Individual provider Active NPI

David M Spector, MD

  • Medical Oncology Physician
  • Moline, IL
National Provider Identifier
1891754404
Registry record updated Sep 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Oncology PhysicianTaxonomy code 207RX0202X
License
036101556 Issued in IL
Practice address
600 John Deere Road Suite 200
Moline, IL 61265-6897
Phone
(309) 779-4200
Fax
(309) 779-4305
NPI assigned
Mar 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Oncology Physician 207RX0202X 33224 IA
Medical Oncology Physician 207RX0202X 036101556 IL Primary

Addresses

Primary practice location

600 John Deere Road Suite 200
Moline, IL 61265-6897

Mailing address

600 John Deere Road Suite 200
Moline, IL 61265-6897
Phone (309) 779-4200

Other identifiers 1

IdentifierTypeStateIssuer
036101556MedicaidIL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address david.spector@direct.genesishealth.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA, IL2 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
I20060307000382 IA Practitioner - Medical OncologyPractitioner - Internal MedicinePractitioner - Other (Physician) 0446215958 Reassigns benefits to 2 organizations
I20090211000247 IL Practitioner - Hematology/Oncology 0446215958 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Medical Oncology
Education
University of Chicago, Pritzker School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Genesis Health SystemGroup PAC ID 6103829338, shared by 2 NPIs, 262 clinicians

Practice addresses (Care Compare)

1351 W Central Park Ave
Mercyone Genesis
Davenport, IA 52804-1853
Phone (563) 421-1900

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

Hospital & facility affiliations

  • Mercyone Genesis Hospice, Bettendorf, IA, CCN 161520
  • Genesis Medical Center-Davenport Hospital, Davenport, IA, CCN 160033
  • Genesis HLTH System Dba Genesis MDL Ctr-Illini Hospital, Silvis, IL, CCN 140275
  • Mercyone Genesis Dewitt Medical Center Hospital, Dewitt, IA, CCN 161313
  • Trinity Rock Island Hospital, Rock Island, IL, CCN 140280
  • Hammond Henry Hospital Hospital, Geneseo, IL, CCN 141319

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
33224IAMDMedical Oncology Physician
036101556ILMDMedical Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Arts Associates, LTD. CurrentSince Feb 1, 2009 Accepting new patients
Medical Associates of Clinton, Iowa P.L.C. Current Accepting new patients
Genesis Health System CurrentSince Oct 1, 2019 Accepting new patients
Mercy Specialty Clinic CurrentSince Mar 21, 2022 Accepting new patients
Mercy Specialty Clinic Current Accepting new patients
Genesis Health System CurrentSince Oct 1, 2019 Accepting new patients
Vibrant Health, P.C. Past Accepting new patients
Genesis Health System Past Accepting new patients

Locations

865 Lincoln Rd
Ste 100
Bettendorf, IA 52722
Phone (563) 355-1000

915 13th Ave N
Clinton, IA 52732
Phone (319) 243-2511

1351 W Central Park Ave
Davenport, IA 52804
Phone (563) 421-1900

4700 E 56th St
Ste 100
Davenport, IA 52807
Phone (563) 383-2667

1351 W Central Park Ave
Ste 3100
Davenport, IA 52804
Phone (319) 322-9450

1351 W Central Park Ave
Ste 340
Davenport, IA 52804
Phone (563) 421-1287

600 John Deere Rd
Ste 200
Moline, IL 61265
Phone (309) 779-4200

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

Interoperability endpoints

  • Direct secure messaging: david.spector@direct.genesishealth.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/FDDEBA

Organizations & group practices 9

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 6

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": "1142985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632873600000",
    "number": "1891754404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 JOHN DEERE ROAD SUITE 200",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612656897",
            "telephone_number": "309-779-4200",
            "fax_number": "309-779-4305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 JOHN DEERE ROAD SUITE 200",
            "city": "MOLINE",
            "state": "IL",
            "postal_code": "612656897",
            "telephone_number": "309-779-4200",
            "fax_number": "309-779-4305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPECTOR",
        "first_name": "DAVID",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-22",
        "last_updated": "2021-09-29",
        "certification_date": "2021-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "IA",
            "license": "33224",
            "primary": false
        },
        {
            "code": "207RX0202X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Medical Oncology",
            "state": "IL",
            "license": "036101556",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036101556",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "david.spector@direct.genesishealth.com",
            "affiliation": "N",
            "endpointDescription": "Genesis Health System Direct Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "1351 W Central Park Ave",
            "city": "Davenport",
            "state": "IA",
            "country_code": "US",
            "postal_code": "528041853",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Moline, IL

Sources for this page

Verify at the official NPI Registry.