DR. JOHN E CONNOLLY (M.D.) – Diagnostic Radiology Physician, NPI 1215987508
Diagnostic Radiology Physician
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Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,121 DIAGNOSTIC RADIOLOGY in IL
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Provider Addresses for DR. JOHN E CONNOLLY (M.D.)
Presence Saint Mary Campus, 2233, West Division Street, Wicker Park, West Town, Chicago, Cook County, Illinois, 60622, United States
CHICAGO, IL 606228151
Phone: (312) 770-3990
Fax: (312) 770-2161
Mailing address matches the actual address.
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2024-01-05
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20041110001207 | I | Diagnostic Radiology | IL | TBD |
| I20240105000318 | I | Diagnostic Radiology | NY | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 71045 | X-ray of chest, 1 view | 586 | 520 | $0 |
| 70450 | Ct scan head or brain without contrast | 187 | 183 | $0 |
| 74177 | Ct scan of abdomen and pelvis with contrast | 140 | 139 | $0 |
| 71250 | Ct scan of chest without contrast | 123 | 123 | $0 |
| 74176 | Ct scan of abdomen and pelvis without contrast | 92 | 90 | $0 |
Insurance plans in this area (ZIP 60622)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DIAGNOSTIC RADIOLOGY | IL | 76830 | Ultrasound pelvis through vagina | 22 | 22 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Diagnostic Radiology | MI | |
| Diagnostic Radiology, Interventional Radiology | OH | |
| Diagnostic Radiology | MI | |
| Physician Assistant | MI | |
| Diagnostic Radiology | MI | |
| Diagnostic Radiology | MI | |
| Diagnostic Radiology | TX | |
| Diagnostic Radiology | MI | |
| Diagnostic Radiology | DC | |
| Diagnostic Radiology | MI |
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