AMANA CARE
NPI 1306235072
Clinic/Center - Urgent Care in Davenport, IA

Active since January 17, 2015CLIA Certified · 2 labs
2162 W KIMBERLY RD, DAVENPORT, IA 52806(563) 388-7000(563) 388-7001 Get Directions Write a Review

NPPES record last updated: July 1, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Amana Care NPPES

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

AMANA CARE (NPI 1306235072) is a healthcare organization registered as an urgent care in Davenport, Iowa and active in the NPI registry since January 2015. The organization holds 2 active CLIA laboratory certificates, maintains a secondary practice location in Muscatine, and lists Moutaz Kotob, Secretary, as its authorized official.

NPPES Registry Identity

NPI1306235072
Entity TypeOrganization
Primary Taxonomy261QU0200X
Legal Business NameAMANA MEDICAL CARE, INC.
Location Address2162 W KIMBERLY RDDavenport, IA 52806-5368
Mailing Address2162 W Kimberly RdDavenport, IA 52806-5368 · (563) 388-7000 · Fax (563) 388-7001
Fax(563) 388-7001
Organization SubpartNo
Authorized OfficialMoutaz KotobSecretary · (563) 505-7537
Enumeration DateJanuary 17, 2015
Last NPPES UpdateJuly 1, 2022
NPPES CertifiedJuly 1, 2022
✔ NPI 1306235072 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Urgent CareAmbulatory Health Care Facilities
Taxonomy Code261QU0200X
2162 W KIMBERLY RD, Davenport, IA 52806

Other Names 1

Doing Business AsAmana Care

Secondary Practice Location 1

Location 11903 Park Ave Ste 1500Muscatine, IA 52761-5400 · Phone (563) 263-1903 · Fax (563) 263-1904

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Amana Care, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (5)

Nurse Practitioner
NPI 1124073911
2162 W KIMBERLY RD
Davenport, IA 52806
(563) 388-7000
✔ PECOS✔ Accepts MedicareSame address
Nephrology
NPI 1063418374
2162 W KIMBERLY RD
Davenport, IA 52806
(563) 391-1024
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1194179705
106 19TH AVE STE 103
Moline, IL 61265
(309) 779-7050
✔ PECOS5.9 mi
Nurse Practitioner
NPI 1518179001
201 S CLINTON ST STE 168
Iowa City, IA 52240
(319) 384-0520
✔ PECOS✔ Accepts Medicare49 mi
Nurse Practitioner
NPI 1285281139
105 N MAIN ST
Port Byron, IL 61275
(309) 523-2015
✔ PECOS✔ Accepts Medicare119 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 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 16D1071984

Amana Care · Muscatine, IA
Active · expires Aug 6, 2027
CLIA Number16D1071984
Laboratory TypeUrgent Care Clinic
Certificate Effective DateAugust 7, 2025
Certificate Expiration DateAugust 6, 2027
Laboratory DirectorMouhamed W. Al Shelkha
Laboratory Phone(563) 263-1903
Laboratory LocationAmana Care1903 Park Avenue, Suite 1500, Muscatine, IA 52761
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 16D2094641

Amana Care · Davenport, IA
Active · expires Apr 20, 2027
CLIA Number16D2094641
Laboratory TypeUrgent Care Clinic
Certificate Effective DateApril 21, 2025
Certificate Expiration DateApril 20, 2027
Laboratory DirectorMouhamed W. Al Sheikha
Laboratory Phone(563) 388-7000
Laboratory LocationAmana Care2162 W Kimberly Road, 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 Amana Medical Care, Inc.'s NPI number?

The NPI number for Amana Medical Care, Inc. is 1306235072. It was assigned to this organization in the NPPES registry on January 17, 2015. The provider is doing business as Amana Care.

Where is Amana Medical Care, Inc. located?

Amana Medical Care, Inc. is located at 2162 W Kimberly Rd, Davenport, IA 52806. The listed phone number is (563) 388-7000.

What is Amana Medical Care, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Urgent Care, with taxonomy code 261QU0200X.

Is Amana Medical Care, Inc. enrolled in Medicare?

Yes. Amana Medical Care, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Amana Medical Care, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 5 clinicians in 2 Medicare specialties reassign their Medicare billing to Amana Medical Care, Inc.. 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 (4) and Nephrology (1). Of these, 1 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Does Amana Medical Care, Inc. 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 Amana Medical Care, Inc. was last updated on July 1, 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.