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CARDIOVASCULAR MEDICINE PLLC
NPI 1982632907
Internal Medicine - Cardiovascular Disease in Davenport, IA

Active since June 29, 2006CLIA Certified · 2 labs
1236 E. RUSHOLME STREET, SUITE 300, DAVENPORT, IA 52803(563) 324-2992(563) 888-0499 Get Directions Write a Review

NPPES record last updated: January 11, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Cardiovascular Medicine Pllc NPPES

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

CARDIOVASCULAR MEDICINE PLLC (NPI 1982632907) is a healthcare organization registered as a cardiovascular disease in Davenport, Iowa and active in the NPI registry since June 2006. The organization holds 2 active CLIA laboratory certificates and lists Edmund P Coyne, President, as its authorized official.

NPPES Registry Identity

NPI1982632907
Entity TypeOrganization
Primary Taxonomy207RC0000X
Legal Business NameCARDIOVASCULAR MEDICINE PLLC
Location Address1236 E. RUSHOLME STREET, SUITE 300Davenport, IA 52803
Mailing Address1236 E. Rusholme Street, Suite 300Davenport, IA 52803 · (563) 324-2992 · Fax (563) 888-0499
Phone(563) 324-2992
Fax(563) 888-0499
Organization SubpartNo
Authorized OfficialEdmund P CoynePresident · (563) 324-2992
Enumeration DateJune 29, 2006
Last NPPES UpdateJanuary 11, 2022
NPPES CertifiedJanuary 11, 2022
✔ NPI 1982632907 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
1236 E. RUSHOLME STREET, Davenport, IA 52803
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Other Identifiers 1

Medicaid0247403IA

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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware and more.Insurance ›

CLIA Laboratory Certificates CMS CLIA 2

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 16D0937332

Cardiovascular Medicine PLLC · Davenport, IA
Active · expires Aug 31, 2026
CLIA Number16D0937332
Laboratory TypePhysician Office
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorBouyella H. Reddy
Laboratory Phone(309) 743-6719
Laboratory LocationCardiovascular Medicine PLLC1236 East Rusholme Street, Davenport, IA 52803
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Compliance 14D0972482

Cardiovascular Medicine PC · Moline, IL
Active · expires Sep 29, 2026
CLIA Number14D0972482
Laboratory TypePhysician Office
Certificate Effective DateSeptember 30, 2024
Certificate Expiration DateSeptember 29, 2026
Laboratory DirectorBouyella H. Reddy
Laboratory Phone(563) 324-2992
Laboratory LocationCardiovascular Medicine PC1100 36th Avenue, Moline, IL 61265
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

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 Cardiovascular Medicine PLLC's NPI number?

The NPI number for Cardiovascular Medicine PLLC is 1982632907. It was assigned to this organization in the NPPES registry on June 29, 2006.

Where is Cardiovascular Medicine PLLC located?

Cardiovascular Medicine PLLC is located at 1236 E. Rusholme Street Suite 300, Davenport, IA 52803. The listed phone number is (563) 324-2992.

What is Cardiovascular Medicine PLLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Does Cardiovascular Medicine PLLC hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Cardiovascular Medicine PLLC accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health and Medica list Cardiovascular Medicine PLLC 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 Cardiovascular Medicine PLLC was last updated on January 11, 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.