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KIDNEY SPECIALISTS, PC
NPI 1598935488
Internal Medicine - Nephrology in Bettendorf, IA

Active since March 06, 2008
3682 UTICA RIDGE RD, BETTENDORF, IA 52722(563) 391-1024(563) 386-0965 Get Directions Write a Review

NPPES record last updated: August 9, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Kidney Specialists, Pc NPPES

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

KIDNEY SPECIALISTS, PC (NPI 1598935488) is a healthcare organization registered as a nephrology in Bettendorf, Iowa and active in the NPI registry since March 2008. The organization lists Mouhamed Walid Al Sheikha, Owner, as its authorized official.

NPPES Registry Identity

NPI1598935488
Entity TypeOrganization
Primary Taxonomy207RN0300X
Legal Business NameKIDNEY SPECIALISTS, PC
Location Address3682 UTICA RIDGE RDBettendorf, IA 52722-1648
Mailing Address25058 189th StBettendorf, IA 52722-7343
Phone(563) 391-1024
Fax(563) 386-0965
Organization SubpartNo
Authorized OfficialMouhamed Walid Al SheikhaOwner · (636) 506-8255
Enumeration DateMarch 6, 2008
Last NPPES UpdateAugust 9, 2023
NPPES CertifiedAugust 9, 2023
✔ NPI 1598935488 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in IA · 29965
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.
3682 UTICA RIDGE RD, Bettendorf, IA 52722
Open in Google Maps ↗

Other Identifiers 1

Medicaid1125682IA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE 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)

Kidney Specialists, Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to Kidney Specialists, PC, 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 (6)

Ellen Holm, AGPCNP-BC
Nurse Practitioner
NPI 1942606413
3682 UTICA RIDGE RD UNIT A
Bettendorf, IA 52722
(563) 370-1853
✔ PECOS✔ Accepts MedicareSame address
Mohsin Khan, MD
Family Practice
NPI 1073712683
1111 W KIMBERLY RD
Davenport, IA 52806
(563) 650-6825
✔ PECOS✔ Accepts Medicare3.7 mi
Mouhamed Al Sheikha, MD
Nephrology
NPI 1063418374
2162 W KIMBERLY RD
Davenport, IA 52806
(563) 391-1024
✔ PECOS✔ Accepts Medicare4.7 mi
Todd Gray, MD
Internal Medicine
NPI 1447346630
100 E LEFEVRE RD
Sterling, IL 61081
(815) 625-0400
✔ PECOS✔ Accepts Medicare46 mi
Tyler Shelby, DNP
Nurse Practitioner
NPI 1992343511
3661 ROCHESTER AVE
Iowa City, IA 52245
(319) 351-7460
✔ PECOS✔ Accepts Medicare50 mi
Anjali Mathew, M.D
Nephrology
NPI 1922253459
200 HAWKINS DR
Iowa City, IA 52242
(319) 384-9730
✔ PECOS✔ Accepts Medicare54 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Kidney Specialists, PC's NPI number?

The NPI number for Kidney Specialists, PC is 1598935488. It was assigned to this organization in the NPPES registry on March 6, 2008.

Where is Kidney Specialists, PC located?

Kidney Specialists, PC is located at 3682 Utica Ridge Rd, Bettendorf, IA 52722. The listed phone number is (563) 391-1024.

What is Kidney Specialists, PC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Kidney Specialists, PC enrolled in Medicare?

Yes. Kidney Specialists, PC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Kidney Specialists, PC?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians reassign their Medicare billing to Kidney Specialists, PC, in Family Practice, Internal Medicine, Nephrology and Nurse Practitioner. 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. 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.

When was this NPI record last updated?

The NPPES record for Kidney Specialists, PC was last updated on August 9, 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.