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Bettendorf Pediatric Group

Bettendorf Pediatric Group is a healthcare organization registered as Family Medicine Physician in Bettendorf, IA, holding Type 2 (organization) NPI 1942562467 since 2012. The authorized official on file is Pomilla Kumar, Owner.

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NPI 1942562467
Entity type Organization (Type 2)
Legal business name Bettendorf Pediatric Group
Practice address 4017 DEVILS GLEN RD, SUITE 200, Bettendorf, IA, 52722
Phone 5633323400
Fax 5633324784
Enumeration date 2012-06-11
Last updated in NPPES 2012-06-11

Authorized official

Name Pomilla Kumar
Title Owner
Phone 5633323400

Taxonomy & classification

Taxonomy code Specialty Primary License State
208000000X Pediatrics Physician Secondary
207Q00000X Family Medicine Physician Primary
Copy-ready billing details
Provider: Bettendorf Pediatric Group
NPI: 1942562467
Taxonomy: 207Q00000X (Family Medicine Physician)
Address: 4017 DEVILS GLEN RD, SUITE 200, Bettendorf, IA, 52722

Providers at this address

NPI Name Type Specialty Location
1639167307 Richard Kasper Individual Family Medicine Physician Bettendorf, IA
1336137009 Andrew Edwards Individual Family Medicine Physician Bettendorf, IA
1043208713 Michael Gimbel Individual Family Medicine Physician Bettendorf, IA
1023006798 Deborah Haas Individual Family Nurse Practitioner Bettendorf, IA
1245205269 Narinder Kumar Individual Pediatrics Physician Bettendorf, IA
1568431880 Pomilla Kumar Individual Family Medicine Physician Bettendorf, IA
1497772008 Genesis Health System Organization Clinic/Center Bettendorf, IA
1508974858 Genesis Health System Organization Family Medicine Physician Bettendorf, IA

Verify this record

Cross-check NPI 1942562467 against the authoritative CMS record: view Bettendorf Pediatric Group on the official NPPES registry .

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.

Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2012-06-11. Verify at npiregistry.cms.hhs.gov.
Where is Bettendorf Pediatric Group located?
The practice location on file with NPPES is in Bettendorf, IA.

Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2012-06-11.