DR. ANAND KOMMURI (NPI# 1770819591) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770819591 |
| Entity Type | Individual |
| Full Name | DR. ANAND KOMMURI |
| Credential | MBBS,MD |
| Practice Address |
1801 E 54th St Ste 100 Davenport IA 52807-7209 |
| Practice Telephone | 5363231229 |
| Mailing Telephone | 5363231229 |
| Enumeration Date | 2009-10-29 |
| Last Update Date | 2013-11-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
41045 | IA | Allopathic & Osteopathic Physicians |
| Y | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
41045 | IA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 1770819591 | 05 |
| Street Address |
1801 E 54TH ST STE 100 |
| City | DAVENPORT |
| State | IA |
| Zip Code | 52807-7209 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104891704 | Akshay Kantilal Mahadevia | Internal Medicine | 1801 E 54th St, Ste 100, Davenport, IA 52807-7209 | 2006-02-17 |
| 1831645308 | Maureen Gulatto | Nurse Practitioner | 1801 E 54th St, Suite 100, Davenport, IA 52807-7209 | 2016-08-25 |
| 1336564038 | Andrea Odvarko | Nurse Practitioner | 1801 E 54th St, Ste 100, Davenport, IA 52807-7209 | 2014-03-04 |
| 1740618735 | Jennifer A Mayer | Nurse Practitioner | 1801 E 54th St, Ste 100, Davenport, IA 52807-7209 | 2013-10-29 |
| 1023356672 | J&s Kelly LLC | Durable Medical Equipment & Medical Supplies | 1801 E 54th St, Suite 200, Davenport, IA 52807-7209 | 2013-01-16 |
| 1457600157 | Aeon Group Hst | Clinic/Center | 1801 E 54th St, Suite 200, Davenport, IA 52807-7209 | 2012-09-10 |
| 1649527045 | Emily Cathryn Maiers | Nurse Practitioner | 1801 E 54th St, Suite 100, Davenport, IA 52807-7209 | 2012-08-06 |
| 1013982610 | Humphrey Wong | Internal Medicine | 1801 E 54th St, Ste 100, Davenport, IA 52807-7209 | 2006-02-17 |
| 1740255348 | Brian Gross | Internal Medicine | 1801 E 54th St, Ste 100, Davenport, IA 52807-7209 | 2006-02-17 |
| 1477528073 | Paulette Ong | Physician Assistant | 1801 E 54th St, Ste 100, Davenport, IA 52807-7209 | 2006-02-17 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710455423 | Sarah Duvall | Pharmacist | 2790 East 53rd Street, Davenport, IA 52807 | 2018-11-12 |
| 1932686375 | Costco Wholesale Corporation | Hearing Aid Equipment | 2790 East 53rd St., Davenport, IA 52807 | 2018-07-27 |
| 1902258379 | Secure Dental II, LLC | Dentist | 5025 Utica Ridge Rd, Suite 103, Davenport, IA 52807 | 2016-07-08 |
| 1003288663 | Kristin Landram | Pharmacist | 4011 E 53rd Street, Davenport, IA 52807 | 2015-10-22 |
| 1912384918 | Toshia Johnson | Counselor | 3515 Spring Street, Davenport, IA 52807 | 2015-04-29 |
| 1366849440 | Dennis Aaron Brown | Counselor | 2322 E. Kimberly Rd., Ste. 200 N., Davenport, IA 52807 | 2014-12-04 |
| 1033514914 | Rachel J Staron | Counselor | 2028 E 38th St Ste 3-5, Davenport, IA 52807 | 2014-11-04 |
| 1447651518 | Anthony B. Dexter | Chiropractor | 2178 E Kimberly Rd Ste 400, Davenport, IA 52807 | 2014-09-09 |
| 1932517588 | Alan Christopher Rubach | Dentist | 3435 Spring St Ste 2, Davenport, IA 52807 | 2014-07-28 |
| 1851707459 | Allison Maxwell | Behavioral Analyst | 4959 Utica Ridge Rd, Davenport, IA 52807 | 2014-07-03 |
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| Taxonomy Code | 207RP1001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Pulmonary Disease |
| An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174062053 | Respiratory and Sleep Disorders Center | Internal Medicine | 2400 North Blvd. W, Suite 1, Davenport, FL 33837 | 2017-02-13 |
| 1174963326 | Hof Pulm & Sleep, Inc | Internal Medicine | 171 Webb Dr Ste 2, Davenport, FL 33837-3944 | 2013-07-02 |
| 1104891704 | Akshay Kantilal Mahadevia | Internal Medicine | 1801 E 54th St, Ste 100, Davenport, IA 52807-7209 | 2006-02-17 |
| 1578542155 | Quad City Pulmonary Consultants Plc | Internal Medicine | 1230 E Rusholme St Ste 105, Davenport, IA 52803-2400 | 2006-01-12 |
| 1568087526 | Fast Track Urgent Care LLC | Internal Medicine | 2400 North Blvd W Ste 1, Davenport, FL 33837-8980 | 2020-06-15 |
| 1447239975 | Charles Bruyntjens | Internal Medicine | 1230 E Rusholme St Ste 105, Davenport, IA 52803-2400 | 2006-01-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497231229 | Melissa Sue Wright | Internal Medicine | 2730 Pierce St Ste 401, Sioux City, IA 51104-3766 | 2018-07-15 |
| 1871849208 | Brian Mccullagh | Internal Medicine | 200 Hawkins Drive, C33 Gh, Iowa, IA 52242 | 2012-08-03 |
| 1184988453 | Hassan Sajjad | Internal Medicine | 788 8th Ave Se Ste 200, Cedar Rapids, IA 52401 | 2012-07-01 |
| 1821280207 | Vijaya Kumar Gogineni | Internal Medicine | 855 A Ave Ne Ste 400, Cedar Rapids, IA 52402-5064 | 2007-08-09 |
| 1902810575 | William Lister Dull | Internal Medicine | 321 E Market St, Ste 106, Iowa City, IA 52245-2176 | 2006-07-28 |
| 1912950205 | James Patrick Cafaro | Internal Medicine | 146 W Dale St Ste 203, Waterloo, IA 50703-1901 | 2006-05-18 |
| 1407819816 | Steven K Zorn | Internal Medicine | 4060 Westown Pkwy, West Des Moines, IA 50266 | 2006-04-07 |
| 1083604748 | Sugata Sensarma | Internal Medicine | 540 E Jefferson St Ste 301, Iowa City, IA 52245-2460 | 2005-10-25 |
| 1326043514 | Naveen R Kanathur | Internal Medicine | 4480 Utica Ridge Rd, Suite 108, Bettendorf, IA 52722-1656 | 2005-06-15 |
| 1619409331 | Miles David Hagner | Internal Medicine | 200 Hawkins Dr Dept of Internal Medicine, Iowa City, IA 52242-1009 | 2017-03-31 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.