BHG LXXXVI, LLC
NPI 1093421026
Psychiatry & Neurology - Addiction Medicine in Davenport, IA

Active since January 24, 2023CLIA 16D2303737 · Waiver
3811 NORTH HARRISON STREET, OBOT ROOM #100, DAVENPORT, IA 52806(563) 388-8000(563) 388-8002 Get Directions Write a Review

NPPES record last updated: September 22, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 26, 2024, Sep 23, 2024, Jan 24, 2023 (3 updates tracked since 2023).

About Bhg Lxxxvi, Llc NPPES

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

BHG LXXXVI, LLC (NPI 1093421026), doing business as Bhg Medical Services - Iowa, is a healthcare organization registered as an addiction medicine in Davenport, Iowa and active in the NPI registry since January 2023. The organization holds a CLIA Waiver certificate valid through April 29, 2028 and lists Anthony Kilgore, Ceo, as its authorized official.

NPPES Registry Identity

NPI1093421026
Entity TypeOrganization
Primary Taxonomy2084A0401X
Legal Business NameBHG LXXXVI, LLC
Location Address3811 NORTH HARRISON STREET, OBOT ROOM #100Davenport, IA 52806-5911
Mailing Address5001 Spring Valley Rd Ste 600Dallas, TX 75244-3946 · (214) 365-6100 · Fax (214) 365-6150
Fax(563) 388-8002
Organization SubpartNo
Authorized OfficialAnthony KilgoreCeo · (214) 365-6112
Enumeration DateJanuary 24, 2023
Last NPPES UpdateSeptember 22, 20253 updates tracked since enumeration
NPPES CertifiedSeptember 22, 2025
✔ NPI 1093421026 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 11

★ Primary SpecialtyPsychiatry & Neurology · Addiction MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2084A0401X
Definition
A doctor of osteopathy board eligible/certified in the field of Psychiatry by the American Osteopathic Board of Neurology and Psychiatry is able to obtain a Certificate of Added Qualifications in the field of Addiction Medicine
Also ListedSocial Worker · ClinicalTaxonomy 1041C0700X
Also ListedAnesthesiology · Addiction MedicineTaxonomy 207LA0401X
Also ListedFamily Medicine · Addiction MedicineTaxonomy 207QA0401X
Also ListedInternal Medicine · Addiction MedicineTaxonomy 207RA0401X
Also ListedPreventive Medicine · Addiction MedicineTaxonomy 2083A0300X
Also ListedClinic/Center · MethadoneTaxonomy 261QM2800X
Also ListedNurse PractitionerTaxonomy 363L00000X
3811 NORTH HARRISON STREET, Davenport, IA 52806

Other Names 1

Doing Business AsBhg Medical Services - Iowa

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bhg Lxxxvi, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Bhg Lxxxvi, LLC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Nurse Practitioner
NPI 1891272373
2435 KIMBERLY RD STE 270
Bettendorf, IA 52722
(563) 219-7700
✔ PECOS3.0 mi
Internal Medicine
NPI 1588647887
3509 E 29TH ST
Des Moines, IA 50317
(515) 248-1600
✔ PECOS✔ Accepts Medicare155 mi
Nurse Practitioner
NPI 1730190059
95 UNIVERSITY AVE
Des Moines, IA 50314
(515) 244-9500
✔ PECOS158 mi
Nurse Practitioner
NPI 1326578725
2018 WESTERN AVE
Knoxville, TN 37921
(865) 544-0406
✔ PECOS526 mi

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 16D2303737

Bhg Lxxxvi Dba Bhg Medical Services - Iowa · Davenport, IA
Active · expires Apr 29, 2028
CLIA Number16D2303737
Laboratory TypeOffice Based Opioid Treat
Certificate Effective DateApril 30, 2026
Certificate Expiration DateApril 29, 2028
Laboratory DirectorSara Seeman
Laboratory Phone(563) 388-8000
Laboratory LocationBhg Lxxxvi Dba Bhg Medical Services - Iowa3811 North Harrison St Ste 400 Obot Room 100, Davenport, IA 52806
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Bhg Lxxxvi, LLC's NPI number?

The NPI number for Bhg Lxxxvi, LLC is 1093421026. It was assigned to this organization in the NPPES registry on January 24, 2023. The provider is doing business as BHG Medical Services - Iowa.

Where is Bhg Lxxxvi, LLC located?

Bhg Lxxxvi, LLC is located at 3811 North Harrison Street Obot Room #100, Davenport, IA 52806. The listed phone number is (563) 388-8000.

What is Bhg Lxxxvi, LLC's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Addiction Medicine, with taxonomy code 2084A0401X.

Is Bhg Lxxxvi, LLC enrolled in Medicare?

Yes. Bhg Lxxxvi, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Bhg Lxxxvi, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians in 2 Medicare specialties reassign their Medicare billing to Bhg Lxxxvi, LLC. A 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 the clinician's services. The largest specialties are Nurse Practitioner (3) and Internal Medicine (1). Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Bhg Lxxxvi, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 16D2303737) is associated with this NPI, valid through April 29, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Bhg Lxxxvi, LLC was last updated on September 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.