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MONOGRAM HEALTH PROFESSIONAL SERVICES OF IOWA PLLC
NPI 1285344150
Internal Medicine - Nephrology in Davenport, IA

Active since December 01, 2022CLIA Certified · 2 labs
4620 E 53RD ST STE 200, DAVENPORT, IA 52807(615) 623-4455 Get Directions Write a Review

NPPES record last updated: January 29, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Monogram Health Professional Services Of Iowa Pllc NPPES

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

MONOGRAM HEALTH PROFESSIONAL SERVICES OF IOWA PLLC (NPI 1285344150) is a healthcare organization registered as a nephrology in Davenport, Iowa and active in the NPI registry since December 2022. The organization holds 2 active CLIA laboratory certificates and lists Shawn Verner, Secretary And General Counsel, as its authorized official.

NPPES Registry Identity

NPI1285344150
Entity TypeOrganization
Primary Taxonomy207RN0300X
Legal Business NameMONOGRAM HEALTH PROFESSIONAL SERVICES OF IOWA PLLC
Location Address4620 E 53RD ST STE 200Davenport, IA 52807-3627
Mailing Address5410 Maryland Way Ste 400Brentwood, TN 37027-8087 · (615) 465-8684 · Fax (629) 240-6003
Phone(615) 623-4455
Organization SubpartNo
Authorized OfficialShawn VernerSecretary And General Counsel · (615) 994-1889
Enumeration DateDecember 1, 2022
Last NPPES UpdateJanuary 29, 2025
NPPES CertifiedJanuary 29, 2025
✔ NPI 1285344150 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 15

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
Also ListedPsychologist · Cognitive & BehavioralTaxonomy 103TB0200X
Also ListedSpecialistTaxonomy 174400000X
Also ListedPharmacist · CardiologyTaxonomy 1835C0206X
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedInternal Medicine · Advanced Heart Failure and Transplant CardiologyTaxonomy 207RA0001X
Also ListedInternal Medicine · Cardiovascular DiseaseTaxonomy 207RC0000X
Also ListedInternal Medicine · Endocrinology, Diabetes & MetabolismTaxonomy 207RE0101X
Also ListedInternal Medicine · Pulmonary DiseaseTaxonomy 207RP1001X
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X
Also ListedGeneral PracticeTaxonomy 208D00000X
Also ListedPhysician AssistantTaxonomy 363A00000X
Also ListedNurse PractitionerTaxonomy 363L00000X
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X
Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X
4620 E 53RD ST STE 200, Davenport, IA 52807
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA 2

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 16D2318199

Monogram Health Inc · Davenport, IA
Active · expires Feb 5, 2027
CLIA Number16D2318199
Laboratory TypeIn-Home Patient Care Coor
Certificate Effective DateFebruary 6, 2025
Certificate Expiration DateFebruary 5, 2027
Laboratory DirectorShaminder Gupta
Laboratory Phone(480) 204-9932
Laboratory LocationMonogram Health Inc4620 E 53rd St Ste 200, Davenport, IA 52807
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 16D2309050

Monogram Health Professional Services Of Iowa PLLC · Davenport, IA
Active · expires Aug 7, 2026
CLIA Number16D2309050
Laboratory TypeIn Home Patient Care
Certificate Effective DateAugust 8, 2024
Certificate Expiration DateAugust 7, 2026
Laboratory DirectorShaminder Gupta
Laboratory Phone(480) 716-4059
Laboratory LocationMonogram Health Professional Services Of Iowa PLLC4620 E 53rd St Ste 200, Davenport, IA 52807
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 8

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

MICHAEL ANTHONY COX LMHC
Counselor (Mental Health)
4620 E 53RD ST STE 200
DAVENPORT, IA 52807
Scott County (563) 484-0840
ZYN MEDICAL SUPPLY LLC
Durable Medical Equipment & Medical Supplies
4620 E 53RD ST STE 200
DAVENPORT, IA 52807
Scott County (815) 505-5884
SARAH WAGENER T-LMHC
Counselor (Mental Health)
4620 E 53RD ST STE 200
DAVENPORT, IA 52807
Scott County (563) 223-8118
KEZIA TYREE ANDRENETTE MCLEMORE RN
Registered Nurse (Medical-Surgical)
4620 E 53RD ST STE 200
DAVENPORT, IA 52807
Scott County (877) 523-6160
CHAMPIONS DEVELOPMENTAL CARE
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
4620 E 53RD ST STE 200
DAVENPORT, IA 52807
Scott County (563) 949-1148
MR. BRANDAL J WAGENER LMHC
Counselor (Mental Health)
4620 E 53RD ST STE 200
DAVENPORT, IA 52807
Scott County (224) 216-4209
AFFLUENCE CARE LLC
Home Health
4620 E 53RD ST STE 200
DAVENPORT, IA 52807
Scott County (563) 343-4176
MAIN STREET HEALTH PARTNERS, P.C.
Family Medicine
4620 E 53RD ST STE 200
DAVENPORT, IA 52807
Scott County (563) 293-7700

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 Monogram Health Professional Services Of Iowa PLLC's NPI number?

The NPI number for Monogram Health Professional Services Of Iowa PLLC is 1285344150. It was assigned to this organization in the NPPES registry on December 1, 2022.

Where is Monogram Health Professional Services Of Iowa PLLC located?

Monogram Health Professional Services Of Iowa PLLC is located at 4620 E 53rd St Ste 200, Davenport, IA 52807. The listed phone number is (615) 623-4455.

What is Monogram Health Professional Services Of Iowa PLLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Does Monogram Health Professional Services Of Iowa PLLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Monogram Health Professional Services Of Iowa PLLC was last updated on January 29, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.