Robert J Chesser, MD
Individual provider Active NPI Physical Medicine & Rehabilitation Physician · Rock Island, IL
NPI 1508863176 · NPPES record last updated Feb 5, 2015
Key facts
- NPI
- 1508863176
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Medicine & Rehabilitation Physician 208100000X
- License
- 036058383 (IL)
- Practice address
- 2570 24TH St
Ste 125
Rock Island, IL 61201-5394 - Phone
- (309) 779-2011
- Fax
- (309) 779-2815
- NPI assigned
- Jun 28, 2005
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 5
Medicare Care Compare profile
- Specialty
- Physical Medicine and Rehabilitation
- Education
- Other, 1975
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Iowa Physicians Clinic Medical Foundation
Practice addresses (Care Compare)
3904 16TH St
Moline, IL 61265-1275
3912 16TH St
Moline, IL 61265-1275
Phone (309) 581-7600
3924 16TH St
Moline, IL 61265-1275
Phone (309) 779-5260
600 N College Ave
Suite 110
Geneseo, IL 61254-1092
Phone (563) 264-9300
600 N College Ave
Suite 120
Geneseo, IL 61254-1095
Phone (309) 944-5342
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040325000628 | IL | Practitioner - Physical Medicine and Rehabilitation | 4789576802 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23454 | IA | MD | Physical Medicine & Rehabilitation Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Iowa Physicians Clinic Medical Foundation | Physical Medicine & Rehabilitation | Current |
Accepting new patients |
| St Luke'S Methodist Hospital | Current | Accepting new patients | |
| Advanced Radiology, S.C. | Past | Accepting new patients | |
| Digestive Disease Specialists PC | Past | Accepting new patients |
Locations
4500 Utica Ridge Rd
Bettendorf, IA 52722
Phone (563) 742-2724
4480 Utica Ridge Rd
Ste 160
Bettendorf, IA 52722
Phone (563) 742-5950
4480 Utica Ridge Rd
Ste 2230
Bettendorf, IA 52722
Phone (563) 742-5150
1111 W Kimberly Rd
Davenport, IA 52806
Phone (563) 445-4020
8101 Birchwood Ct
Unit R
Urbandale, IA 50131
Phone (515) 471-9363
600 N College Ave
Ste 120
Geneseo, IL 61254
Phone (309) 944-5342
3912 16th St
Moline, IL 61265
Phone (309) 581-7600
2701 17th St
Rock Island, IL 61201
Phone (309) 779-3200
2570 24th St
Ste 124
Rock Island, IL 61201
Phone (309) 779-3670
Interoperability endpoints
- rchesser92150@direct.unitypoint.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 036058383 | IL | Yes |
| Physical Medicine & Rehabilitation Physician | 208100000X | 23454 | IA |
Addresses
Primary practice location
2570 24TH St
Ste 125
Rock Island, IL 61201-5394
Mailing address
2570 24TH St
Ste 125
Rock Island, IL 61201-5394
Phone (309) 779-2011
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P01136858 | Other | IL | RR MEDICARE |
| 036058383 | Medicaid | IL | |
| 0930263 | Medicaid | IA | |
| 1508863176 | Medicaid | IA | |
| P01278237 | Other | IA | RR MEDICARE |
Other providers in Rock Island, IL
- Catholic Charities of the Diocese of Peoria
- Yan Cen
- Navaneet S Chailerborisuth
- Heather Jean Chapman
- Chaudry Ahmad Waheed Cheema
- Sherie Lynn Cheung
- Jennifer Michele Chieffo
- Children'S Therapy Center of the Quad Cities
- Chiro Fitness Xtreme LTD
- Michael Scott Chitwood Sr.
All providers in Rock Island, IL · Physical Medicine & Rehabilitation Physician in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 5, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.