EASTERN IOWA DERMATOLOGY PLC
NPI 1942405808
Dermatology in Bettendorf, IA

Active since June 19, 2007
2880 AAA COURT, BETTENDORF, IA 52722(563) 359-7546(563) 359-8037 Get Directions Write a Review

NPPES record last updated: March 30, 2015. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Eastern Iowa Dermatology Plc NPPES

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

EASTERN IOWA DERMATOLOGY PLC (NPI 1942405808) is a healthcare organization registered as a dermatology in Bettendorf, Iowa and active in the NPI registry since June 2007. The organization lists Manish G Kumar, President/physician Owner, as its authorized official.

NPPES Registry Identity

NPI1942405808
Entity TypeOrganization
Primary Taxonomy207N00000X
Legal Business NameEASTERN IOWA DERMATOLOGY PLC
Location Address2880 AAA COURTBettendorf, IA 52722-3206
Mailing Address2880 Aaa CourtBettendorf, IA 52722-3206 · (563) 359-7546 · Fax (563) 359-8037
Fax(563) 359-8037
Organization SubpartNo
Authorized OfficialManish G KumarPresident/physician Owner · (563) 359-7546
Enumeration DateJune 19, 2007
Last NPPES UpdateMarch 30, 2015
✔ NPI 1942405808 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDermatologyAllopathic & Osteopathic Physicians
Taxonomy Code207N00000X
License✔ Licensed in IA · 35482
Definition
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.
2880 AAA COURT, Bettendorf, IA 52722

Other Identifiers 1

Medicare ID-Type UnspecifiedI12313IA

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Eastern Iowa Dermatology Plc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by December 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateIowaEnrollment IDO20040610000347Non-DME Part B · Clinic/Group PracticeDue dateDecember 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Eastern Iowa Dermatology Plc, which bills Medicare for the services this clinician delivers.

Clinician (1)

Dermatology
NPI 1033198395
2880 AAA COURT
Bettendorf, IA 52722
(563) 359-7546
✔ PECOS✔ Accepts MedicareSame address

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 Eastern Iowa Dermatology Plc's NPI number?

The NPI number for Eastern Iowa Dermatology Plc is 1942405808. It was assigned to this organization in the NPPES registry on June 19, 2007.

Where is Eastern Iowa Dermatology Plc located?

Eastern Iowa Dermatology Plc is located at 2880 Aaa Court, Bettendorf, IA 52722. The listed phone number is (563) 359-7546.

What is Eastern Iowa Dermatology Plc's specialty?

The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.

Is Eastern Iowa Dermatology Plc enrolled in Medicare?

Yes. Eastern Iowa Dermatology Plc is registered in the Medicare PECOS enrollment system.

When is Eastern Iowa Dermatology Plc's Medicare revalidation due?

According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Iowa, Clinic/Group Practice) is due for revalidation by December 31, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.

How many clinicians bill Medicare through Eastern Iowa Dermatology Plc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Dermatology) reassigns their Medicare billing to Eastern Iowa Dermatology Plc. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Eastern Iowa Dermatology Plc was last updated on March 30, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.