Individual provider Active NPI

Alexander Gorodetsky, MD

  • Body Imaging Physician
  • Chicago, IL
National Provider Identifier
1073541108
Registry record updated Jul 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Body Imaging PhysicianTaxonomy code 2085B0100X
License
036-096374 Issued in IL
Practice address
550 W Webster Ave
Chicago, IL 60614-3965
Phone
(773) 883-3659
NPI assigned
Jun 29, 2006
Last updated
Jul 30, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Body Imaging Physician 2085B0100X 036-096374 IL Primary

Addresses

Primary practice location

550 W Webster Ave
Chicago, IL 60614-3965

Mailing address

67 Beach Rd
Glencoe, IL 60022-1313
Phone (847) 835-7465

Other practice location 1

52 Underwood St
Orlando, FL 32806-1110
Phone (407) 649-6823

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, OH, FL3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20040525001079 IL Practitioner - Diagnostic RadiologyPractitioner - Interventional Radiology 0941281182 Reassigns benefits to 2 organizations
I20251013000096 OH Practitioner - Diagnostic Radiology 0941281182 Reassigns benefits to 1 organization
I20260525000589 FL Practitioner - Diagnostic Radiology 0941281182 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic RadiologyAlso: Interventional Radiology
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Adi Radiology PCGroup PAC ID 7911236427, 153 clinicians
Middle Tennessee Imaging LLCGroup PAC ID 5698743706, 121 clinicians

Practice addresses (Care Compare)

108 Boskydell Rd
Carbondale, IL 62902-7492
Phone (615) 851-6033

1805 27TH St
Portsmouth, OH 45662-2640
Phone (740) 356-8681

1919 Schiller Ave
Wilmette, IL 60091-2321
Phone (866) 722-1655

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036-096374ILMDBody Imaging Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Adi Radiology PC Body Imaging CurrentSince May 29, 2025 Accepting new patients
Somc Medical Care Foundation, Inc. CurrentSince Oct 1, 2025 Accepting new patients
Somc Medical Care Foundation, Inc. Current Accepting new patients
Middle Tennessee Imaging LLC CurrentSince May 19, 2025 Accepting new patients
Imed Glenview LLC CurrentSince Oct 15, 2007 Accepting new patients
Neurodiagnostic Consultants, LLC. Past Accepting new patients
Midwest Clinical Imaging, P.C. Past Accepting new patients
Galilee Medical Center, S.C. Past Accepting new patients
Metropolitan Advanced Radiological Services, LTD. Body Imaging Past Accepting new patients

Locations

1247 Milwaukee Ave
Ste 1
Glenview, IL 60025
Phone (847) 298-2200

1247 Milwaukee Ave
Ste 100
Glenview, IL 60025
Phone (847) 298-2200

721 W State Route 22
Lake Zurich, IL 60047
Phone (847) 540-6400

395 E Dundee Rd
Ste 150
Wheeling, IL 60090
Phone (312) 497-1467

1805 27th St
Portsmouth, OH 45662
Phone (740) 356-5000

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1151539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785369600000",
    "number": "1073541108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67 BEACH RD",
            "city": "GLENCOE",
            "state": "IL",
            "postal_code": "600221313",
            "telephone_number": "847-835-7465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "550 W WEBSTER AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606143965",
            "telephone_number": "773-883-3659"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "52 Underwood St",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328061110",
            "country_code": "US",
            "telephone_number": "407-649-6823",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GORODETSKY",
        "first_name": "ALEXANDER",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-29",
        "last_updated": "2026-07-30",
        "certification_date": "2026-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085B0100X",
            "taxonomy_group": "",
            "desc": "Radiology, Body Imaging",
            "state": "IL",
            "license": "036-096374",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.