Active NPI
Radiology Group PC SC
- Diagnostic Radiology Physician
- Davenport, IA
National Provider Identifier
1073573994
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- Legal business name
- RADIOLOGY GROUP PC SC
- Practice address
- 1970 E 53Rd St
Davenport, IA 52807-2710 - Phone
- (563) 421-5643
- NPI assigned
- Mar 24, 2006
- Last updated
- Jun 16, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- William Hauber
- Title
- Administrator
- Phone
- (563) 421-5643
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | Primary |
Addresses
Primary practice location
1970 E 53Rd St
Davenport, IA 52807-2710
Mailing address
1970 E 53Rd St
Davenport, IA 52807-2710
Phone (563) 359-3949
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CP8211 | Other | RAILROAD MEDICARE | |
| 0063016 | Medicaid | IA | |
| 30005 | Other | BCBS OF IOWA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IA, IL, MI, FL, KS, MN, AL, VA, CA, MA, DE, MD, TX, WI, WA, HI, AZ, DC, KY
Enrollment records 19
National Provider Directory
National Provider DirectoryLocations
801 Illini Dr
Silvis, IL 61282
Phone (309) 281-4000
Practitioners & affiliated clinicians
Practitioners 53
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
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- Diagnostic Radiology Physician
- La Jolla, CA
- NPI 1205826237
-
- Diagnostic Radiology Physician
- Long Beach, CA
- NPI 1225108533
-
- Diagnostic Radiology Physician
- Gainesville, FL
- NPI 1275026825
IA, IL, Multi-Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143158400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1781568000000",
"number": "1073573994",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1970 E 53RD ST",
"city": "DAVENPORT",
"state": "IA",
"postal_code": "528072710",
"telephone_number": "563-359-3949"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1970 E 53RD ST",
"city": "DAVENPORT",
"state": "IA",
"postal_code": "528072710",
"telephone_number": "563-421-5643"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RADIOLOGY GROUP PC SC",
"organizational_subpart": "NO",
"enumeration_date": "2006-03-24",
"last_updated": "2026-06-16",
"certification_date": "2026-06-16",
"status": "A",
"authorized_official_last_name": "HAUBER",
"authorized_official_first_name": "WILLIAM",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "563-421-5643"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Radiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "CP8211",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0063016",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF IOWA",
"identifier": "30005",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Davenport, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.