Active NPI
Advanced Radiology, S.C.
- Diagnostic Radiology Physician
- Rock Island, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- Legal business name
- ADVANCED RADIOLOGY, S.C.
- Practice address
- 2701 17TH St
Rock Island, IL 61201-5351 - Phone
- (815) 315-1718
- NPI assigned
- Oct 6, 2005
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Karen Marie Vaughn
- Title
- Ao
- Phone
- (629) 317-1465
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | Primary |
Addresses
Primary practice location
2701 17TH St
Rock Island, IL 61201-5351
Mailing address
PO Box 200992
Dallas, TX 75320-0992
Phone (309) 762-1072
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, IA, WI, FL, MO, VA, OK, TX, MA, CA, UT, OH, AZ, CT, GA, WA, NV, NC, TN, CO, SC, KS, MN, DC
Enrollment records 24
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040305000094 | IL | Part B Supplier - Clinic/Group Practice | 2365339207 |
Receives reassigned benefits from 40 practitioners Practice locations: Homewood, IL; Moline, IL; Huntley, IL; Morrison, IL; Northfield, IL; Rapids City, IL; Rock Island, IL; Rockford, IL… |
| O20040308000976 | IA | Part B Supplier - Clinic/Group Practice | 2365339207 |
Receives reassigned benefits from 21 practitioners Practice locations: Clinton, IA; Davenport, IA; De Witt, IA; Dubuque, IA; Keokuk, IA; Muscatine, IA; Peosta, IA; Bettendorf, IA |
| O20150303002430 | WI | Part B Supplier - Clinic/Group Practice | 2365339207 |
Receives reassigned benefits from 24 practitioners Practice locations: Lancaster, WI; Madison, WI; Fennimore, WI |
| O20220126001796 | FL | Part B Supplier - Clinic/Group Practice | 2365339207 |
Receives reassigned benefits from 10 practitioners Practice locations: Bradenton, FL; Winter Springs, FL; Winter Garden, FL; Windermere, FL; Tallahassee, FL; Lakewood Ranch, FL; Key West, FL; Hollywood, FL |
| O20221209000229 | MO | Part B Supplier - Clinic/Group Practice | 2365339207 |
Receives reassigned benefits from 2 practitioners Practice locations: Sunrise Beach, MO |
| O20230719004007 | VA | Part B Supplier - Clinic/Group Practice | 2365339207 |
Receives reassigned benefits from 3 practitioners Practice locations: Poquoson, VA |
| O20231025001885 | OK | Part B Supplier - Clinic/Group Practice | 2365339207 |
Receives reassigned benefits from 2 practitioners Practice locations: Muskogee, OK; Edmond, OK; Ada, OK |
| O20231025002335 | TX | Part B Supplier - Clinic/Group Practice | 2365339207 |
Receives reassigned benefits from 3 practitioners Practice locations: Beaumont, TX; Tyler, TX; McAllen, TX; Edinburg, TX |
| O20231027002125 | MA | Part B Supplier - Clinic/Group Practice | 2365339207 |
Receives reassigned benefits from 1 practitioner Practice locations: Westford, MA |
| O20231113003132 | CA | Part B Supplier - Clinic/Group Practice | 2365339207 |
Receives reassigned benefits from 4 practitioners Practice locations: Claremont, CA; Arroyo Grande, CA; Upland, CA; Fremont, CA; Mill Valley, CA |
| O20231116000701 | UT | Part B Supplier - Clinic/Group Practice | 2365339207 |
Receives reassigned benefits from 2 practitioners Practice locations: Heber City, UT; Salt Lake City, UT |
| O20231127002610 | OH | Part B Supplier - Clinic/Group Practice | 2365339207 |
Receives reassigned benefits from 1 practitioner Practice locations: Hilliard, OH |
| O20231128000750 | AZ | Part B Supplier - Clinic/Group Practice | 2365339207 |
Receives reassigned benefits from 1 practitioner Practice locations: Scottsdale, AZ |
| O20231128001324 | CT | Part B Supplier - Clinic/Group Practice | 2365339207 |
Receives reassigned benefits from 3 practitioners Practice locations: Farmington, CT; West Hartford, CT; Woodbridge, CT |
| O20231129001256 | GA | Part B Supplier - Clinic/Group Practice | 2365339207 |
Receives reassigned benefits from 1 practitioner Practice locations: Smyrna, GA |
| O20231226001632 | WA | Part B Supplier - Clinic/Group Practice | 2365339207 |
