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: October 25, 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
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 · Cardiovascular DiseaseTaxonomy 207RC0000X
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
4620 E 53RD ST STE 200, Davenport, IA 52807

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Monogram Health Professional Services Of Iowa Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

46

Medicare enrollment records show 46 clinicians reassign Medicare billing to Monogram Health Professional Services Of Iowa PLLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 11

Nurse Practitioner20
Hospice/Palliative Care6
Internal Medicine6
Nephrology6
Cardiovascular Disease (Cardiology)2
Clinical Social Worker1
Endocrinology1
Family Practice1
3 other specialties3

Nearest to this location (20)

See all 46
Nephrology
NPI 1265758635
4620 E 53RD ST STE 200
Davenport, IA 52807
(855) 212-2273
✔ PECOSSame address
Nurse Practitioner
NPI 1205407129
579 COURT AVE
Marengo, IA 52301
(319) 350-6975
✔ PECOS82 mi
Nurse Practitioner
NPI 1043762768
8505 183RD ST STE A
Tinley Park, IL 60487
(815) 824-4406
✔ PECOS139 mi
Nurse Practitioner
NPI 1649860339
1221 PLEASANT ST STE 100
Des Moines, IA 50309
(605) 215-9574
✔ PECOS162 mi
Nurse Practitioner
NPI 1730807124
815 HIGH RD
Norwalk, IA 50211
(515) 981-4268
✔ PECOS165 mi
Pulmonary Disease
NPI 1912249087
5410 MARYLAND WAY STE 400
Brentwood, TN 37027
(855) 212-2273
✔ PECOS✔ Accepts Medicare431 mi
Hospice/Palliative Care
NPI 1114260726
4301 W MARKHAM ST # 783
Little Rock, AR 72205
(501) 686-8511
✔ PECOS481 mi
Psychiatry
NPI 1992236822
3350 RIVERWOOD PKWY SE STE 1900
Atlanta, GA 30339
(855) 212-2273
✔ PECOS626 mi
Hospice/Palliative Care
NPI 1578634390
3350 RIVERWOOD PKWY SE STE 1900
Atlanta, GA 30339
(855) 212-2273
✔ PECOS✔ Accepts Medicare626 mi
Internal Medicine
NPI 1679765309
2055 N HIGH ST #330
Denver, CO 80205
(303) 301-9010
✔ PECOS769 mi
Nephrology
NPI 1730183401
2900 WESTFORK DR STE 401
Baton Rouge, LA 70827
(855) 212-2273
✔ PECOS✔ Accepts Medicare770 mi
Registered Dietitian or Nutrition Professional
NPI 1104625144
4206 17TH ST APT 3
Lubbock, TX 79416
(512) 773-4452
833 mi
Nephrology
NPI 1538696984
708 MAIN ST FL 10
Houston, TX 77002
(855) 212-2273
✔ PECOS✔ Accepts Medicare859 mi
Hospice/Palliative Care
NPI 1699193086
708 MAIN ST FL 10
Houston, TX 77002
(855) 212-2273
✔ PECOS859 mi
Internal Medicine
NPI 1861925877
708 MAIN ST FL 10
Houston, TX 77002
(855) 212-2273
✔ PECOS✔ Accepts Medicare859 mi
Family Practice
NPI 1538429725
708 MAIN ST FL 10
Houston, TX 77002
(855) 212-2273
✔ PECOS859 mi
Cardiovascular Disease (Cardiology)
NPI 1063633576
4720 SALISBURY RD
Jacksonville, FL 32256
(855) 212-2273
✔ PECOS✔ Accepts Medicare926 mi
Cardiovascular Disease (Cardiology)
NPI 1336285873
4720 SALISBURY RD
Jacksonville, FL 32256
(855) 212-2273
✔ PECOS926 mi
Endocrinology
NPI 1598078115
4720 SALISBURY RD
Jacksonville, FL 32256
(855) 212-2273
✔ PECOS✔ Accepts Medicare926 mi
Clinical Social Worker
NPI 1861964694
1725 N UNIVERSITY DR STE 350
Coral Springs, FL 33071
(954) 227-2700
✔ PECOS1,207 mi
See all 46 clinicians

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 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 16D2309050

Monogram Health Professional Services Of Iowa PLLC · Davenport, IA
Active · expires Aug 7, 2028
CLIA Number16D2309050
Laboratory TypeIn Home Patient Care
Certificate Effective DateAugust 8, 2026
Certificate Expiration DateAugust 7, 2028
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.

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.

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.

Is Monogram Health Professional Services Of Iowa PLLC enrolled in Medicare?

Yes. Monogram Health Professional Services Of Iowa PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Monogram Health Professional Services Of Iowa PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 46 clinicians in 11 Medicare specialties reassign their Medicare billing to Monogram Health Professional Services Of Iowa PLLC. 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 (20), Hospice/Palliative Care (6) and Internal Medicine (6). Of these, 1 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 20 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.