Individual provider Active NPI

Antonio P Vigliotti, MD

  • Radiation Oncology Physician
  • Davenport, IA
National Provider Identifier
1235126905
Registry record updated Jun 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
24869 Issued in IA
Practice address
1401 W Central Park Ave
Davenport, IA 52804-1707
Phone
(563) 421-1900
Fax
(563) 421-1938
NPI assigned
Sep 28, 2005
Last updated
Jun 30, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X 24869 IA Primary
Radiation Oncology Physician 2085R0001X 036-083522 IL

Addresses

Primary practice location

1401 W Central Park Ave
Davenport, IA 52804-1707

Mailing address

PO Box 115
Hiawatha, IA 52233-0115
Phone (319) 826-3763

Other practice location 1

500 John Deere Rd
Moline, IL 61265-6892
Phone (309) 779-5090

Other identifiers 1

IdentifierTypeStateIssuer
0973826MedicaidIA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address antonio.vigliotti@direct.genesishealth.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, IA2 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
I20050426001212 IL Practitioner - Radiation Oncology 7012809437 Reassigns benefits to 1 organization
I20100515000048 IA Practitioner - Radiation Oncology 7012809437 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
Other, 1977
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Quint Cities Radiation Oncology LTDGroup PAC ID 4688566003, 4 clinicians

Practice addresses (Care Compare)

1401 W Central Park Ave
Davenport, IA 52804-1707
Phone (563) 421-1900

500 John Deere Rd
Moline, IL 61265-6892
Phone (319) 826-3763

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
24869IAMDRadiation Oncology Physician
036-083522ILMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Luke's Methodist Hospital Current Accepting new patients
Quint Cities Radiation Oncology, LTD Radiation Oncology CurrentSince Jan 1, 1987 Accepting new patients

Locations

1401 W Central Park Ave
Davenport, IA 52804
Phone (563) 421-1900

500 John Deere Rd
Moline, IL 61265
Phone (309) 779-2840

Interoperability endpoints

  • Direct secure messaging: antonio.vigliotti@direct.genesishealth.com
  • Direct secure messaging: avigliotti92548@direct.unitypoint.org

Organizations & group practices 2

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

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": "1127865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751241600000",
    "number": "1235126905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 115",
            "city": "HIAWATHA",
            "state": "IA",
            "postal_code": "522330115",
            "telephone_number": "319-826-3763",
            "fax_number": "888-609-6019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 W CENTRAL PARK AVE",
            "city": "DAVENPORT",
            "state": "IA",
            "postal_code": "528041707",
            "telephone_number": "563-421-1900",
            "fax_number": "563-421-1938"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 John Deere Rd",
            "address_purpose": "LOCATION",
            "city": "Moline",
            "state": "IL",
            "postal_code": "612656892",
            "country_code": "US",
            "telephone_number": "309-779-5090",
            "fax_number": "309-779-5072",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VIGLIOTTI",
        "first_name": "ANTONIO",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-28",
        "last_updated": "2025-06-30",
        "certification_date": "2025-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "IA",
            "license": "24869",
            "primary": true
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "IL",
            "license": "036-083522",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0973826",
            "state": "IA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "antonio.vigliotti@direct.genesishealth.com",
            "affiliation": "N",
            "endpointDescription": "Genesis Health System Direct Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "1401 W Central Park Ave",
            "city": "Davenport",
            "state": "IA",
            "country_code": "US",
            "postal_code": "528041707",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Davenport, IA

Sources for this page

Verify at the official NPI Registry.