Active NPI
Tina J Eckhardt, M.D.
- Ophthalmology Physician
- Bettendorf, IA
National Provider Identifier
1952373383
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 32758
- Practice address
- 777 Tanglefoot LN
Bettendorf, IA 52722-1650 - Phone
- (563) 323-2020
- Fax
- (563) 328-5694
- NPI assigned
- Feb 1, 2006
- 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 |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 32758 | IA | Primary |
| Ophthalmology Physician | 207W00000X | 036088865 | 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 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0060350 | Other | IA | IA GROUP MEDICAID |
| 0188110 | Medicaid | IA | |
| 09382 | Other | IA | IA BCBS |
| 26568 | Other | IA | IA GROUP MEDICARE |
| 790730 | Other | IL | IL GROUP MEDICARE |
Other names 1
- Dr. Tina J Anania
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 CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 78.56 of 100
- Quality
- 97.61
- Promoting interoperability
- 98
- Improvement activities
- 40
- Cost
- 32.58
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 32758 | IA | MD | Ophthalmology Physician |
| 036088865 | IL | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eye Surgeons Associates PC | Ophthalmology | Current | Accepting new patients |
| Eye Surgeons Associates PC | Ophthalmology | Past | Accepting new patients |
| Davenport Eye Group PC | Ophthalmology | Past | Accepting new patients |
| Quad Cities Retina Consultants | Ophthalmology | Past | Accepting new patients |
Locations
777 Tanglefoot Ln
Bettendorf, IA 52722
Phone (319) 323-8888
422 S State St
Geneseo, IL 61254
Phone (309) 944-4608
4731 45th Street Ct
Rock Island, IL 61201
Phone (309) 793-2020
Interoperability endpoints
- tina.eckhardt.p2@direct.urologyqc.nextgenshare.com
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 and National Provider Directory roles.
-
- Ophthalmology Physician
- Davenport, IA
- NPI 1508838954
-
- Ophthalmology Physician
- Davenport, IA
- NPI 1952567794
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138752000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1393891200000",
"number": "1952373383",
"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": "ECKHARDT",
"first_name": "TINA",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-01",
"last_updated": "2014-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "IA",
"license": "32758",
"primary": true
},
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "IL",
"license": "036088865",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IA GROUP MEDICAID",
"identifier": "0060350",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0188110",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "IA BCBS",
"identifier": "09382",
"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"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "TINA",
"last_name": "ANANIA",
"middle_name": "J",
"prefix": "DR.",
"credential": "M.D.",
"code": "1",
"type": "Former Name"
}
]
}
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.
- 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.