QUAD CITY PROSTHETIC INC
NPI 1194058123
Prosthetic/Orthotic Supplier in Moline, IL
NPI Status: Active since September 09, 2009
Contact Information
520 VALLEY VIEW DR
STE 500
MOLINE, IL
ZIP 61265
Phone: (309) 762-6435
Fax: (309) 277-0042
- Organization
- Prosthetic/Orthotic Supplier
- Medicare Supplier
- Accepts Medicare Approved Payment
- CLIA Number: 14D0950292
- CLIA Cert. Type: Ambulatory Surgery Center
- CLIA Exp. Date: 08-20-2026
About QUAD CITY PROSTHETIC INC
This page provides the complete NPI Profile along with additional information for Quad City Prosthetic Inc, a provider established in Moline, Illinois operating as a Prosthetic/orthotic Supplier. The healthcare provider is registered in the NPI registry with number 1194058123 assigned on September 2009. The practitioner's primary taxonomy code is 335E00000X. The provider is registered as an organization and their NPI record was last updated 2 years ago. The authorized official of this NPI record is Mr. Amit Bhanti Cpo (Ceo)
- NPI
- 1194058123
- Provider Name
- QUAD CITY PROSTHETIC INC
- Entity Type
- Organization
- Location Address
- 520 VALLEY VIEW DR STE 500 MOLINE, IL 61265
- Location Phone
- (309) 762-6435
- Location Fax
- (309) 277-0042
- Mailing Address
- 741 W MAIN ST PEORIA, IL 61606
- Mailing Phone
- (800) 334-5705
- Mailing Fax
- (309) 277-0042
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 09-09-2009
- Last Update Date
- 09-24-2024
- Code Navigator
Quad City Prosthetic Inc is a medicare supplier with PTAN 20664947 who accepts Medicare assignment for all durable medical equipment and supplies. The provider accepts the Medicare allowable as payment in full.The supplier carries the following product categories: Orthoses: Custom Fabricated or Orthoses: Prefabricated (Non-Custom Fabricated) or Orthoses: Off-The-Shelf or Limb Prostheses or Diabetic Shoes and Inserts or Diabetic Shoes/Inserts - Custom or Lymphedema Compression Treatment Items.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Prosthetic/Orthotic Supplier
- Taxonomy Code
- 335E00000X
- Type
- Suppliers
- Taxonomy Description
- An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
Medical Equipment Supplier
The provider carries the following medical supplies product categories:
- PTAN
- 20664947
- Accepts Medicare Assignment
- YES
- Specialities List
- Orthotic Personnel, Prosthetic Personnel.
- Competitive Bidding
- NO
Supplies List
- Orthoses: Custom Fabricated - Custom met pads, Custom heel pads, Custom heel spur pads
- Orthoses: Prefabricated (Non-Custom Fabricated) - Met pads, Heel pads, Heel spur pads
- Orthoses: Off-The-Shelf - Met pads, Heel pads, Heel spur pads
- Limb Prostheses - Prosthetic arms, Prosthetic feet, Prosthetic knees
- Diabetic Shoes and Inserts - Shoes, Socks, Insoles
- Diabetic Shoes/Inserts - Custom - Custom fabricated shoes, socks, & insoles
- Lymphedema Compression Treatment Items -
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 14D0950292
- Facility Type
- Ambulatory Surgery Center
- Certificate Effective Date
- August 21, 2024
- Certificate Expiration Date
- August 20, 2026
- Laboratory Director
- THOMAS L. VONGILLERN
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Quad City Prosthetic Inc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1194058123, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 57. The final step is to find the difference between that total and the next multiple of ten (60 - 57 = 3).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 57 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1194058123, enumerated as an "organization" on September 09, 2009.
The provider is located at 520 VALLEY VIEW DR STE 500 MOLINE, IL 61265 and the phone number is (309) 762-6435.
Prosthetic/Orthotic Supplier with taxonomy code 335E00000X.
