GENESIS CONVENIENT CARE DAVENPORT
NPI 1205860400
Clinic/Center in Davenport, IA

Active since July 11, 2006
1520 W 53RD ST, DAVENPORT, IA 52806(563) 421-3800(563) 421-3810 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Genesis Convenient Care Davenport NPPES

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

GENESIS CONVENIENT CARE DAVENPORT (NPI 1205860400) is a healthcare organization registered as a clinic/center in Davenport, Iowa and active in the NPI registry since July 2006. The organization lists Mark G Rogers, Vp Of Finance, as its authorized official.

NPPES Registry Identity

NPI1205860400
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameGENESIS HEALTH SYSTEM
Location Address1520 W 53RD STDavenport, IA 52806-2459
Mailing AddressPo Box 765East Moline, IL 61244-0765 · (563) 355-9200 · Fax (563) 355-3415
Fax(563) 421-3810
Organization SubpartNo
Authorized OfficialMark G RogersVp Of Finance · (563) 421-6513
Enumeration DateJuly 11, 2006
Last NPPES UpdateJuly 21, 2022
✔ NPI 1205860400 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
1520 W 53RD ST, Davenport, IA 52806

Other Names 1

Doing Business AsGenesis Convenient Care Davenport

Other Identifiers 6

Medicaid0243972IA
Other08691IA · Blue Cross/blue Shield Ia
Other903630Harvard Pilgrim
OtherIA0106Jdhc
Other387175Healthlink
Other66023Health Alliance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Genesis Convenient Care Davenport is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

299

Medicare enrollment records show 299 clinicians reassign Medicare billing to Genesis Convenient Care Davenport, which bills Medicare for the services they deliver. Of these, 3 practice at this address and 199 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 24

Family Practice77
Nurse Practitioner76
Obstetrics/Gynecology28
Pediatric Medicine23
Cardiovascular Disease (Cardiology)14
Pathology13
Internal Medicine10
Certified Nurse Midwife (CNM)6
16 other specialties52

Nearest to this location (20)

See all 299
Nurse Practitioner
NPI 1215655568
1520 W 53RD ST
Davenport, IA 52806
(563) 421-3800
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1841712486
1520 W 53RD ST
Davenport, IA 52806
(563) 421-3800
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1790199701
1520 W 53RD ST
Davenport, IA 52806
(563) 421-3800
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1588662050
3940 N MARQUETTE ST
Davenport, IA 52806
(563) 386-3111
✔ PECOS✔ Accepts Medicare0.9 mi
Family Practice
NPI 1568468007
210 W 53RD ST
Davenport, IA 52806
(563) 386-6430
✔ PECOS✔ Accepts Medicare1.0 mi
Family Practice
NPI 1205801115
210 W 53RD ST
Davenport, IA 52806
(563) 386-3436
✔ PECOS✔ Accepts Medicare1.0 mi
Family Practice
NPI 1881690709
210 W 53RD ST
Davenport, IA 52806
(563) 391-3166
✔ PECOS1.0 mi
Nephrology
NPI 1063418374
2162 W KIMBERLY RD
Davenport, IA 52806
(563) 391-1024
✔ PECOS✔ Accepts Medicare1.1 mi
Registered Dietitian or Nutrition Professional
NPI 1114392719
2200 W KIMBERLY RD
Davenport, IA 52806
(563) 391-0213
1.2 mi
Nurse Practitioner
NPI 1376258905
3200 W KIMBERLY RD
Davenport, IA 52806
(563) 421-0100
✔ PECOS✔ Accepts Medicare1.8 mi
Internal Medicine
NPI 1922480201
3200 W KIMBERLY RD STE 205
Davenport, IA 52806
(563) 421-0100
✔ PECOS✔ Accepts Medicare1.8 mi
Pediatric Medicine
NPI 1831459759
3200 W KIMBERLY RD
Davenport, IA 52806
(563) 421-0010
✔ PECOS1.8 mi
Family Practice
NPI 1952307407
3200 W KIMBERLY RD
Davenport, IA 52806
(563) 421-0270
✔ PECOS✔ Accepts Medicare1.8 mi
Hospitalist
NPI 1023502622
1345 W CENTRAL PARK AVE
Davenport, IA 52804
(563) 421-4400
✔ PECOS✔ Accepts Medicare2.1 mi
Clinical Social Worker
NPI 1992846448
1345 W CENTRAL PARK AVE
Davenport, IA 52804
(563) 421-4406
✔ PECOS✔ Accepts Medicare2.1 mi
Emergency Medicine
NPI 1336599869
1345 W CENTRAL PARK AVE
Davenport, IA 52804
(563) 421-4409
✔ PECOS✔ Accepts Medicare2.1 mi
General Practice
NPI 1144959073
1345 W CENTRAL PARK AVE
Davenport, IA 52804
(563) 421-4400
✔ PECOS✔ Accepts Medicare2.1 mi
Obstetrics/Gynecology
NPI 1780658229
5350 EASTERN AVE
Davenport, IA 52807
(563) 355-1853
✔ PECOS✔ Accepts Medicare2.2 mi
General Surgery
NPI 1548230832
1228 E RUSHOLME ST SUITE 3020
Davenport, IA 52803
(563) 823-9300
✔ PECOS✔ Accepts Medicare3.0 mi
Interventional Cardiology
NPI 1326010190
1236 E RUSHOLME ST STE 300
Davenport, IA 52803
(563) 324-2992
✔ PECOS✔ Accepts Medicare3.0 mi
See all 299 clinicians

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

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 Genesis Health System's NPI number?

The NPI number for Genesis Health System is 1205860400. It was assigned to this organization in the NPPES registry on July 11, 2006. The provider is doing business as Genesis Convenient Care Davenport.

Where is Genesis Health System located?

Genesis Health System is located at 1520 W 53rd St, Davenport, IA 52806. The listed phone number is (563) 421-3800.

What is Genesis Health System's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Is Genesis Health System enrolled in Medicare?

Yes. Genesis Health System is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Genesis Health System?

According to the CMS Revalidation Reassignment List (October 2026 release), 299 clinicians in 24 Medicare specialties reassign their Medicare billing to Genesis Health System. 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 Family Practice (77), Nurse Practitioner (76) and Obstetrics/Gynecology (28). Of these, 3 practice at this address and 199 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Genesis Health System was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.