RSC Illinois LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

RSC ILLINOIS LLC

Practice address

545 Valley View Dr
Moline, IL 61265-6138

Phone

(309) 762-5560

Fax

(309) 762-7351

NPI assigned

Nov 19, 2008

Organization subpart

No

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

Authorized official

Name

Jonathan Bailey

Title

Officer/Ao

Phone

(203) 609-1168

Specialties & licenses 1

Addresses

Other names 1

• Regional SurgiCenter Doing business as

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• RSC Illinois LLC

  • Ambulatory Surgical Clinic/Center
  • Moline, IL
  • NPI 1376288050

  4284795717

  Same PAC ID

Listed as

RSC Illinois LLC Dba Regional SurgicenterCCN 14C0001071

Medicare certification status

ActiveFrom the Provider of Services file

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• RSC Illinois LLC

  • Ambulatory Surgical Clinic/Center
  • Moline, IL
  • NPI 1376288050

  Member Of

  NPD member

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rao V Movva, M.D.

  • Gastroenterology Physician
  • Moline, IL
  • NPI 1073515243
  NPD
• Linda Jane Tong, M.D.

  • Gastroenterology Physician
  • Moline, IL
  • NPI 1750383923
  NPD
• Sheila K Barngrover, ARNP

  • Nurse Practitioner
  • Bettendorf, IA
  • NPI 1861497406
  NPD

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

{
    "created_epoch": "1227052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1736812800000",
    "number": "1174778047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "545 VALLEY VIEW DR",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612656138",
            "telephone_number": "309-762-5560",
            "fax_number": "309-762-7351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "545 VALLEY VIEW DR",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612656138",
            "telephone_number": "309-762-5560",
            "fax_number": "309-762-7351"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4340 7th St",
            "address_purpose": "LOCATION",
            "city": "Moline",
            "state": "IL",
            "postal_code": "612656867",
            "country_code": "US",
            "telephone_number": "309-277-5624",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "RSC ILLINOIS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-11-19",
        "last_updated": "2025-01-14",
        "certification_date": "2025-01-14",
        "status": "A",
        "authorized_official_last_name": "BAILEY",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "OFFICER/AO",
        "authorized_official_telephone_number": "203-609-1168"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/gateway/documentsubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "Ability Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "64 S Price Rd Ste B",
            "city": "Brownsville",
            "state": "TX",
            "country_code": "US",
            "postal_code": "785212459",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Regional SurgiCenter",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Regional SurgiCenter",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rosewood Care Center, Inc of Moline
• Ross Medical Supply Co Inc
• Hannah Rossmiller
• Samuel Rowe, DPT
• Roxanne L Kramer
• RSC Illinois LLC
• Kathleen M Ruebbelke, D.C.
• Justin Rumpza, DPT
• Zachary Runde, ARNP
• Heidi E Runge, PHARMD

• Ambulatory Surgical Clinic/Center in Moline, IL
• Providers in Moline, IL by specialty
• Ambulatory Surgical Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.