Individual provider Active NPI

Calvin E Atwell, M.D.

  • Surgery Physician
  • Moline, IL
National Provider Identifier
1972574028
Registry record updated Dec 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
036079520 Issued in IL
Practice address
870 36TH Ave
Moline, IL 61265-7159
Phone
(309) 281-6400
Fax
(309) 281-6409
NPI assigned
Jan 27, 2006
Last updated
Dec 5, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 036079520 IL Primary

Addresses

Primary practice location

870 36TH Ave
Moline, IL 61265-7159

Mailing address

870 36TH Ave
Moline, IL 61265-7159
Phone (309) 281-6400

Other identifiers 3

IdentifierTypeStateIssuer
1891740882OtherILMMSA NPI #
1891740882OtherIAMMSA NPI #
3237461MedicaidIA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address calvin.atwell@direct.genesishealth.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, IL2 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
I20040303001224 IA Practitioner - General Surgery 7214824143 Reassigns benefits to 3 organizations
I20040407001326 IL Practitioner - General Surgery 7214824143 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Osf Healthcare SystemGroup PAC ID 4284541806, 94 clinicians
Kewanee HospitalGroup PAC ID 4789578063, 26 clinicians
Genesis Health SystemGroup PAC ID 6103829338, shared by 2 NPIs, 262 clinicians
Mercy Specialty ClinicGroup PAC ID 3375639586, 65 clinicians
Unity HealthcareGroup PAC ID 8224931548, shared by 7 NPIs, 65 clinicians

Practice addresses (Care Compare)

1051 W S St
Kewanee, IL 61443-8354
Phone (309) 852-7500

1227 E Rusholme St
Davenport, IA 52803-2459

1410 N 4TH St
Clinton, IA 52732-2940
Phone (563) 244-5900

1518 Mulberry Ave
Muscatine, IA 52761-3433

4700 E 56TH St
Davenport, IA 52807-2904

801 Illini Dr
Silvis, IL 61282-1804
Phone (309) 281-4000

855 Illini Dr
Silvis, IL 61282-2904

915 13TH Ave N
Mercyone Clinton Plaza
Clinton, IA 52732-5067
Phone (563) 243-2511

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy195
Hernia repair - groin (open)12
Hernia repair (minimally invasive)1-10
Upper gastrointestinal (GI) endoscopy for acid reflux135
Melanoma (skin cancer) excision13
Removal of tissue1-10
Removal of skin lesions1-10
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036079520ILMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Luke's Methodist Hospital Current Accepting new patients
Mercy Specialty Clinic CurrentSince Jun 1, 2024 Accepting new patients
Mercy Specialty Clinic Current Accepting new patients
Genesis Health System CurrentSince Jun 1, 2022 Accepting new patients
Osf Healthcare System CurrentSince Jul 20, 2022 Accepting new patients
Unity Healthcare CurrentSince Feb 1, 2024 Accepting new patients
Osf Healthcare System CurrentSince Jul 20, 2022 Accepting new patients
Genesis Health System Surgery CurrentSince Jul 12, 2022 Accepting new patients
Central PA Pharmacy LLC. Current Accepting new patients
Unity Healthcare Surgery Current Accepting new patients
Osf Healthcare System Current Accepting new patients
Medical Associates of Clinton, Iowa P.L.C. Surgery Current Accepting new patients
Unity Healthcare CurrentSince Feb 1, 2024 Accepting new patients
Osf Multi-Specialty Group CurrentSince Mar 4, 2024 Accepting new patients
Trinity Regional Medical Center Past Accepting new patients
Genesis Health System Past Accepting new patients
Stephen C Rasmus MD PC Past Accepting new patients
Pulmonary Associates of QC PC Past Accepting new patients
Renalcare Associates, S.C. Surgery Past Accepting new patients

Locations

865 Lincoln Rd
Ste 100
Bettendorf, IA 52722
Phone (563) 355-1000

1410 N 4th St
Clinton, IA 52732
Phone (563) 244-5555

915 13th Ave N
Clinton, IA 52732
Phone (319) 243-2511

1227 E Rusholme St
Davenport, IA 52803
Phone (563) 324-8160

1401 W Central Park Ave
Davenport, IA 52804
Phone (563) 421-1900

4700 E 56th St
Ste 100
Davenport, IA 52807
Phone (563) 383-2667

621 S Illinois Ave
Ste 103
Mason City, IA 50401

1518 Mulberry Ave
Muscatine, IA 52761
Phone (563) 262-4110

1518 Mulberry Ave
Ste 102
Muscatine, IA 52761
Phone (563) 262-4111

1051 W South St
Kewanee, IL 61443
Phone (309) 734-3141

8600 State Route 91
Ste 130
Peoria, IL 61615
Phone (309) 683-5050

801 Illini Dr
Silvis, IL 61282
Phone (309) 281-4000

Interoperability endpoints

  • Direct secure messaging: calvin.atwell@direct.genesishealth.com
  • Direct secure messaging: calvin.atwell@macmc.eclinicaldirectplus.com
  • Direct secure messaging: catwell3929628@direct.trinity-health.org
  • Direct secure messaging: catwell92075@direct.unitypoint.org

Organizations & group practices 19

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.

View all 19

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": "1138320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733356800000",
    "number": "1972574028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "870 36TH AVE",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612657159",
            "telephone_number": "309-281-6400",
            "fax_number": "309-281-6409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "870 36TH AVE",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612657159",
            "telephone_number": "309-281-6400",
            "fax_number": "309-281-6409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ATWELL",
        "first_name": "CALVIN",
        "middle_name": "E",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-27",
        "last_updated": "2024-12-05",
        "certification_date": "2024-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IL",
            "license": "036079520",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MMSA NPI #",
            "identifier": "1891740882",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MMSA NPI #",
            "identifier": "1891740882",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3237461",
            "state": "IA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "calvin.atwell@direct.genesishealth.com",
            "affiliation": "N",
            "endpointDescription": "Genesis Health System Direct Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "870 36th Ave",
            "city": "Moline",
            "state": "IL",
            "country_code": "US",
            "postal_code": "612657159",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Moline, IL

Sources for this page

Verify at the official NPI Registry.