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RIVER VALLEY MEDICAL GROUP, LLC
NPI 1396408290
Internal Medicine in Davenport, IA

Active since October 18, 2021CLIA 16D2253885 · Waiver
4626 PROGRESS DR STE C, DAVENPORT, IA 52807(563) 551-4200(563) 441-9101 Get Directions Write a Review

NPPES record last updated: June 23, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 23, 2023, Nov 2, 2021, Oct 18, 2021 (3 updates tracked since 2021).

About River Valley Medical Group, Llc NPPES

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

RIVER VALLEY MEDICAL GROUP, LLC (NPI 1396408290) is a healthcare organization registered as an internal medicine in Davenport, Iowa and active in the NPI registry since October 2021. The organization holds a CLIA Waiver certificate valid through February 24, 2028 and lists Radhika N Kolla, Physician/owner, as its authorized official.

NPPES Registry Identity

NPI1396408290
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameRIVER VALLEY MEDICAL GROUP, LLC
Location Address4626 PROGRESS DR STE CDavenport, IA 52807-3485
Mailing Address4626 Progress Dr Ste CDavenport, IA 52807-3485 · (563) 551-4200 · Fax (563) 441-9101
Phone(563) 551-4200
Fax(563) 441-9101
Organization SubpartNo
Authorized OfficialRadhika N KollaPhysician/owner · (563) 271-3023
Enumeration DateOctober 18, 2021
Last NPPES UpdateJune 23, 20233 updates tracked since enumeration
NPPES CertifiedJune 23, 2023
✔ NPI 1396408290 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedClinic/Center · Primary CareTaxonomy 261QP2300X
4626 PROGRESS DR STE C, Davenport, IA 52807
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Other Identifiers 2

OtherG81285Medicare
Medicaid1598744096IA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and more.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 16D2253885

River Valley Medical Group · Davenport, IA
Active · expires Feb 24, 2028
CLIA Number16D2253885
Laboratory TypePhysician Office
Certificate Effective DateFebruary 25, 2026
Certificate Expiration DateFebruary 24, 2028
Laboratory DirectorRadhika Kolla
Laboratory Phone(563) 551-4200
Laboratory LocationRiver Valley Medical Group4626 Progress Drive Suite C, Davenport, IA 52807
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

ELIZABETH RINEY DNP
Nurse Practitioner (Family)
4626 PROGRESS DR STE C
DAVENPORT, IA 52807
Scott County (309) 428-1753
MADELINE ELIZABETH CRAIG
Health and Wellness Coach
4626 PROGRESS DR STE C
DAVENPORT, IA 52807
Scott County (563) 551-4200

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 River Valley Medical Group, LLC's NPI number?

The NPI number for River Valley Medical Group, LLC is 1396408290. It was assigned to this organization in the NPPES registry on October 18, 2021.

Where is River Valley Medical Group, LLC located?

River Valley Medical Group, LLC is located at 4626 Progress Dr Ste C, Davenport, IA 52807. The listed phone number is (563) 551-4200.

What is River Valley Medical Group, LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does River Valley Medical Group, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 16D2253885) is associated with this NPI, valid through February 24, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does River Valley Medical Group, LLC accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from NH Healthy Families and Ambetter from Sunflower Health Plan and 1 other insurer list River Valley Medical Group, LLC 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 River Valley Medical Group, LLC was last updated on June 23, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.