Individual provider Active NPI

Nicholas Scott Ludwig, M.D.

  • Diagnostic Radiology Physician
  • Moline, IL
National Provider Identifier
1629273669
Registry record updated Oct 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
036-139123 Issued in IL
Practice address
615 Valley View Dr
Suite 202
Moline, IL 61265-6150
Phone
(309) 762-1072
NPI assigned
Jun 19, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2017

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 65028-20 WI
Diagnostic Radiology Physician 2085R0202X 42954 IA
Diagnostic Radiology Physician 2085R0202X 036-139123 IL Primary

Addresses

Primary practice location

615 Valley View Dr
Suite 202
Moline, IL 61265-6150

Mailing address

615 Valley View Dr
Suite 202
Moline, IL 61265-6150
Phone (309) 762-1072

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, IA, WI3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20160511000975 IL Practitioner - Diagnostic Radiology 7911227996 Reassigns benefits to 1 organization
I20160511002232 IA Practitioner - Diagnostic Radiology 7911227996 Reassigns benefits to 3 organizations
I20160512000075 WI Practitioner - Diagnostic Radiology 7911227996 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Missouri, Columbia School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Radiology, S.C.Group PAC ID 2365339207, 57 clinicians
Imaging Associates of Indiana PCGroup PAC ID 1254503345, 293 clinicians

Practice addresses (Care Compare)

1001 Penn Ave
Ottumwa, IA 52501-6427
Phone (309) 762-1072

1200 N 7TH St
Chariton, IA 50049-1210
Phone (309) 762-1072

1500 Delhi St
Suite 4100
Dubuque, IA 52001-6362
Phone (309) 762-1072

1518 Mulberry Ave
Muscatine, IA 52761-3433
Phone (309) 762-1072

2841 262ND St
De Witt, IA 52742-9429
Phone (219) 767-6320

3415 53Rd Ave
Bettendorf, IA 52722-6976
Phone (309) 762-1072

4 Fairway Dr
Keokuk, IA 52632-2103
Phone (219) 767-6320

4480 Utica Ridge Rd
Bettendorf, IA 52722-1644
Phone (309) 762-1072

4500 Utica Ridge Rd
Bettendorf, IA 52722-1626
Phone (309) 762-1072

4865 Woody Creek Cir
Bettendorf, IA 52722-2395
Phone (219) 767-6320

500 Messenger Rd
Keokuk, IA 52632-2117
Phone (309) 762-1072

615 Valley View Dr
Suite 202
Moline, IL 61265-6180
Phone (309) 762-1072

Hospital & facility affiliations

  • Trinity Rock Island Hospital, Rock Island, IL, CCN 140280
  • Finley Hospital Hospital, Dubuque, IA, CCN 160117
  • Ottumwa Regional Health Center Hospital, Ottumwa, IA, CCN 160089
  • Trinity - Bettendorf Hospital, Bettendorf, IA, CCN 160104
  • Trinity Muscatine Hospital, Muscatine, IA, CCN 160013

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
42954IAMDDiagnostic Radiology Physician
036-139123ILMDDiagnostic Radiology Physician
65028-20WIMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Metro MRI Center Limited Partnership CurrentSince Jul 1, 2016 Accepting new patients
Mercy Health System Corporation CurrentSince Sep 25, 2017 Accepting new patients
Imaging Associates of Indiana, PC Diagnostic Radiology CurrentSince Sep 8, 2025 Accepting new patients
Mercy Health System Corporation CurrentSince Sep 25, 2017 Accepting new patients
St Luke'S Methodist Hospital Current Accepting new patients
Mercy Health System Corporation Current Accepting new patients

Locations

4480 Utica Ridge Rd
Ste 120
Bettendorf, IA 52722
Phone (563) 355-2210

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

615 Valley View Dr
Ste 102
Moline, IL 61265
Phone (309) 762-7227

615 Valley View Dr
Ste 202
Moline, IL 61265
Phone 3097621072311

615 Valley View Dr
Ste 101
Moline, IL 61265
Phone (309) 743-0445

2015 Jackson St
Anderson, IN 46016
Phone (765) 646-8243

9613 E US Highway 36
Avon, IN 46123
Phone (317) 415-5980

10580 N Meridian St
Carmel, IN 46290
Phone (317) 338-2273

13420 N Meridian St
Ste 100
Carmel, IN 46032
Phone (317) 582-7474

13500 N Meridian St
Carmel, IN 46032
Phone (317) 573-7000

1201 S Main St
Crown Point, IN 46307
Phone (219) 738-2100

13914 Southeastern Pkwy
Ste 101
Fishers, IN 46037
Phone (317) 338-9595

13861 Olio Rd
Fishers, IN 46037
Phone (317) 338-7136

7199 Easy St
Fishers, IN 46038
Phone (317) 415-6110

2001 W 86th St
Indianapolis, IN 46260
Phone (317) 338-3617

8602 Allisonville Rd
Indianapolis, IN 46250
Phone (317) 703-1970

8451 S Emerson Ave
Indianapolis, IN 46237
Phone (317) 884-7540

8050 Township Line Rd
Indianapolis, IN 46260
Phone (317) 338-2442

1907 W Sycamore St
Kokomo, IN 46901
Phone (765) 452-5611

1000 Mineral Point Ave
Janesville, WI 53548
Phone (608) 261-6868

Interoperability endpoints

  • Direct secure messaging: nludwig398165@direct.unitypoint.org

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

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": "1182211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1507248000000",
    "number": "1629273669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 VALLEY VIEW DR",
            "address_2": "SUITE 202",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612656150",
            "telephone_number": "309-762-1072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 VALLEY VIEW DR",
            "address_2": "SUITE 202",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612656150",
            "telephone_number": "309-762-1072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUDWIG",
        "first_name": "NICHOLAS",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-19",
        "last_updated": "2017-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WI",
            "license": "65028-20",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IA",
            "license": "42954",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IL",
            "license": "036-139123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moline, IL

Sources for this page

Verify at the official NPI Registry.