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ROSS BURANDT
NPI 1093416935
Student in an Organized Health Care Education/Training Program in Davenport, IA

Active since March 16, 2023PECOS EnrolledAccepts Medicare Assignment
1345 W CENTRAL PARK AVE, DAVENPORT, IA 52804(563) 421-4400 Get Directions Write a Review

NPPES record last updated: March 10, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 10, 2026, Jun 24, 2024, Nov 6, 2023 and 1 more (4 updates tracked since 2023).

About Ross Burandt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ROSS BURANDT (NPI 1093416935) is an individual student in an organized health care education/training program in Davenport, Iowa, licensed in (R-13095) and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS, is affiliated with Genesis Hlth System Dba Genesis Mdl Ctr-illini, and is a graduate of Chicago College Of Osteopathy (2024).

NPPES Registry Identity

NPI1093416935
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameROSS BURANDT
Location Address1345 W CENTRAL PARK AVEDavenport, IA 52804-1844
Mailing Address1345 W Central Park AveDavenport, IA 52804-1844 · (563) 421-4400
Phone(563) 421-4400
Sole ProprietorYes
Medical School CMSChicago College Of OsteopathyGraduated 2024
Enumeration DateMarch 16, 2023
Last NPPES UpdateMarch 10, 20264 updates tracked since enumeration
NPPES CertifiedMarch 10, 2026
✔ NPI 1093416935 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed · R-13095
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedFamily MedicineTaxonomy 207Q00000X · License DO-55446 (IA)
1345 W CENTRAL PARK AVE, Davenport, IA 52804
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Wellmark Health Plan of Iowa, Inc..Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Ross Burandt is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8426594292
PECOS Enrollment IDI20260320000524
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Ross Burandt reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Genesis Health System
Same address
Family Medicine
1345 W CENTRAL PARK AVE
Davenport, IA 52804
  • Reassigned Medicare billing, Iowa enrollment
  • Also billed through NPI 1649368523 (Iowa)
  • 300 clinicians in this Medicare group
NPI 1922012764 (563) 421-4400

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Genesis Hlth System Dba Genesis Mdl Ctr-Illini

Acute Care Hospitals · Silvis, IL
2/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number140275
Location801 Illini DrSilvis, IL 61282 · Rock Island County
Emergency services Birthing friendly

Genesis Medical Center-Davenport

Acute Care Hospitals · Davenport, IA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number160033
Location1227 East Rusholme StreetDavenport, IA 52803 · Scott County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JESICAH ELISABETH AMBRISCO DO
Family Medicine
1345 W CENTRAL PARK AVE
DAVENPORT, IA 52804
Scott County (563) 421-4400
CAROLINE SIDLINGER DNP
Nurse Practitioner (Family)
1345 W CENTRAL PARK AVE
DAVENPORT, IA 52804
Scott County (563) 421-4400
THANG LUONG D.O.
Family Medicine
1345 W CENTRAL PARK AVE
DAVENPORT, IA 52804
Scott County (563) 421-4400
DAILEN MARIE FOLKEDAHL DO
Family Medicine
1345 W CENTRAL PARK AVE
DAVENPORT, IA 52804
Scott County (563) 421-4400
JOSHUA CARPENTER M.D.
Family Medicine
1345 W CENTRAL PARK AVE
DAVENPORT, IA 52804
Scott County (563) 421-4400
STEPHANIE ANNE MCMILLAN DO
Student in an Organized Health Care Education/Training Program
1345 W CENTRAL PARK AVE
DAVENPORT, IA 52804
Scott County (563) 421-4400
DR. BRADLEY W JOHNSON D.O
Family Medicine
1345 W CENTRAL PARK AVE
DAVENPORT, IA 52804
Scott County (563) 421-4400
DR. DEAN A BUNTING MD
Family Medicine
1345 W CENTRAL PARK AVE
DAVENPORT, IA 52804
Scott County (563) 421-4400

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ross Burandt's NPI number?

The NPI number for Ross Burandt is 1093416935. It was assigned to this individual provider in the NPPES registry on March 16, 2023.

Where is Ross Burandt located?

Ross Burandt practices at 1345 W Central Park Ave, Davenport, IA 52804. The listed phone number is (563) 421-4400.

What is Ross Burandt's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Ross Burandt enrolled in Medicare?

Yes. Ross Burandt is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Ross Burandt's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ross Burandt reassigns Medicare benefits to Genesis Health System (Davenport, IA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ross Burandt's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ross Burandt accept?

Health plans from Wellmark Health Plan of Iowa, Inc. list Ross Burandt as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Ross Burandt affiliated with any hospitals?

According to CMS data, Ross Burandt is affiliated with Genesis Hlth System Dba Genesis Mdl Ctr-Illini and Genesis Medical Center-Davenport.

When was this NPI record last updated?

The NPPES record for Ross Burandt was last updated on March 10, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.