Active NPI
Charles M Davis, M.D.
- Diagnostic Radiology Physician
- Rockford, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 056888
- Practice address
- 8201 E Riverside Blvd
Rockford, IL 61114-2300 - Phone
- (815) 971-7000
- NPI assigned
- Oct 25, 2005
- Last updated
- Aug 5, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 056888 | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ, SC, NM, IL, TX, CA, NY, DE
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 8
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 056888 | SC | MD | Diagnostic Radiology Physician |
| MMD5688MD | SC | MD | Diagnostic Radiology Physician |
Practice roles (60 of 65)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southern Humboldt Community Healthcare District | Current | Accepting new patients | |
| Ochiltree Hospital District | Current | Accepting new patients | |
| Rockford Health Physicians | Current | Accepting new patients | |
| Ochiltree Hospital District | Current | Accepting new patients | |
| La Paz Regional Hospital Inc | Current | Accepting new patients | |
| Lubbock County Hospital District | Diagnostic Radiology | Current | Accepting new patients |
| Radiology Associates of South Carolina LLC | Diagnostic Radiology | Current | Accepting new patients |
| Dhew Ind HLTH SV HLTH SVS & MNTL HLTH Adm | Current | Accepting new patients | |
| Mercy Harvard Hospital Inc | Current | Accepting new patients | |
| First Medical Center Inc | Current | Accepting new patients | |
| Kayenta Alternative Rural Hospital | Current | Accepting new patients | |
| DHHS IHS Phoenix | Current | Accepting new patients | |
| DHHS,PHS,Naihs, Gallup Indian Medical Center | Current | Accepting new patients | |
| Ochiltree Hospital District | Current | Accepting new patients | |
| Hospital & Medical Foundation of Paris, Inc. | Current | Accepting new patients | |
| DHHS IHS Phoenix Area | Current | Accepting new patients | |
| El Paso County Hospital District | Current | Accepting new patients | |
| Bayhealth Radiologists LLC | Diagnostic Radiology | Current | Accepting new patients |
| Central Valley Community Medical Imaging | Diagnostic Radiology | Current | Accepting new patients |
| Laguna Healthcare Corporation | Current | Accepting new patients | |
| DHHS IHS Phoenix Area | Current | Accepting new patients | |
| Mercy Harvard Hospital Inc | Current | Accepting new patients | |
| Lubbock County Hospital District | Diagnostic Radiology | Current | Accepting new patients |
| Freeport Memorial Hospital | Current | Accepting new patients | |
| Hospital & Medical Foundation of Paris, Inc. | Current | Accepting new patients | |
| Interfaith Professional Physician Services, P.C. | Diagnostic Radiology | Current | Accepting new patients |
| Sol Radiology, Inc. | Diagnostic Radiology | Current | Accepting new patients |
| Carle West Physician Group Inc | Current | Accepting new patients | |
| DHHS, PHS, Naihs, Shiprock Hospital | Current | Accepting new patients | |
| Ochiltree Hospital District | Current | Accepting new patients | |
| Dhew Ind HLTH SV HLTH SVS & MNTL HLTH Adm | Current | Accepting new patients | |
| La Paz Regional Hospital Inc., Dba Parker Podiatry | Current | Accepting new patients | |
| Thorek Radiology Group NFP | Diagnostic Radiology | Current | Accepting new patients |
| La Paz Regional Hospital Inc | Current | Accepting new patients | |
| Mercy Health System Corporation | Current | Accepting new patients | |
| El Paso County Hospital District | Current | Accepting new patients | |
| The Brookdale Hospital Medical Center | Current | Accepting new patients | |
| Hospital & Medical Foundation of Paris, Inc. | Current | Accepting new patients | |
| Mercy Health System Corporation | Current | Accepting new patients | |
| Riverside Radiology Medical Group Inc | Diagnostic Radiology | Current | Accepting new patients |
| Brookdale Hospital Medical Center | Current | Accepting new patients | |
| Kayenta Alternative Rural Hospital | Current | Accepting new patients | |
| Humboldt Park Health | Current | Accepting new patients | |
| Christiana Care Health Services, Inc | Current | Accepting new patients | |
| DHHS, PHS, Naihs, Shiprock Hospital | Current | Accepting new patients | |
| DHHS IHS Phoenix Area | Current | Accepting new patients | |
| Central Texas Radiological Associates PA | Diagnostic Radiology | Current | Accepting new patients |
| Christiana Care Health Services Inc | Current | Accepting new patients | |
| Pco PC | Diagnostic Radiology | Current | Accepting new patients |
| Nor-Lea Hospital District | Current | Accepting new patients | |
| Radiology Associates of Albuquerque, PA | Diagnostic Radiology | Current | Accepting new patients |
| Dickinson County Healthcare System | Diagnostic Radiology | Current | Accepting new patients |
| DHHS, PHS, Naihs, Gallup Indian Medical Center | Current | Accepting new patients | |
| Southern Humboldt Community Healthcare District | Current | Accepting new patients | |
| Christiana Care Health Services Inc | Diagnostic Radiology | Current | Accepting new patients |
| Laguna Healthcare Corporation | Current | Accepting new patients | |
| Thorek Memorial Hospital | Current | Accepting new patients | |
| Bayhealth Emergency Physicians LLC | Past | Accepting new patients | |
| Simonmed Imaging, Incorporated | Diagnostic Radiology | Past | 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.
-
dba Paris Community Hospital
- Critical Access Hospital
- Paris, IL
- NPI 1679502322
-
dba Mercyhealth Physicians
- Multi-Specialty Clinic/Center
- Rockford, IL
- NPI 1043242886
-
- Diagnostic Radiology Physician
- Chicago, IL
- NPI 1588261978
-
dba Cmi
- Diagnostic Radiology Physician
- Fresno, CA
- NPI 1376637264
SC
-
dba OBH Physician Associates
- Surgery Physician
- Brooklyn, NY
- NPI 1457643991
Diagnostic Radiology
-
- Critical Access Hospital
- Parker, AZ
- NPI 1053684555
-
dba UMC Radiology
- Diagnostic Radiology Physician
- Lubbock, TX
- NPI 1437170313
-
dba MHS Physician Services
- Multi-Specialty Clinic/Center
- Janesville, WI
- NPI 1598718603
IL
-
- Diagnostic Radiology Physician
- Albuquerque, NM
- NPI 1881666998
SC
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1972594877
-
- General Acute Care Hospital
- Rockford, IL
- NPI 1629118609
-
dba Bayhealth Hospital, Kent Campus
- General Acute Care Hospital
- Dover, DE
- NPI 1467546135
-
- General Acute Care Hospital
- Bay City, MI
- NPI 1528031226
-
- General Acute Care Hospital
- Watertown, NY
- NPI 1598713745
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.