Active NPI
Samuel Dewayne Andrews, M.D.
- Radiation Oncology Physician
- Iowa City, IA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- License
- R-7952
- Practice address
- 200 Hawkins Drive
Iowa City, IA 52242 - Phone
- (319) 356-2699
- NPI assigned
- May 16, 2007
- 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 |
|---|---|---|---|---|
| Radiation Oncology Physician | 2085R0001X | R-7952 | IA | Primary |
| Radiation Oncology Physician | 2085R0001X | 036-126674 | IL |
Addresses
Primary practice location
200 Hawkins Drive
Iowa City, IA 52242
Mailing address
200 Hawkins Drive
Iowa City, IA 52242
Phone (319) 356-2699
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, IA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R-7952 | IA | MD | Radiation Oncology Physician |
| 036-126674 | IL | MD | Radiation Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Anthony Regional Hospital and Nursing Home | Radiation Oncology | Current | Accepting new patients |
| Methodist Medical Center of Illinois | Current | Accepting new patients | |
| Proctor Health Systems | Current | Accepting new patients | |
| Methodist Medical Center of Illinois | Current | Accepting new patients | |
| Proctor Health Systems | Current | Accepting new patients | |
| St Anthony Regional Hospital and Nursing Home | Current | Accepting new patients | |
| Proctor Health Systems | Current | Accepting new patients |
Locations
311 S Clark St
Carroll, IA 51401
Phone (712) 792-3581
5401 N Knoxville Ave
Ste 400
Peoria, IL 61614
Phone (309) 691-6610
120 NE Glen Oak Ave
Ste 400
Peoria, IL 61603
Phone (309) 671-3519
815 Main St
Ste A1
Peoria, IL 61602
221 NE Glen Oak Ave
Peoria, IL 61636
Phone (309) 672-4281
815 Main St
Ste A
Peoria, IL 61602
Phone (309) 672-4986
Organizations & group practices 7
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.
-
- Family Medicine Physician
- Carroll, IA
- NPI 1801815972
-
- Rehabilitation Hospital Unit
- Peoria, IL
- NPI 1982656575
-
- Family Medicine Physician
- Peoria, IL
- NPI 1134173917
-
- Anatomic Pathology & Clinical Pathology Physician
- Carroll, IA
- NPI 1629460555
Radiation Oncology
-
- General Acute Care Hospital
- Peoria, IL
- NPI 1164474755
-
- Rural Health Clinic/Center
- Princeville, IL
- NPI 1356057301
-
- Ambulatory Surgical Clinic/Center
- Peoria, IL
- NPI 1720223837
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179273600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1485216000000",
"number": "1851508337",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 HAWKINS DRIVE",
"city": "IOWA CITY",
"state": "IA",
"postal_code": "52242",
"telephone_number": "319-356-2699"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 HAWKINS DRIVE",
"city": "IOWA CITY",
"state": "IA",
"postal_code": "52242",
"telephone_number": "319-356-2699"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ANDREWS",
"first_name": "SAMUEL",
"middle_name": "DEWAYNE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-16",
"last_updated": "2017-01-24",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "IA",
"license": "R-7952",
"primary": true
},
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "IL",
"license": "036-126674",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Iowa City, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2017; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.