THOMAS HARRIS
NPI 1720585219
Pediatrics in Davenport, IA

Q: What is Thomas Harris's NPI number?

The NPI number for Thomas Harris is 1720585219. It was assigned to this individual provider in the NPPES registry on April 10, 2018.

Q: What is Thomas Harris's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Thomas Harris was last updated on August 28, 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.

Active since April 10, 2018PECOS EnrolledAccepts Medicare Assignment

3200 W KIMBERLY RD, DAVENPORT, IA 52806(563) 421-0010 Get Directions Write a Review

NPPES record last updated: August 28, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 28, 2022, Mar 5, 2020, Apr 10, 2018 (3 updates tracked since 2018).

On this page

About Thomas Harris NPPES

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

THOMAS HARRIS (NPI 1720585219) is an individual pediatrics provider in Davenport, Iowa, licensed in Iowa (MD-49988) and active in the NPI registry since April 2018. He is enrolled in Medicare PECOS, is affiliated with Genesis Medical Center-davenport, and is a graduate of University Of Iowa, Rj & L Carver College Of Medicine (2018).

NPPES Registry Identity

NPI1720585219

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameTHOMAS HARRIS

Location Address3200 W KIMBERLY RDDavenport, IA 52806-3059

Mailing Address3200 W Kimberly RdDavenport, IA 52806-3059 · (563) 421-0010

Phone(563) 421-0010

Sole ProprietorNo

Medical School CMSUniversity Of Iowa, Rj & L Carver College Of MedicineGraduated 2018

Enumeration DateApril 10, 2018

Last NPPES UpdateAugust 28, 20223 updates tracked since enumeration

NPPES CertifiedAugust 24, 2022

✔ NPI 1720585219 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

Licenses✔ Licensed in IA · MD-49988✔ Licensed in WI · 72740-20

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.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

3200 W KIMBERLY RD, Davenport, IA 52806

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Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Thomas Harris is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9638426745

PECOS Enrollment IDI20220822002629

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.

Medicare Billing Reassignments

Medicare enrollment records show Thomas Harris reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Genesis Health System

1.8 mi

Clinic/Center

1520 W 53RD ST
Davenport, IA 52806

Reassigned Medicare billing, Iowa enrollment
300 clinicians in this Medicare group

NPI 1205860400 (563) 421-3800

Genesis Health System

3.6 mi

Surgery

1227 E RUSHOLME ST
Davenport, IA 52803

Reassigned Medicare billing, Iowa enrollment
358 clinicians in this Medicare group

NPI 1528616901 (563) 421-3408

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

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Genesis Medical Center-Davenport

Acute Care Hospitals · Davenport, IA

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number160033

Location1227 East Rusholme StreetDavenport, IA 52803 · Scott County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 52806 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

$81.84 typical visit price

range $52.96 – $161.40

Typical copayment $20.46 (range $13.24 – $40.35)

Most-billed visit code 99203

Established Patient

$94.05 typical visit price

range $16.91 – $131.98

Typical copayment $23.51 (range $4.22 – $32.99)

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 18

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

PAMELA PRINCE ARNP

Nurse Practitioner