Unknown Individual – Internal Medicine Physician, NPI 1912995697

Unknown Individual is a healthcare provider. based in Bettendorf, Iowa. specializing in Internal Medicine Physician. They hold a License No. 336-011086 (IL). The NPI Number for Unknown Individual is 1912995697

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1912995697
Phone
(563) 355-9191
Address
865 LINCOLN RD
Deactivation Date
12 August 2022
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience14
Completeness75
Years active:0State licenses:1Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • Genesis Health Group, Bettendorf OB/GYN, 865, Lincoln Road, Bettendorf, Pleasant Valley Township, Scott County, Iowa, 52722, United States

    STE L10

    BETTENDORF, IA 527224190

    Phone: (563) 355-9191

    Fax: (563) 355-3419

    Type: Mailing

  • Illini Drive, Silvis, Rock Island County, Illinois, 61282, United States

    SILVIS, IL 612822904

    Phone: (309) 792-2391

    Fax: (309) 792-4008

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

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

No Medicare enrollment or revalidation data available for this provider in our database.

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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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 52722)

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Reviews

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Frequently asked questions

Does Unknown Individual have a public NPI I can cite?
Public records show Unknown Individual under NPI 1912995697.
What should I verify if Unknown Individual is listed inactive?
If Unknown Individual looks inactive here, cross-check state licensing and the clinic website.
How should patients interpret Unknown Individual's specialty?
The extract shows Internal Medicine Physician for Unknown Individual. Clinical services aligned with this taxonomy classification.
Which community is linked to Unknown Individual?
Unknown Individual shows a connection to Bettendorf, Iowa in registry-derived data.
Who maintains Unknown Individual's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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