Bettendorf Pediatric Group
NPI 1942562467 · Family Medicine Physician · Bettendorf, IA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Bettendorf Pediatric Group is a Family Medicine Physician organization in Bettendorf, IA (NPI 1942562467).
Provider details
- NPI number
- 1942562467
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Pomilla Kumar, Owner(563) 332-3400
Specialties & taxonomies
Allopathic & Osteopathic Physicians
- Pediatrics Physician208000000X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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.
Practice location
Mailing address
Registry dates
- Enumerated
- 2012-06-11
- Last updated
- 2012-06-11
Frequently asked questions
- What is Bettendorf Pediatric Group's NPI number?
- Bettendorf Pediatric Group's National Provider Identifier (NPI) is 1942562467, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Bettendorf Pediatric Group?
- Bettendorf Pediatric Group is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Bettendorf Pediatric Group located?
- Bettendorf Pediatric Group's practice location on file with NPPES is 4017 Devils Glen Rd, Bettendorf, IA 52722-7259.
- What is Bettendorf Pediatric Group's phone number?
- The practice phone number listed in the NPPES registry for Bettendorf Pediatric Group is (563) 332-3400.
- Does Bettendorf Pediatric Group accept Medicare?
- Bettendorf Pediatric Group 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 Bettendorf Pediatric Group?
- The authorized official listed on Bettendorf Pediatric Group's NPPES record is Pomilla Kumar, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Bettendorf Pediatric Group's NPI active?
- Yes — Bettendorf Pediatric Group's NPI (1942562467) is active in the NPPES registry as of the last update on 2012-06-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.