Unknown Individual – Diagnostic Radiology Physician, NPI 1558338160
Diagnostic Radiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
Madison Street, Ridgefield, Grandview Heights, Radford City, Radford (city), Virginia, 24141, United States
WILLOWBROOK, IL 60527
Phone: (630) 654-6509
Fax: (630) 323-1699
Type: Mailing
1455, East Golf Road, Des Plaines, Maine Township, Cook County, Illinois, 60016, United States
STE 212
DES PLAINES, IL 60016
Phone: (847) 297-1800
Fax: (847) 297-2757
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 5 Open Payments records for all available years, with a total value of $135.
Total Amount is formed as General ($135) + Research ($0) + Ownership ($0) = $135.
Last reported payment date: 2024-12-19 • Largest payer in this snapshot: Stryker Corporation ($52).
Total Amount
$135
General + Research + Ownership
Payments
5
Total payment records
General Amount
$135
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-19
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Stryker Corporation | $52 |
| Takeda Pharmaceuticals U.S.A., Inc. | $24 |
| Incyte Corporation | $23 |
| Merck Sharp & Dohme LLC | $18 |
| Lilly USA, LLC | $18 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
No Medicare enrollment or revalidation data available for this provider in our database.
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 |
|---|---|---|---|---|
| 78815 | Nuclear medicine study from skull base to mid-thigh with ct scan | 90 | 83 | $0 |
| 71260 | Ct scan of chest with contrast | 65 | 53 | $0 |
| 74177 | Ct scan of abdomen and pelvis with contrast | 46 | 40 | $0 |
| 71250 | Ct scan of chest without contrast | 27 | 23 | $0 |
Insurance plans in this area (ZIP 60527)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| DIAGNOSTIC RADIOLOGY | IL | 71250 | CT scan chest | 32 | 30 |
| DIAGNOSTIC RADIOLOGY | IL | 74177 | CT scan of abdomen and pelvis with contrast | 67 | 58 |
| DIAGNOSTIC RADIOLOGY | IL | 76830 | Ultrasound pelvis through vagina | 17 | 17 |
| DIAGNOSTIC RADIOLOGY | IL | 93971 | Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers | 21 | 20 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | IL |
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