Individual provider Active NPI

Bernie Joel Saks, M.D.

  • Diagnostic Radiology Physician
  • Moline, IL
National Provider Identifier
1255301313
Registry record updated Oct 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
39364020 Issued in WI
Practice address
615 Valley View Dr
Suite 202
Moline, IL 61265-6150
Phone
(309) 762-1072
Fax
(309) 762-1094
NPI assigned
Jan 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2017

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 336054929 IL
Diagnostic Radiology Physician 2085R0202X 31369 IA
Diagnostic Radiology Physician 2085R0202X 39364020 WI Primary

Addresses

Primary practice location

615 Valley View Dr
Suite 202
Moline, IL 61265-6150

Mailing address

615 Valley View Dr
Suite 202
Moline, IL 61265-6150
Phone (309) 762-1072

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, WI, IL3 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
I20051011001168 IA Practitioner - Diagnostic Radiology 3274560065 Reassigns benefits to 2 organizations
I20060104000747 WI Practitioner - Diagnostic Radiology 3274560065 Reassigns benefits to 1 organization
I20150303001656 IL Practitioner - Diagnostic Radiology 3274560065 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of California, Geffen School of Medicine, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Radiology, S.C.Group PAC ID 2365339207, 57 clinicians

Practice addresses (Care Compare)

1001 Penn Ave
Ottumwa, IA 52501-6427
Phone (309) 762-1072

4480 Utica Ridge Rd
Bettendorf, IA 52722-1644
Phone (309) 762-1072

500 Messenger Rd
Keokuk, IA 52632-2117
Phone (309) 762-1072

507 S Monroe St
Lancaster, WI 53813-2054
Phone (309) 762-1072

615 Valley View Dr
Suite 202
Moline, IL 61265-6180
Phone (309) 762-1072

Hospital & facility affiliations

  • Finley Hospital Hospital, Dubuque, IA, CCN 160117
  • Trinity Rock Island Hospital, Rock Island, IL, CCN 140280
  • Grant Regional Health Center Hospital, Lancaster, WI, CCN 521322
  • Trinity - Bettendorf Hospital, Bettendorf, IA, CCN 160104
  • Ottumwa Regional Health Center Hospital, Ottumwa, IA, CCN 160089

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
31369IAMDDiagnostic Radiology Physician
336054929ILMDDiagnostic Radiology Physician
39364020WIMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Luke'S Methodist Hospital Current Accepting new patients
Broadlawns Medical Center CurrentSince Feb 1, 2018 Accepting new patients
Metro MRI Center Limited Partnership CurrentSince Apr 18, 2015 Accepting new patients
Broadlawns Medical Center CurrentSince Feb 1, 2018 Accepting new patients
Dubuque Radiological Associates, PC Diagnostic Radiology PastSince Jul 21, 1997 Accepting new patients
Dean Health Systems, Inc, Past Accepting new patients

Locations

4480 Utica Ridge Rd
Ste 120
Bettendorf, IA 52722
Phone (563) 355-2210

1801 Hickman Rd
Des Moines, IA 50314
Phone (515) 282-2200

1801 Hickman Rd
Bldg First
Des Moines, IA 50314

2508 E University Ave
Des Moines, IA 50317
Phone (515) 282-2362

350 N Grandview Ave
Dubuque, IA 52001
Phone (563) 582-1881

615 Valley View Dr
Ste 101
Moline, IL 61265
Phone (309) 743-0445

615 Valley View Dr
Ste 202
Moline, IL 61265
Phone 3097621072311

615 Valley View Dr
Ste 102
Moline, IL 61265
Phone (309) 762-7227

Interoperability endpoints

  • Direct secure messaging: bsaks258505@direct.unitypoint.org

Organizations & group practices 7

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.

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": "1137974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1507248000000",
    "number": "1255301313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 VALLEY VIEW DR",
            "address_2": "SUITE 202",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612656150",
            "telephone_number": "309-762-1072",
            "fax_number": "309-762-1094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 VALLEY VIEW DR",
            "address_2": "SUITE 202",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612656150",
            "telephone_number": "309-762-1072",
            "fax_number": "309-762-1094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAKS",
        "first_name": "BERNIE",
        "middle_name": "JOEL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-23",
        "last_updated": "2017-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IL",
            "license": "336054929",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IA",
            "license": "31369",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WI",
            "license": "39364020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moline, IL

Sources for this page

Verify at the official NPI Registry.