Individual provider Active NPI

Eric Gregory Hexem, D.O

  • Diagnostic Radiology Physician
  • Columbia, MO
National Provider Identifier
1538788963
Registry record updated Mar 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
DO-06952 Issued in IA
Practice address
1 Hospital Drive
Columbia, MO 65212
Phone
(573) 882-7901
NPI assigned
Apr 15, 2020
Last updated
Mar 24, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Diagnostic Radiology Physician 2085R0202X 2021022429 MO
Diagnostic Radiology Physician 2085R0202X DO-06952 IA Primary

Addresses

Primary practice location

1 Hospital Drive
Columbia, MO 65212

Mailing address

1 Hospital Drive
Columbia, MO 65212
Phone (573) 882-7901

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, IA2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20250314002674 IL Practitioner - Diagnostic Radiology 4486075652 Reassigns benefits to 1 organization
I20250407000920 IA Practitioner - Diagnostic Radiology 4486075652 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radiology Group PC SCGroup PAC ID 9032008537, 39 clinicians

Practice addresses (Care Compare)

1227 E Rusholme St
Davenport, IA 52803-2459
Phone (563) 421-9729

1401 W Central Park Ave
Davenport, IA 52804-1707
Phone (563) 421-9729

1410 N 4TH St
Clinton, IA 52732-2940
Phone (563) 244-5615

1970 E 53Rd St
Davenport, IA 52807-2710

3385 Dexter CT
Suite 300
Davenport, IA 52807-3471
Phone (563) 421-9729

4620 Willowwood CT
Davenport, IA 52807-3445
Phone (563) 344-5490

801 Illini Dr
Silvis, IL 61282-1804
Phone (309) 281-4000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DO-06952IAMDDiagnostic Radiology Physician
2021022429MOMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Radiology Group PC SC Diagnostic Radiology CurrentSince Mar 1, 2025 Accepting new patients
Genesis Health System Past Accepting new patients

Locations

2140 53rd Ave
Bettendorf, IA 52722
Phone (563) 421-4370

1410 N 4th St
Clinton, IA 52732
Phone (563) 244-5555

2635 Lincoln Way
Ste D
Clinton, IA 52732
Phone (563) 243-4170

1227 E Rusholme St
Davenport, IA 52803
Phone (563) 324-8160

1401 W Central Park Ave
Davenport, IA 52804
Phone (563) 421-1900

1970 E 53rd St
Davenport, IA 52807
Phone (563) 359-3949

3319 Spring St
Ste 202
Davenport, IA 52807
Phone (563) 355-6236

3385 Dexter Ct
Ste 300
Davenport, IA 52807
Phone (563) 344-9292

1118 11th St
De Witt, IA 52742
Phone (563) 242-7522

801 Illini Dr
Silvis, IL 61282
Phone (309) 281-4000

Organizations & group practices 2

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 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": "1586908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742774400000",
    "number": "1538788963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 HOSPITAL DRIVE",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "65212",
            "telephone_number": "573-882-7901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HOSPITAL DRIVE",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "65212",
            "telephone_number": "573-882-7901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEXEM",
        "first_name": "ERIC",
        "middle_name": "GREGORY",
        "credential": "D.O",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-15",
        "last_updated": "2025-03-24",
        "certification_date": "2025-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MO",
            "license": "2021022429",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IA",
            "license": "DO-06952",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MO

Sources for this page

Verify at the official NPI Registry.