1393891200000",
"number": "1932186277",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "777 TANGLEFOOT LN",
"city": "BETTENDORF",
"state": "IA",
"postal_code": "527221650",
"telephone_number": "563-323-2020",
"fax_number": "563-328-5694"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "777 TANGLEFOOT LN",
"city": "BETTENDORF",
"state": "IA",
"postal_code": "527221650",
"telephone_number": "563-323-2020",
"fax_number": "563-328-5694"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOWCROFT",
"first_name": "MICHAEL",
"middle_name": "JOSEPH",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-28",
"last_updated": "2014-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "IA",
"license": "22408",
"primary": true
},
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "IL",
"license": "036-106965",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IA GROUP MEDICAID",
"identifier": "0060350",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IA GROUP MEDICARE",
"identifier": "26568",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IL GROUP MEDICARE",
"identifier": "790730",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0255190",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bettendorf, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.