Individual provider Active NPI

William Colantoni Jr., MD

  • Dermatology Physician
  • Davenport, IA
National Provider Identifier
1144229279
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
20388 Issued in IA
Practice address
100 E Kimberly Rd
Suite 303
Davenport, IA 52806-5924
Phone
(563) 386-3333
Fax
(563) 386-9209
NPI assigned
Jul 20, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 20388 IA Primary
Dermatology Physician 207N00000X 12808 NE
Dermatology Physician 207N00000X G833882 CA
Dermatology Physician 207N00000X IL

Addresses

Primary practice location

100 E Kimberly Rd
Suite 303
Davenport, IA 52806-5924

Mailing address

100 E Kimberly Rd
Suite 303
Davenport, IA 52806-5924
Phone (563) 386-3333

Other identifiers 1

IdentifierTypeStateIssuer
2131318MedicaidIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20080509000452 IA Practitioner - Dermatology 4981783347 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
West Virginia University School of Medicine, 1971
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

100 E Kimberly Rd
Suite 303
Davenport, IA 52806-5943
Phone (563) 386-3333

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision117
Removal of skin lesions221
Removal or shaving of skin growth81
Skin biopsy267

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G833882CAMDDermatology Physician
036-054040ILMDDermatology Physician
12808NEMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
WM Colantoni Jr MD PC Dermatology CurrentSince Mar 9, 1982 Accepting new patients

Locations

100 E Kimberly Rd
Ste 303
Davenport, IA 52806
Phone (563) 386-3333

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1121817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1144229279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E KIMBERLY RD",
            "address_2": "SUITE 303",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528065924",
            "telephone_number": "563-386-3333",
            "fax_number": "563-386-9209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E KIMBERLY RD",
            "address_2": "SUITE 303",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528065924",
            "telephone_number": "563-386-3333",
            "fax_number": "563-386-9209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLANTONI",
        "first_name": "WILLIAM",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-20",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "IA",
            "license": "20388",
            "primary": true
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NE",
            "license": "12808",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "G833882",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "IL",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2131318",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Davenport, IA

Sources for this page

Verify at the official NPI Registry.