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GENESIS EMERGENCY PHYSICIAN
NPI 1902186364
Emergency Medicine in Davenport, IA

Active since August 17, 2011
1227 E RUSHOLME ST, DAVENPORT, IA 52803(563) 421-6610(563) 421-7719 Get Directions Write a Review

NPPES record last updated: August 22, 2011. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Genesis Emergency Physician NPPES

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

GENESIS EMERGENCY PHYSICIAN (NPI 1902186364) is a healthcare organization registered as an emergency medicine in Davenport, Iowa and active in the NPI registry since August 2011. The organization lists Mark G. Rogers, Vp Of Finance / Cfo, as its authorized official.

NPPES Registry Identity

NPI1902186364
Entity TypeOrganization
Primary Taxonomy207P00000X
Legal Business NameGENESIS HEALTH SYSTEM
Location Address1227 E RUSHOLME STDavenport, IA 52803-2459
Mailing Address865 Lincoln Rd Ste L10Bettendorf, IA 52722-4159 · (563) 355-9200 · Fax (563) 355-3419
Phone(563) 421-6610
Fax(563) 421-7719
Organization SubpartNo
Authorized OfficialMark G. RogersVp Of Finance / Cfo · (563) 421-6513
Enumeration DateAugust 17, 2011
Last NPPES UpdateAugust 22, 2011
✔ NPI 1902186364 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
Also ListedPhysician AssistantTaxonomy 363A00000X
Also ListedNurse PractitionerTaxonomy 363L00000X
1227 E RUSHOLME ST, Davenport, IA 52803
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Other Names 1

Doing Business AsGenesis Emergency Physician

Other Identifiers 2

Medicaid0496083IA
Medicare PINI17989IA

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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Genesis Emergency Physician is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

299

Medicare enrollment records show 299 clinicians reassign Medicare billing to Genesis Emergency Physician, which bills Medicare for the services they deliver. Of these, 204 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 24

Family Practice77
Nurse Practitioner76
Obstetrics/Gynecology28
Pediatric Medicine23
Cardiovascular Disease (Cardiology)14
Pathology13
Internal Medicine10
Certified Nurse Midwife (CNM)6
16 other specialties52

Nearest to this location (20)

See all 299
Katherine Fitzpatrick, DNP
Nurse Practitioner
NPI 1366142051
1351 W CENTRAL PARK AVE
Davenport, IA 52804
(563) 421-1815
✔ PECOS✔ Accepts Medicare0.1 mi
Joanne Miller, M.D.
Family Practice
NPI 1093777518
1351 W CENTRAL PARK AVE STE 1225
Davenport, IA 52804
(563) 421-1585
✔ PECOS✔ Accepts Medicare0.1 mi
Jesicah Ambrisco, DO
Hospitalist
NPI 1023502622
1345 W CENTRAL PARK AVE
Davenport, IA 52804
(563) 421-4400
✔ PECOS✔ Accepts Medicare0.1 mi
Gena Benoit, MD
Family Practice
NPI 1730184003
1345 W CENTRAL PARK AVE
Davenport, IA 52804
(563) 421-4400
✔ PECOS✔ Accepts Medicare0.1 mi
Mitchell Binkley, MD
Family Practice
NPI 1790215994
1345 W CENTRAL PARK AVE
Davenport, IA 52804
(563) 421-4455
✔ PECOS✔ Accepts Medicare0.1 mi
Ross Burandt
Family Practice
NPI 1093416935
1345 W CENTRAL PARK AVE
Davenport, IA 52804
(563) 421-4400
✔ PECOS✔ Accepts Medicare0.1 mi
Kyle Carver, MD
Family Practice
NPI 1457974347
1345 W CENTRAL PARK AVE
Davenport, IA 52804
(563) 421-4400
✔ PECOS✔ Accepts Medicare0.1 mi
Troy Dolmetsch, DO
Family Practice
NPI 1194464107
1345 W CENTRAL PARK AVE
Davenport, IA 52804
(563) 421-4400
✔ PECOS✔ Accepts Medicare0.1 mi
Manisha Fenzl, MD
Family Practice
NPI 1497285373
1345 W CENTRAL PARK AVE
Davenport, IA 52804
(563) 940-2648
✔ PECOS✔ Accepts Medicare0.1 mi
Andrea Fjelstul-Bonert, MD
Family Practice
NPI 1801699533
1345 W CENTRAL PARK AVE
Davenport, IA 52804
(563) 421-4400
✔ PECOS✔ Accepts Medicare0.1 mi
Taryn Hancock, LISW
Clinical Social Worker
NPI 1992846448
1345 W CENTRAL PARK AVE
Davenport, IA 52804
(563) 421-4406
✔ PECOS✔ Accepts Medicare0.1 mi
Sheena Harker, D,O.
Family Practice
NPI 1447544580
1345 W CENTRAL PARK AVE
Davenport, IA 52804
(563) 421-4400
✔ PECOS✔ Accepts Medicare0.1 mi
Ellen Hosch, RD, CDE
Registered Dietitian or Nutrition Professional
NPI 1669921607
1345 W CENTRAL PARK AVE
Davenport, IA 52804
(563) 421-4400
✔ Accepts Medicare0.1 mi
Nicholas Howard, MD
Family Practice
NPI 1225830755
1345 W CENTRAL PARK AVE
Davenport, IA 52804
(563) 421-4400
✔ PECOS✔ Accepts Medicare0.1 mi
Bradley Johnson, D.O
Family Practice
NPI 1134116684
1345 W CENTRAL PARK AVE
Davenport, IA 52804
(563) 421-4400
✔ PECOS✔ Accepts Medicare0.1 mi
Jong Lee, DO
Emergency Medicine
NPI 1336599869
1345 W CENTRAL PARK AVE
Davenport, IA 52804
(563) 421-4409
✔ PECOS✔ Accepts Medicare0.1 mi
Robert Mixsell, MD
Family Practice
NPI 1598717449
1345 W CENTRAL PARK AVE
Davenport, IA 52804
(563) 421-4400
✔ PECOS✔ Accepts Medicare0.1 mi
Madison Purvis, MD
Family Practice
NPI 1396530531
1345 W CENTRAL PARK AVE
Davenport, IA 52804
(563) 421-4400
✔ PECOS✔ Accepts Medicare0.1 mi
Mckenna Sexton, DO
General Practice
NPI 1144959073
1345 W CENTRAL PARK AVE
Davenport, IA 52804
(563) 421-4400
✔ PECOS✔ Accepts Medicare0.1 mi
Caroline Sidlinger, DNP
Nurse Practitioner
NPI 1033000344
1345 W CENTRAL PARK AVE
Davenport, IA 52804
(563) 421-4400
✔ PECOS✔ Accepts Medicare0.1 mi
See all 299 clinicians

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 Genesis Health System's NPI number?

The NPI number for Genesis Health System is 1902186364. It was assigned to this organization in the NPPES registry on August 17, 2011. The provider is doing business as Genesis Emergency Physician.

Where is Genesis Health System located?

Genesis Health System is located at 1227 E Rusholme St, Davenport, IA 52803. The listed phone number is (563) 421-6610.

What is Genesis Health System's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Genesis Health System enrolled in Medicare?

Yes. Genesis Health System is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Genesis Health System?

According to the CMS Revalidation Reassignment List (October 2026 release), 299 clinicians in 24 Medicare specialties reassign their Medicare billing to Genesis Health System. 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. The largest specialties are Family Practice (77), Nurse Practitioner (76) and Obstetrics/Gynecology (28). Of these, 204 practice 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 Genesis Health System was last updated on August 22, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.