Individual provider Active NPI

Charles M Davis, M.D.

  • Diagnostic Radiology Physician
  • Rockford, IL
National Provider Identifier
1447240171
Registry record updated Aug 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
056888 Issued in SC
Practice address
8201 E Riverside Blvd
Rockford, IL 61114-2300
Phone
(815) 971-7000
NPI assigned
Oct 25, 2005
Last updated
Aug 5, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 056888 SC Primary
Diagnostic Radiology Physician 2085R0202X MMD5688MD SC

Addresses

Primary practice location

8201 E Riverside Blvd
Rockford, IL 61114-2300

Mailing address

1770 Iowa Ave Ste 280
Riverside, CA 92507-7401
Phone (951) 786-0801

Other practice location 1

875 S Route 31
Crystal Lake, IL 60014-8190
Phone (779) 220-5500

Other practice location 2

1304 W Bobo Newsom Hwy
Hartsville, SC 29550-4710
Phone (843) 339-4790

Other practice location 3

901 Grant St
Harvard, IL 60033-1821
Phone (815) 943-5431

Other identifiers 1

IdentifierTypeStateIssuer
056888MedicaidSC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, SC, NM, IL, TX, CA, NY, DE8 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 8

Enrollment IDStateProvider typePAC IDDetails
I20070807000173 AZ Practitioner - Diagnostic Radiology 9335230291 Reassigns benefits to 2 organizations
I20111202000355 SC Practitioner - Diagnostic Radiology 9335230291 Reassigns benefits to 14 organizations
I20160803002289 NM Practitioner - Diagnostic Radiology 9335230291 Reassigns benefits to 3 organizations
I20170726000466 IL Practitioner - Diagnostic Radiology 9335230291 Reassigns benefits to 8 organizations
I20170825001969 TX Practitioner - Diagnostic Radiology 9335230291 Reassigns benefits to 12 organizations
I20200226000204 CA Practitioner - Diagnostic Radiology 9335230291 Reassigns benefits to 3 organizations
I20201112003344 NY Practitioner - Diagnostic Radiology 9335230291 Reassigns benefits to 2 organizations
I20240826002941 DE Practitioner - Diagnostic Radiology 9335230291 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Medical University of South Carolina College of Medicine, 1969
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Central Valley Community Medical ImagingGroup PAC ID 5799679874, 97 clinicians
Humboldt Park HealthGroup PAC ID 8921907072, 106 clinicians
La Paz Regional Hospital IncGroup PAC ID 1557273356, 50 clinicians
Interfaith Professional Physician Services PCGroup PAC ID 9931378171, 383 clinicians
Bayhealth Radiologists LLCGroup PAC ID 0446601876, 91 clinicians
Lubbock County Hospital DistrictGroup PAC ID 4385538941, 97 clinicians
Pco PCGroup PAC ID 5395179329, 82 clinicians
Rockford Health PhysiciansGroup PAC ID 2567374036, 520 clinicians
Thorek Radiology Group NFPGroup PAC ID 1658786421, 41 clinicians
Mercy Health System CorporationGroup PAC ID 7416860440, 749 clinicians

Practice addresses (Care Compare)

Longs, SC 29568
Phone (800) 841-4236

1019 Hwy 17 S
North Myrtle Beach, SC 29582-3702
Phone (559) 256-1975

1044 N Francisco Ave
Chicago, IL 60622-2743
Phone (773) 292-8227

1200 W Mohave Rd
Parker, AZ 85344-6349
Phone (928) 669-7382

1545 Atlantic Ave
Brooklyn, NY 11213-1122
Phone (718) 613-4000

1713 S Kofa Ave
Suite a
Parker, AZ 85344-6401
Phone (928) 669-7380

201 Orie CT
Simpsonville, SC 29680-3581
Phone (610) 892-8889

602 Indiana Ave
Lubbock, TX 79415-3364
Phone (806) 775-8400

63 Nautical Dr
Camden, SC 29020-8035
Phone (773) 292-8200

716 Shell Point CT
Longs, SC 29568-7640
Phone (843) 861-5093

721 E Court St
Paris, IL 61944-2460
Phone (217) 465-4141

730 Main St
Suite 344
North Myrtle Beach, SC 29582-3030
Phone (843) 861-5093

733 Cedar St
Garberville, CA 95542-3201
Phone 70792339211276

8201 E Riverside Blvd
Rockford, IL 61114-2300
Phone (815) 971-2000

850 W Irving Park Rd
Chicago, IL 60613-3077
Phone (773) 975-6722

875 S Route 31
Crystal Lake, IL 60014-8190
Phone (779) 220-5500

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
056888SCMDDiagnostic Radiology Physician
MMD5688MDSCMDDiagnostic Radiology Physician

Practice roles (60 of 65)

