Individual provider Active NPI

Geovanne P Mauro, MD

  • Radiation Oncology Physician
  • Bettendorf, IA
National Provider Identifier
1265222814
Registry record updated Jun 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
SP-0310 Issued in IA
Practice address
1351 Kimberly Rd Ste 200
Bettendorf, IA 52722-4167
Phone
(563) 441-1998
Fax
(563) 441-1729
NPI assigned
May 7, 2025
Last updated
Jun 10, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X SP-0310 IA Primary

Addresses

Primary practice location

1351 Kimberly Rd Ste 200
Bettendorf, IA 52722-4167

Mailing address

200 Hawkins Dr
Iowa City, IA 52242-1009
Phone (563) 396-6774

Other practice location 1

1410 N 4th St
Clinton, IA 52732-2940
Phone (563) 244-3611

Other practice location 2

1001 Pennsylvania Ave
Ottumwa, IA 52501-6427
Phone (641) 684-2480

Other practice location 3

1315 W Agency Rd
West Burlington, IA 52655-1654
Phone (319) 768-3900

Other practice location 4

200 Hawkins Dr
Iowa City, IA 52242-1009
Phone (563) 396-6774

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
I20250617002007 IA Practitioner - Radiation Oncology 3375054307 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
State University of IowaGroup PAC ID 7618884230, 1,886 clinicians

Practice addresses (Care Compare)

1351 Kimberly Rd
Suite 200
Bettendorf, IA 52722-4167
Phone (563) 441-1998

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
SP-0310IAMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
State University of Iowa CurrentSince Jun 4, 2025 Accepting new patients
Southeast Iowa Regional Medical Center, Inc. Past Accepting new patients
State University of Iowa Past Accepting new patients
Cancer Care Associates, P.C. Radiation Oncology Past Accepting new patients

Locations

1351 Kimberly Rd
Ste 200
Bettendorf, IA 52722
Phone (563) 441-1998

200 Hawkins Dr
Iowa City, IA 52242
Phone (319) 356-1616

200 Hawkins Dr
#H
Iowa City, IA 52242
Phone (319) 356-1616

Organizations & group practices 4

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 3

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": "1746576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749513600000",
    "number": "1265222814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 HAWKINS DR",
            "city": "IOWA CITY",
            "state": "IA",
            "postal_code": "522421009",
            "telephone_number": "563-396-6774",
            "fax_number": "563-441-1729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1351 KIMBERLY RD STE 200",
            "city": "BETTENDORF",
            "state": "IA",
            "postal_code": "527224167",
            "telephone_number": "563-441-1998",
            "fax_number": "563-441-1729"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1410 N 4th St",
            "address_purpose": "LOCATION",
            "city": "Clinton",
            "state": "IA",
            "postal_code": "527322940",
            "country_code": "US",
            "telephone_number": "563-244-3611",
            "fax_number": "563-244-2842",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1001 Pennsylvania Ave",
            "address_purpose": "LOCATION",
            "city": "Ottumwa",
            "state": "IA",
            "postal_code": "525016427",
            "country_code": "US",
            "telephone_number": "641-684-2480",
            "fax_number": "641-684-2746",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1315 W Agency Rd",
            "address_purpose": "LOCATION",
            "city": "West Burlington",
            "state": "IA",
            "postal_code": "526551654",
            "country_code": "US",
            "telephone_number": "319-768-3900",
            "fax_number": "319-768-3919",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 Hawkins Dr",
            "address_purpose": "LOCATION",
            "city": "Iowa City",
            "state": "IA",
            "postal_code": "522421009",
            "country_code": "US",
            "telephone_number": "563-396-6774",
            "fax_number": "563-441-1729",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAURO",
        "first_name": "GEOVANNE",
        "middle_name": "P",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-05-07",
        "last_updated": "2025-06-10",
        "certification_date": "2025-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "IA",
            "license": "SP-0310",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bettendorf, IA

Sources for this page

Verify at the official NPI Registry.