Mississippi Medical Plaza, Lc
NPI 1619933835 · Ambulatory Surgical Clinic/Center · Davenport, IA
Enrolled with Medicare as Part B Supplier - Ambulatory Surgical Center · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mississippi Medical Plaza, Lc is a Ambulatory Surgical Clinic/Center organization in Davenport, IA (NPI 1619933835).
Provider details
- NPI number
- 1619933835
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Susan Lohf, Manager(563) 344-6600
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
20 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
15,362 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Injection, Bupivacaine Liposome, 1 MgC9290 | 11,970 | $1 |
| Injection, Aprepitant, (aponvie), 1 MgC9145 | 1,672 | $2 |
| Biopsy of Esophagus, Stomach, And/Or Upper Small Bowel Using a Flexible Endoscope43239 | 283 | $301 |
| Removal of Polyps Or Growths of Large Bowel Using an Endoscope With Mechanical Snare45385 | 264 | $531 |
| Removal of Cataract With Insertion of Prosthetic Lens66984 | 194 | $1,010 |
| Biopsy of Large Bowel Using a Flexible Endoscope |
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Mississippi Valley Surgery Center
Registry dates
- Enumerated
- 2006-04-25
- Last updated
- 2014-09-19
Frequently asked questions
- What is Mississippi Medical Plaza, Lc's NPI number?
- Mississippi Medical Plaza, Lc's National Provider Identifier (NPI) is 1619933835, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Mississippi Medical Plaza, Lc?
- Mississippi Medical Plaza, Lc is classified in the NPPES registry as Ambulatory Surgical Clinic/Center (Ambulatory Health Care Facilities).
- Where is Mississippi Medical Plaza, Lc located?
- Mississippi Medical Plaza, Lc's practice location on file with NPPES is 3400 Dexter Ct, Davenport, IA 52807-3461.
- What is Mississippi Medical Plaza, Lc's phone number?
- The practice phone number listed in the NPPES registry for Mississippi Medical Plaza, Lc is (563) 344-6600.
- Does Mississippi Medical Plaza, Lc accept Medicare?
- Mississippi Medical Plaza, Lc is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Mississippi Medical Plaza, Lc?
- The authorized official listed on Mississippi Medical Plaza, Lc's NPPES record is Susan Lohf, Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Mississippi Medical Plaza, Lc's NPI active?
- Yes — Mississippi Medical Plaza, Lc's NPI (1619933835) is active in the NPPES registry as of the last update on 2014-09-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.