OrganizationSpecialtyStatusNew patients
Southern Humboldt Community Healthcare District CurrentSince Oct 28, 2021 Accepting new patients
Ochiltree Hospital District CurrentSince Oct 1, 2025 Accepting new patients
Rockford Health Physicians CurrentSince Sep 1, 2025 Accepting new patients
Ochiltree Hospital District Current Accepting new patients
La Paz Regional Hospital Inc CurrentSince Dec 1, 2025 Accepting new patients
Lubbock County Hospital District Diagnostic Radiology CurrentSince Dec 1, 2017 Accepting new patients
Radiology Associates of South Carolina LLC Diagnostic Radiology CurrentSince Dec 23, 2023 Accepting new patients
Dhew Ind HLTH SV HLTH SVS & MNTL HLTH Adm CurrentSince Jul 18, 2017 Accepting new patients
Mercy Harvard Hospital Inc CurrentSince Dec 1, 2025 Accepting new patients
First Medical Center Inc CurrentSince Feb 10, 2020 Accepting new patients
Kayenta Alternative Rural Hospital CurrentSince Dec 3, 2018 Accepting new patients
DHHS IHS Phoenix CurrentSince Mar 27, 2024 Accepting new patients
DHHS,PHS,Naihs, Gallup Indian Medical Center CurrentSince Aug 20, 2017 Accepting new patients
Ochiltree Hospital District CurrentSince Oct 1, 2025 Accepting new patients
Hospital & Medical Foundation of Paris, Inc. CurrentSince May 1, 2023 Accepting new patients
DHHS IHS Phoenix Area CurrentSince Mar 27, 2024 Accepting new patients
El Paso County Hospital District CurrentSince Nov 1, 2023 Accepting new patients
Bayhealth Radiologists LLC Diagnostic Radiology CurrentSince Jan 1, 2024 Accepting new patients
Central Valley Community Medical Imaging Diagnostic Radiology CurrentSince May 1, 2020 Accepting new patients
Laguna Healthcare Corporation CurrentSince Feb 22, 2021 Accepting new patients
DHHS IHS Phoenix Area CurrentSince Mar 27, 2024 Accepting new patients
Mercy Harvard Hospital Inc CurrentSince Dec 1, 2025 Accepting new patients
Lubbock County Hospital District Diagnostic Radiology CurrentSince Dec 1, 2017 Accepting new patients
Freeport Memorial Hospital CurrentSince May 1, 2022 Accepting new patients
Hospital & Medical Foundation of Paris, Inc. CurrentSince May 1, 2023 Accepting new patients
Interfaith Professional Physician Services, P.C. Diagnostic Radiology CurrentSince Sep 24, 2023 Accepting new patients
Sol Radiology, Inc. Diagnostic Radiology CurrentSince Mar 14, 2022 Accepting new patients
Carle West Physician Group Inc CurrentSince Jul 23, 2023 Accepting new patients
DHHS, PHS, Naihs, Shiprock Hospital CurrentSince Nov 14, 2017 Accepting new patients
Ochiltree Hospital District CurrentSince Oct 1, 2025 Accepting new patients
Dhew Ind HLTH SV HLTH SVS & MNTL HLTH Adm CurrentSince Jul 18, 2017 Accepting new patients
La Paz Regional Hospital Inc., Dba Parker Podiatry CurrentSince Jun 29, 2022 Accepting new patients
Thorek Radiology Group NFP Diagnostic Radiology CurrentSince Oct 30, 2020 Accepting new patients
La Paz Regional Hospital Inc CurrentSince Jun 29, 2022 Accepting new patients
Mercy Health System Corporation CurrentSince Sep 1, 2025 Accepting new patients
El Paso County Hospital District CurrentSince Nov 1, 2023 Accepting new patients
The Brookdale Hospital Medical Center CurrentSince Sep 1, 2020 Accepting new patients
Hospital & Medical Foundation of Paris, Inc. Current Accepting new patients
Mercy Health System Corporation CurrentSince Sep 1, 2025 Accepting new patients
Riverside Radiology Medical Group Inc Diagnostic Radiology CurrentSince Mar 6, 2024 Accepting new patients
Brookdale Hospital Medical Center CurrentSince Sep 1, 2020 Accepting new patients
Kayenta Alternative Rural Hospital CurrentSince Dec 3, 2018 Accepting new patients
Humboldt Park Health CurrentSince Sep 6, 2022 Accepting new patients
Christiana Care Health Services, Inc Current Accepting new patients
DHHS, PHS, Naihs, Shiprock Hospital CurrentSince Nov 14, 2017 Accepting new patients
DHHS IHS Phoenix Area CurrentSince Mar 27, 2024 Accepting new patients
Central Texas Radiological Associates PA Diagnostic Radiology CurrentSince Jan 1, 2025 Accepting new patients
Christiana Care Health Services Inc CurrentSince Aug 12, 2024 Accepting new patients
Pco PC Diagnostic Radiology CurrentSince Jan 1, 2020 Accepting new patients
Nor-Lea Hospital District CurrentSince Jun 15, 2023 Accepting new patients
Radiology Associates of Albuquerque, PA Diagnostic Radiology CurrentSince Apr 1, 2023 Accepting new patients
Dickinson County Healthcare System Diagnostic Radiology CurrentSince Mar 28, 2026 Accepting new patients
DHHS, PHS, Naihs, Gallup Indian Medical Center CurrentSince Aug 20, 2017 Accepting new patients
Southern Humboldt Community Healthcare District CurrentSince Oct 28, 2021 Accepting new patients
Christiana Care Health Services Inc Diagnostic Radiology CurrentSince Aug 12, 2024 Accepting new patients
Laguna Healthcare Corporation CurrentSince Feb 22, 2021 Accepting new patients
Thorek Memorial Hospital Current Accepting new patients
Bayhealth Emergency Physicians LLC Past Accepting new patients
Simonmed Imaging, Incorporated Diagnostic Radiology PastSince Apr 1, 2015 Accepting new patients
Steward Radiology Physicians of Pennsylvania Inc Diagnostic Radiology Past Accepting new patients

