Individual provider Active NPI

Sami Faruqui, MD

  • Diagnostic Radiology Physician
  • Davenport, IA
National Provider Identifier
1104231430
Registry record updated May 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
MD-47317 Issued in IA
Practice address
1970 E 53Rd St
Davenport, IA 52807-2710
Phone
(563) 359-3949
Fax
(563) 355-1159
NPI assigned
Jun 25, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 5, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X R10123 IA
Diagnostic Radiology Physician 2085R0202X MD-47317 IA Primary
Diagnostic Radiology Physician 2085R0202X 70862 WI
Diagnostic Radiology Physician 2085R0202X R10123 IA

Addresses

Primary practice location

1970 E 53Rd St
Davenport, IA 52807-2710

Mailing address

1970 E 53Rd St
Davenport, IA 52807-2710

Other practice location 1

200 Hawkins Dr
Iowa City, IA 52242-1009
Phone (319) 356-1616

Other practice location 2

200 Hawkins Dr
Iowa City, IA 52242-1009
Phone (319) 356-1616

Other practice location 3

5902 Jaybird Cir
Davenport, IA 52807-2967
Phone (563) 370-3881

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sfaruqui@rgimaging.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, IL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200603002955 IA Practitioner - Diagnostic Radiology 7416173810 Reassigns benefits to 2 organizations
I20200716000219 IL Practitioner - Diagnostic Radiology 7416173810 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Iowa, RJ & L Carver College of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radiology Group PC SCGroup PAC ID 9032008537, 39 clinicians

Practice addresses (Care Compare)

1227 E Rusholme St
Davenport, IA 52803-2459
Phone (563) 421-9729

1401 W Central Park Ave
Davenport, IA 52804-1707
Phone (563) 421-9729

1410 N 4TH St
Clinton, IA 52732-2940
Phone (563) 244-5615

1970 E 53Rd St
Davenport, IA 52807-2710

3385 Dexter CT
Suite 300
Davenport, IA 52807-3471
Phone (563) 421-9729

4620 Willowwood CT
Davenport, IA 52807-3445
Phone (563) 344-5490

4761 Woodland Dr
Bettendorf, IA 52722-1515
Phone (563) 421-9729

5905 Triangle CT
Bettendorf, IA 52722-1302
Phone (563) 421-9729

801 Illini Dr
Silvis, IL 61282-1804
Phone (309) 281-4000

Hospital & facility affiliations

  • Genesis Medical Center-Davenport Hospital, Davenport, IA, CCN 160033
  • Mercyone Clinton Medical Center Hospital, Clinton, IA, CCN 160080
  • Genesis HLTH System Dba Genesis MDL Ctr-Illini Hospital, Silvis, IL, CCN 140275
  • Mercyone Genesis Dewitt Medical Center Hospital, Dewitt, IA, CCN 161313
  • Genesis Medical Center, Aledo Hospital, Aledo, IL, CCN 141304

Merit-based Incentive Payment System (MIPS)

Final score
92.11 of 100Reported as group
Quality
90.72
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
R10123IAMDInternal Medicine Physician
70862WIMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Iowa Hospital Corporation CurrentSince Aug 1, 2025 Accepting new patients
Genesis Health System Past Accepting new patients

Locations

1970 E 53rd St
Davenport, IA 52807
Phone (563) 359-3949

2720 Stone Park Blvd
Sioux City, IA 51104
Phone (712) 259-3000

Interoperability endpoints

  • Direct secure messaging: sfaruqui3932228@direct.trinity-health.org

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1403654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620172800000",
    "number": "1104231430",
    "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"
        },
        {
            "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": "563-359-3949",
            "fax_number": "563-355-1159"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Hawkins Dr",
            "address_purpose": "LOCATION",
            "city": "Iowa City",
            "state": "IA",
            "postal_code": "522421009",
            "country_code": "US",
            "telephone_number": "319-356-1616",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 Hawkins Dr",
            "address_purpose": "LOCATION",
            "city": "Iowa City",
            "state": "IA",
            "postal_code": "522421009",
            "country_code": "US",
            "telephone_number": "319-356-1616",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5902 Jaybird Cir",
            "address_purpose": "LOCATION",
            "city": "Davenport",
            "state": "IA",
            "postal_code": "528072967",
            "country_code": "US",
            "telephone_number": "563-370-3881",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FARUQUI",
        "first_name": "SAMI",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-06-25",
        "last_updated": "2021-05-05",
        "certification_date": "2021-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IA",
            "license": "R10123",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IA",
            "license": "MD-47317",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WI",
            "license": "70862",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IA",
            "license": "R10123",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sfaruqui@rgimaging.com",
            "affiliation": "N",
            "endpointDescription": "Radiology Group Direct Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "1970 E 53rd St",
            "city": "Davenport",
            "state": "IA",
            "country_code": "US",
            "postal_code": "528072710",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Davenport, IA

Sources for this page

Verify at the official NPI Registry.