Individual provider Active NPI

Richard Rezko, M.D.

  • Diagnostic Radiology Physician
  • Iowa City, IA
National Provider Identifier
1134489693
Registry record updated Jul 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
61598 Issued in WI
Practice address
200 Hawkins Dr
Uihc Department of Radiology
Iowa City, IA 52242-0001
Phone
(319) 356-3631
NPI assigned
May 17, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X MD-45223 IA
Diagnostic Radiology Physician 2085R0202X 61598 WI Primary

Addresses

Primary practice location

200 Hawkins Dr
Uihc Department of Radiology
Iowa City, IA 52242-0001

Mailing address

1110 W Schick Rd
Bartlett, IL 60103-3007
Phone (630) 372-1100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, VA, FL3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20180314000377 IL Practitioner - Diagnostic Radiology 0941446835 Reassigns benefits to 4 organizations
I20240124001744 VA Practitioner - Diagnostic Radiology 0941446835 Reassigns benefits to 1 organization
I20240717002788 FL Practitioner - Diagnostic Radiology 0941446835 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
QMG, LLCGroup PAC ID 2961590435, 30 clinicians

Practice addresses (Care Compare)

20803 Biscayne Blvd
Suite 103
Aventura, FL 33180-1429
Phone (786) 668-2525

4515 Wiles Rd
Suite 101
Coconut Creek, FL 33073-3414
Phone (954) 686-2559

9050 Pines Blvd
Suite 170
Pembroke Pines, FL 33024-6400
Phone (954) 431-7627

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD-45223IAMDDiagnostic Radiology Physician
61598WIMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Augusta Health Care, Inc. Diagnostic Radiology CurrentSince Jan 4, 2024 Accepting new patients
Foundation Radiology Group PC Diagnostic Radiology CurrentSince Dec 3, 2023 Accepting new patients
Lakeview Medical Center Inc of Rice Lake CurrentSince Feb 11, 2022 Accepting new patients
MCHS Hospitals, Inc. CurrentSince Feb 15, 2021 Accepting new patients
Preferred Open MRI LTD Diagnostic Radiology Current Accepting new patients
Rockford Health Physicians CurrentSince Feb 15, 2018 Accepting new patients
Augusta Health Care, Inc CurrentSince Jan 4, 2024 Accepting new patients
QMG, LLC Diagnostic Radiology CurrentSince Apr 22, 2024 Accepting new patients
Marshfield Clinic Inc CurrentSince Feb 15, 2021 Accepting new patients
MCHS Hospitals Inc CurrentSince Feb 15, 2021 Accepting new patients
MCHS Hospitals Inc Current Accepting new patients
Associated Imaging Specialists Diagnostic Radiology CurrentSince Aug 9, 2023 Accepting new patients
Precision Radiology - Illinois LTD Past Accepting new patients
Memorial Hospital Inc Past Accepting new patients
Scancare Diagnostics LLC PastSince Aug 1, 2019 Accepting new patients

Locations (25 of 26)

20803 Biscayne Blvd
Ste 10
Aventura, FL 33180
Phone (786) 668-2525

210 S Federal Hwy
Ste 403
Hollywood, FL 33020
Phone (954) 929-3449

9050 Pines Blvd
Ste 170
Pembroke Pines, FL 33024
Phone (954) 431-7627

4200 W 63rd St
Chicago, IL 60629
Phone (773) 581-5600

4200 W 63rd St
Ste A
Chicago, IL 60629
Phone (773) 581-5600

29624 Network Pl
Chicago, IL 60673
Phone (608) 741-7652

1121 Lake Cook Rd
Ste M
Deerfield, IL 60015
Phone (847) 945-4550

77 N Airlite St
Elgin, IL 60123
Phone (847) 622-3407

607 Academy Dr
Northbrook, IL 60062

2300 N Rockton Ave
Rockford, IL 61103
Phone (815) 971-5510

2400 N Rockton Ave
Rockford, IL 61103
Phone (815) 971-6310

8607 E US Highway 36
Ste 200
Avon, IN 46123
Phone (317) 569-5855

10206 Lantern Rd
Fishers, IN 46037
Phone (317) 598-1133

521 E County Line Rd
Ste D
Greenwood, IN 46143
Phone (317) 882-9422

7151 Marsh Rd
#100
Indianapolis, IN 46278
Phone (317) 580-5880

1250 N Post Rd
Ste A
Indianapolis, IN 46219
Phone (317) 899-7980

3738 Landmark Dr
Ste D
Lafayette, IN 47905
Phone (765) 449-7984

4313 S 7th St
Terre Haute, IN 47802
Phone (812) 234-0555

23 North Campus Dr
Ste 101
Fishersville, VA 22939
Phone (540) 332-4400

53 S Medical Park Dr
Fishersville, VA 22939
Phone (540) 332-5687

78 Medical Center Dr
Fishersville, VA 22939
Phone (540) 245-7216

3501 Golf Rd
Eau Claire, WI 54701
Phone (715) 858-4200

1000 Starr Ave
Eau Claire, WI 54703
Phone (715) 858-4850

1000 N Oak Ave
Marshfield, WI 54449
Phone (715) 387-5111

1700 W Stout St
Rice Lake, WI 54868
Phone (715) 236-6133

Organizations & group practices 16

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.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1337212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563840000000",
    "number": "1134489693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 W SCHICK RD",
            "city": "BARTLETT",
            "state": "IL",
            "postal_code": "601033007",
            "telephone_number": "630-372-1100",
            "fax_number": "630-372-6230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 HAWKINS DR",
            "address_2": "UIHC DEPARTMENT OF RADIOLOGY",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522420001",
            "telephone_number": "319-356-3631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REZKO",
        "first_name": "RICHARD",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-05-17",
        "last_updated": "2019-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IA",
            "license": "MD-45223",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WI",
            "license": "61598",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Iowa City, IA

Sources for this page

Verify at the official NPI Registry.