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AMITA GHOSH MD
NPI 1376925289
Pediatrics in Moline, IL

Active since June 27, 2015PECOS Enrolled
1106 4TH AVE, MOLINE, IL 61265(563) 336-3000(563) 327-2045 Get Directions Write a Review

NPPES record last updated: July 24, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Amita Ghosh Md NPPES

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

AMITA GHOSH MD (NPI 1376925289) is an individual pediatrics provider in Moline, Illinois, licensed in Illinois (036145083) and active in the NPI registry since June 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1376925289
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameAMITA GHOSHCredential: MD
Location Address1106 4TH AVEMoline, IL 61265
Mailing Address500 W River DrDavenport, IA 52801-1014 · (563) 336-3000 · Fax (563) 327-2045
Phone(563) 336-3000
Fax(563) 327-2045
Sole ProprietorNo
Enumeration DateJune 27, 2015
Last NPPES UpdateJuly 24, 2018
✔ NPI 1376925289 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in IL · 036145083
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
1106 4TH AVE, Moline, IL 61265
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Other Identifiers 2

Medicaid1376925289IA
Medicaid036145083IL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Amita Ghosh Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61265 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$97.25 typical visit price
range $17.16 – $136.56
Typical copayment $24.31 (range $4.29 – $34.14)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 13

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

DR. JOHN HENRY LENO M.D. FACOG
Obstetrics & Gynecology
1106 4TH AVE
MOLINE, IL 61265
Rock Island County (563) 336-3000
SACHIN S NUNNEWAR MD
Pediatrics
1106 4TH AVE
MOLINE, IL 61265
Rock Island County (563) 327-2000
MRS. NICHOL ASHMORE APRN, FNP-BC
Nurse Practitioner (Family)
1106 4TH AVE
MOLINE, IL 61265
Rock Island County (563) 336-3000
MRS. MONIQUE OCHOA
Family Medicine
1106 4TH AVE
MOLINE, IL 61265
Rock Island County (563) 336-3000
DR. LAI SEE LAM MD
Pediatrics
1106 4TH AVE, COMMUNITY HEALTH CARE
MOLINE, IL 61265
Rock Island County (563) 336-3000
JOSHUA PETER ROORDA FNP-BC
Nurse Practitioner (Family)
1106 4TH AVE
MOLINE, IL 61265
Rock Island County (563) 336-3000
LABORATORY CORPORATION OF AMERICA
Clinical Medical Laboratory
1106 4TH AVE
MOLINE, IL 61265
Rock Island County (309) 623-4817
COMMUNITY HEALTH CARE, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
1106 4TH AVE
MOLINE, IL 61265
Rock Island County (563) 327-2000

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 Amita Ghosh's NPI number?

The NPI number for Amita Ghosh is 1376925289. It was assigned to this individual provider in the NPPES registry on June 27, 2015.

Where is Amita Ghosh located?

Amita Ghosh practices at 1106 4th Ave, Moline, IL 61265. The listed phone number is (563) 336-3000.

What is Amita Ghosh's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Amita Ghosh enrolled in Medicare?

Yes. Amita Ghosh is registered in the Medicare PECOS enrollment system.

What insurance does Amita Ghosh accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health and Medica list Amita Ghosh 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 Amita Ghosh was last updated on July 24, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.