Receives reassigned benefits from 2 practitioners Practice locations: Seattle, WA; Woodinville, WA |
| O20240110002992 | NV | Part B Supplier - Clinic/Group Practice | 2365339207 |
Receives reassigned benefits from 3 practitioners Practice locations: Las Vegas, NV; Reno, NV |
| O20240415003891 | NC | Part B Supplier - Clinic/Group Practice | 2365339207 |
Receives reassigned benefits from 2 practitioners Practice locations: Chapel Hill, NC; Durham, NC |
| O20240531001989 | TN | Part B Supplier - Clinic/Group Practice | 2365339207 |
Receives reassigned benefits from 3 practitioners Practice locations: Lebanon, TN; Germantown, TN; Memphis, TN |
| O20240715001943 | CO | Part B Supplier - Clinic/Group Practice | 2365339207 |
Receives reassigned benefits from 1 practitioner Practice locations: Castle Pines, CO |
| O20260203001109 | SC | Part B Supplier - Clinic/Group Practice | 2365339207 |
Receives reassigned benefits from 1 practitioner Practice locations: Hardeeville, SC |
| O20260617000352 | KS | Part B Supplier - Clinic/Group Practice | 2365339207 |
Receives reassigned benefits from 1 practitioner Practice locations: Prairie Village, KS |
| O20260623003138 | MN | Part B Supplier - Clinic/Group Practice | 2365339207 |
Receives reassigned benefits from 2 practitioners Practice locations: Rochester, MN; Saint Cloud, MN |
| O20260628000044 | DC | Part B Supplier - Clinic/Group Practice | 2365339207 |
Receives reassigned benefits from 1 practitioner Practice locations: Washington, DC |
National Provider Directory
National Provider DirectoryLocations
4480 Utica Ridge Rd
Ste 120
Bettendorf, IA 52722
Phone (563) 355-2210
1417 Kimberly Rd
Bettendorf, IA 52722
Phone (563) 742-4350
5185 Competition Dr
Bettendorf, IA 52722
Phone (563) 888-5660
22425 Overland Ave
Bloomfield, IA 52537
Phone (641) 664-3202
1410 N 4th St
Ste A102
Clinton, IA 52732
Phone (563) 244-3674
3 Pennsylvania Pl
Ottumwa, IA 52501
Phone (641) 683-3372
201 S Market St
Ottumwa, IA 52501
Phone (641) 684-6896
8456 Peosta Commercial Ct
Peosta, IA 52068
Phone (563) 557-2920
104 W 18th Ave
Coal Valley, IL 61240
Phone (309) 779-7581
3904 16th St
Moline, IL 61265
Phone (309) 581-7610
615 Valley View Dr
Ste 101
Moline, IL 61265
Phone (309) 743-0445
520 Valley View Dr
Ste 400
Moline, IL 61265
615 Valley View Dr
Ste 102
Moline, IL 61265
Phone (309) 762-7227
1505 7th St
Moline, IL 61265
Phone (309) 764-8761
600 John Deere Rd
Ste 200
Moline, IL 61265
Phone (309) 779-4200
3912 16th St
Moline, IL 61265
Phone (309) 581-7600
2550 24th St
Rock Island, IL 61201
Phone (309) 779-7300
700 S Main St
Lapeer, MI 48446
Phone (810) 664-1329
2828 S Park Ave
Lackawanna, NY 14218
Phone (716) 668-1610
9177 Old Potosi Rd
Lancaster, WI 53813
Phone (608) 723-4300
Practitioners & affiliated clinicians
Practitioners 164
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128556800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1774396800000",
"number": "1790773539",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 200992",
"city": "DALLAS",
"state": "TX",
"postal_code": "753200992",
"telephone_number": "309-762-1072"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2701 17TH ST",
"city": "ROCK ISLAND",
"state": "IL",
"postal_code": "612015351",
"telephone_number": "815-315-1718"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ADVANCED RADIOLOGY, S.C.",
"organizational_subpart": "NO",
"enumeration_date": "2005-10-06",
"last_updated": "2026-03-25",
"certification_date": "2026-03-25",
"status": "A",
"authorized_official_last_name": "VAUGHN",
"authorized_official_first_name": "KAREN",
"authorized_official_middle_name": "MARIE",
"authorized_official_title_or_position": "AO",
"authorized_official_telephone_number": "629-317-1465"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Radiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rock Island, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.