BETTAIAH T GOWDA (M.D.) – Specialist, NPI 1962491225

BETTAIAH T GOWDA (M.D.) is a healthcare provider. based in Davenport, Iowa. specializing in GASTROENTEROLOGY. They hold the professional credentials M.D.. They hold a License No. 34119 (IA). The NPI Number for BETTAIAH T GOWDA (M.D.) is 1962491225

Main info

Male
41 Years Of Experience
Accepts Medicare Assignment
Name
BETTAIAH T GOWDA (M.D.)
NPI
1962491225
Phone
(563) 359-9696
Address
5041 UTICA RIDGE RD
Enumeration Date
19 October 2005
Last Update Date
29 October 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5633599696110
Graduation Year
1985 (41 years ago)
PAC ID
1951385400
Group Practice PAC ID
6608768353
Professional Enrollment ID
I20040617001674
Address ID
IA528073480DA5041XRDXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness75
Years active:20State licenses:2Digital endpointsOther names

161 GASTROENTEROLOGY in IA

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Provider Addresses for BETTAIAH T GOWDA (M.D.)

  • Utica Ridge Road, Davenport, Scott County, Iowa, 52804, United States

    SUITE 100

    DAVENPORT, IA 528073480

    Phone: (563) 359-9696

    Fax: (563) 359-1730

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 20 Open Payments records for all available years, with a total value of $445.

Total Amount is formed as General ($445) + Research ($0) + Ownership ($0) = $445.

Last reported payment date: 2024-04-24 • Largest payer in this snapshot: Celgene Corporation ($101).

Total Amount

$445

General + Research + Ownership

Payments

20

Total payment records

General Amount

$445

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-24

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-11-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040617001674IGastroenterologyIATBD
I20041122000056IGastroenterologyILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
88305Pathology examination of tissue using a microscope, intermediate complexity256116$0
43239Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope196183$0
99213Established patient office or other outpatient visit, 20-29 minutes180154$0
99214Established patient office or other outpatient visit, 30-39 minutes164142$0
45385Removal of polyps or growths of large bowel using an endoscope with mechanical snare133133$0
View full utilization report →

Insurance plans in this area (ZIP 52807)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6608768353View full group profile
NameSpecialtyState
Nurse PractitionerIL
Nurse PractitionerIL
G A S T R O E N T E R O L O G YIA
G A S T R O E N T E R O L O G YIA
Nurse PractitionerIL
Pediatric Medicine, GastroenterologyIL
G A S T R O E N T E R O L O G YIL
G A S T R O E N T E R O L O G YIL

Reviews

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Frequently asked questions

Can I verify BETTAIAH T GOWDA (M.D.) with an NPI only?
You can start verification with NPI 1962491225 for BETTAIAH T GOWDA (M.D.), then check state licensing separately.
Can I rely on BETTAIAH T GOWDA (M.D.) being an active provider?
As of the registry snapshot, BETTAIAH T GOWDA (M.D.) is marked active.
What taxonomy line describes BETTAIAH T GOWDA (M.D.)?
For research purposes, treat BETTAIAH T GOWDA (M.D.) as Other Service Providers in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect BETTAIAH T GOWDA (M.D.) on a map?
Expect Davenport, Iowa as a primary anchor for BETTAIAH T GOWDA (M.D.) unless the record lists multiple sites.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.