Kidney Care Quad Cities, LLC
NPI 1720227994ActiveOrganization· Internal Medicine, Nephrology· Moline, IL
Internal Medicine, Nephrology in Moline, Illinois, registered in NPPES in February 2009. The authorized official on file is Loretta Lopez, Office Manager. Enrolled in Medicare as part b supplier - clinic/group practice and part b supplier - clinic/group practice.
Overview
| NPI | 1720227994 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 11, 2009 |
| Last updated in NPPES | Jan 15, 2021 |
| Certified by provider | Jan 15, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Nephrology Primary | 207RN0300X | 036088655 | IL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (IA); Part B Supplier - Clinic/Group Practice (IL) |
|---|
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