Locations (25 of 51)

1200 W Mohave Rd
Parker, AZ 85344
Phone (928) 669-7300

12033 Agency Rd
Parker, AZ 85344
Phone (760) 572-4137

1713 S Kofa Ave
Ste A
Parker, AZ 85344
Phone (928) 669-7380

4212 N 16th St
Phoenix, AZ 85016
Phone (602) 248-4187

18300 US Highway 18
Apple Valley, CA 92307
Phone (760) 424-2311

600 N Highland Springs Ave
Banning, CA 92220
Phone (833) 443-6287

11841 South St
Cerritos, CA 90703
Phone (562) 809-8082

733 Cedar St
Garberville, CA 95542
Phone (707) 923-3921

1770 Iowa Ave
Ste 280
Riverside, CA 92507
Phone (661) 948-4781

4445 Magnolia Ave
Riverside, CA 92501
Phone (800) 498-7156

4510 Brockton Ave
Ste 175
Riverside, CA 92501
Phone (951) 786-5100

1805 Medical Center Dr
Sn Bernrdno, CA 92411
Phone (909) 877-6333

2101 N Waterman Ave
Sn Bernrdno, CA 92404
Phone (909) 881-4305

640 S State St
Dover, DE 19901
Phone (302) 744-4700

4755 Ogletown Stanton Rd
Newark, DE 19718
Phone (302) 733-1700

1044 N Francisco Ave
Chicago, IL 60622
Phone (773) 292-8227

2741 Paysphere Cir
Chicago, IL 60674

29624 Network Pl
Chicago, IL 60673
Phone (608) 741-7652

875 S State Route 31
Crystal Lake, IL 60014
Phone (779) 220-5500

421 W Exchange St
Freeport, IL 61032
Phone (815) 599-7300

348 S Division St
Harvard, IL 60033
Phone (815) 943-1122

901 Grant St
Harvard, IL 60033
Phone (815) 943-2961

500 W Court St
Kankakee, IL 60901
Phone (800) 585-4119

1000 N 2nd St
Marshall, IL 62441
Phone (217) 826-3299

1 Phipps Ln
Paris, IL 61944
Phone (217) 463-4340

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Organizations & group practices 67

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.

View all 67

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": "1130198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754352000000",
    "number": "1447240171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1770 IOWA AVE STE 280",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925077401",
            "telephone_number": "951-786-0801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8201 E RIVERSIDE BLVD",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611142300",
            "telephone_number": "815-971-7000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "875 S Route 31",
            "address_purpose": "LOCATION",
            "city": "Crystal Lake",
            "state": "IL",
            "postal_code": "600148190",
            "country_code": "US",
            "telephone_number": "779-220-5500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1304 W Bobo Newsom Hwy",
            "address_purpose": "LOCATION",
            "city": "Hartsville",
            "state": "SC",
            "postal_code": "295504710",
            "country_code": "US",
            "telephone_number": "843-339-4790",
            "fax_number": "843-339-4791",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "901 Grant St",
            "address_purpose": "LOCATION",
            "city": "Harvard",
            "state": "IL",
            "postal_code": "600331821",
            "country_code": "US",
            "telephone_number": "815-943-5431",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "CHARLES",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-25",
        "last_updated": "2025-08-05",
        "certification_date": "2025-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "SC",
            "license": "056888",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "SC",
            "license": "MMD5688MD",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "056888",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockford, IL

Sources for this page

Verify at the official NPI Registry.