GENGASTRO LLC NPI 1447234919

NPI Information

NPI: 1447234919
Provider Name: GENGASTRO LLC
Classification: Clinic/Center - 261QA1903X
Specialization: Ambulatory Surgical
Entity Type: Organization
Doing Business As: ENDOSCOPY CENTER FOR DIGESTIVE HEALTH
CLIA Number: 16D1020964
Address: 2222 53RD AVE
BETTENDORF, IA
ZIP 52722
Phone: (563) 383-2686

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NPI Details

GENGASTRO LLC is an ambulatory surgical clinic center in Bettendorf, IA. GENGASTRO LLC NPI is 1447234919. The provider is registered as an organization entity type.
The provider Is Doing Business As Endoscopy Center For Digestive Health.

The provider's business location address is:

2222 53RD AVE
BETTENDORF, IA
ZIP 52722-546
Phone: (563) 383-2686
Fax: (563) 884-8144

The provider's authorized official is Paige Tague .
The authorized official title is Lead Insurance Biller and has the following contact phone number (563) 383-2686.

The CLIA number assigned to this NPI record is 16D1020964 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

Biopsy of large bowel using a flexible endoscope (HCPCS:45380)
Removal of polyps or growths of large bowel using an endoscope with mechanical snare (HCPCS:45385)
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope (HCPCS:43239)
Colorectal cancer screening; colonoscopy on individual at high risk (HCPCS:G0105)
Removal of polyps or growths of esophagus, stomach, and/or upper small bowel using an endoscope with mechanical snare (HCPCS:43251)
Insertion of guide wire with dilation of esophagus using a flexible endoscope (HCPCS:43248)
Diagnostic exam of large bowel using a flexible endoscope (HCPCS:45378)
Removal of external hemorrhoids by rubber banding (HCPCS:46221)
Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk (HCPCS:G0121)
Balloon dilation of esophagus, stomach, and/or upper small bowel using a flexible endoscope, less than 3.0 cm (HCPCS:43249)
Injection beneath lining of large bowel using a flexible endoscope (HCPCS:45381)
Removal of large bowel tissue using a flexible endoscope (HCPCS:45390)
Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope (HCPCS:43235)
Diagnostic exam of lower portion of large bowel using a flexible endoscope (HCPCS:45330)
Biopsy of lower large bowel using a flexible endoscope (HCPCS:45331)
Colorectal cancer screening; flexible sigmoidoscopy (HCPCS:G0104)
Removal of polyps or growths of lower large bowel using a flexible endoscope with mechanical snare (HCPCS:45338)

The enumeration date for this NPI number is 11/30/2005 and was last updated on 3/7/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QE0800X	Clinic/Center	Endoscopy		IOWA	No
2	261QA1903X	Clinic/Center	Ambulatory Surgical		IOWA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1603165	OTHER	IOWA	CSA
2	0610279	MEDICAID	IOWA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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