Active NPI
Andrew E Berkow, M.D.
- Diagnostic Radiology Physician
- Davenport, IA
National Provider Identifier
1174584528
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 21211
- Practice address
- 1970 E 53Rd St
Davenport, IA 52807-2710 - Phone
- (563) 359-3949
- NPI assigned
- Mar 28, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 21211 | IA | 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 11
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6176404 | Medicaid | IA | |
| 17640 | Other | BCBS OF IOWA WITH RGIC LL | |
| 20790 | Other | IA | BCBS OF IOWA W/ ORA |
| 300132305 | Other | RAILROAD MEDICARE RGIC LL | |
| 1176404 | Medicaid | IA | |
| 20790 | Other | IA | MEDICARE W/ ORA |
| 3176404 | Other | IA | MEDICAID W/ ORA |
| 300016598 | Other | RAILROAD MEDICARE RG PC | |
| 30010 | Other | BCBS OF IOWA / WITH RG PC | |
| 300125723 | Other | IA | RAILROAD MEDICARE W/ ORA |
| K51232 | Other | IA | MEDICARE - ORA ILLINOIS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21211 | IA | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Genesis Health System | Past | Accepting new patients | |
| Ora Orthopedics PC | Past | Accepting new patients | |
| Radiology Group Imaging Center, L.L.C. | Diagnostic Radiology | Past | Accepting new patients |
| Genesis Health System | Past | Accepting new patients | |
| Ora Orthopedics, PC | Past | Accepting new patients |
Organizations & group practices 5
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.
-
- Clinic/Center
- Davenport, IA
- NPI 1205860400
-
- Clinic/Center
- Bettendorf, IA
- NPI 1497772008
-
- Orthopaedic Surgery Physician
- Durant, IA
- NPI 1639159700
-
- Diagnostic Radiology Physician
- Davenport, IA
- NPI 1790745982
-
- Orthopaedic Surgery Physician
- Moline, IL
- NPI 1962481861
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143504000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1213228800000",
"number": "1174584528",
"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": "563-359-3949"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERKOW",
"first_name": "ANDREW",
"middle_name": "E",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-28",
"last_updated": "2008-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "IA",
"license": "21211",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6176404",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF IOWA WITH RGIC LL",
"identifier": "17640",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF IOWA W/ ORA",
"identifier": "20790",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE RGIC LL",
"identifier": "300132305",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1176404",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE W/ ORA",
"identifier": "20790",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID W/ ORA",
"identifier": "3176404",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE RG PC",
"identifier": "300016598",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF IOWA / WITH RG PC",
"identifier": "30010",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE W/ ORA",
"identifier": "300125723",
"state": "IA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE - ORA ILLINOIS",
"identifier": "K51232",
"state": "IA"
}
],
"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 12, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.