GENESIS HEALTH GROUP
NPI 1376654616
Family Medicine in Davenport, IA

Active since August 31, 2006CLIA 16D0387978 · Waiver
210 W 53RD ST, DAVENPORT, IA 52806(563) 386-3240(563) 386-3211 Get Directions Write a Review

NPPES record last updated: September 29, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Genesis Health Group NPPES

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

GENESIS HEALTH GROUP (NPI 1376654616) is a healthcare organization registered as a family medicine in Davenport, Iowa and active in the NPI registry since August 2006. The organization holds a CLIA Waiver certificate valid through March 11, 2027 and lists Mark G. Rogers, Vice President Of Finance, as its authorized official.

NPPES Registry Identity

NPI1376654616
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameGENESIS HEALTH SYSTEM
Location Address210 W 53RD STDavenport, IA 52806-2251
Mailing Address865 Lincoln Rd, Ste L10Bettendorf, IA 52722-4190 · (563) 355-9191 · Fax (563) 355-3419
Fax(563) 386-3211
Organization SubpartNo
Authorized OfficialMark G. RogersVice President Of Finance · (563) 421-6513
Enumeration DateAugust 31, 2006
Last NPPES UpdateSeptember 29, 2009
NPI 1376654616 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
210 W 53RD ST, Davenport, IA 52806

Other Names 1

Doing Business AsGenesis Health Group

Other Identifiers 1

Other5727210012Dmerc

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

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

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 16D0387978

Genesis Health Group Davenport Healthplex Pediatrics · Davenport, IA
Active · expires Mar 11, 2027
CLIA Number16D0387978
Laboratory TypePhysician Office
Certificate Effective DateMarch 12, 2025
Certificate Expiration DateMarch 11, 2027
Laboratory DirectorGautam Kekreja
Laboratory Phone(563) 421-0010
Laboratory LocationGenesis Health Group Davenport Healthplex Pediatrics3200 West Kimberly Road, Ste 100, Davenport, IA 52806
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 7

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

Family Medicine
210 W 53RD ST
DAVENPORT, IA 52806
Family Medicine
210 W 53RD ST
DAVENPORT, IA 52806
Nurse Practitioner (Family)
210 W 53RD ST
DAVENPORT, IA 52806
Family Medicine
210 W 53RD ST
DAVENPORT, IA 52806
Family Medicine
210 W 53RD ST
DAVENPORT, IA 52806
Family Medicine
210 W 53RD ST
DAVENPORT, IA 52806
Family Medicine
210 W 53RD ST
DAVENPORT, IA 52806

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 1376654616. It was assigned to this organization in the NPPES registry on August 31, 2006. The provider is doing business as Genesis Health Group.

Where is Genesis Health System located?

Genesis Health System is located at 210 W 53rd St, Davenport, IA 52806. The listed phone number is (563) 386-3240.

What is Genesis Health System's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Genesis Health System hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 16D0387978) is associated with this NPI, valid through March 11, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Genesis Health System accept?

Health plans from Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Genesis Health System as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Genesis Health System was last updated on September 29, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.