River Valley Medical Group, LLC
NPI 1396408290ActiveOrganization· Internal Medicine· Davenport, IA
Internal Medicine in Davenport, Iowa, registered in NPPES in October 2021. The authorized official on file is Radhika N. Kolla, MD, Physician/Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1396408290 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 18, 2021 |
| Last updated in NPPES | Jun 23, 2023 |
| Certified by provider | Jun 23, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | — | — |
| Clinic/Center, Primary Care | 261QP2300X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (IA) |
|---|
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