STANDUP MRI OF DEERFIELD LLC – Specialist, NPI 1972541225
Specialist
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for STANDUP MRI OF DEERFIELD LLC
3330 W 177th St Ste 1D
Hazel Crest, IL 604292185
Phone: (708) 799-4940
Fax: (708) 799-0641
Type: Location
3838 N Main St Ste 1A
Mishawaka, IN 465453100
Phone: (574) 257-4674
Fax: (574) 257-0549
Type: Location
457, Lake Cook Road, Deerfield, Northfield Township, Cook County, Illinois, 60015, United States
DEERFIELD, IL 600155202
Phone: (847) 291-3921
Fax: (847) 291-9362
Type: Mailing
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: 2004-11-03
PECOS data refreshed: 2026-06-15
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2024-05-31 (746 days ago).
Enrollment records
1
Earliest due date
2024-05-31
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 |
|---|---|---|---|---|
| O20041103000087 | O | Independent Diagnostic Testing Facility (Idtf) | IL | 2024-05-31 |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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 |
|---|---|---|---|---|
| 72148 | Mri scan of lower spinal canal without contrast | 340 | 335 | $0 |
| 72141 | Mri scan of upper spinal canal without contrast | 132 | 132 | $0 |
| 73221 | Mri scan of arm joint without contrast | 92 | 87 | $0 |
| 70551 | Mri scan of brain without contrast | 69 | 67 | $0 |
| 70553 | Mri scan of brain before and after contrast | 66 | 62 | $0 |
Insurance plans in this area (ZIP 60429)
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