Active NPI
Jeffrey Lee Rosengarten, MD
- Diagnostic Radiology Physician
- Libertyville, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 036080130
- Practice address
- 1800 Hollister Dr
Suite G-18
Libertyville, IL 60048-5263 - Phone
- (847) 918-1462
- Fax
- (847) 968-4311
- NPI assigned
- Dec 30, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 10
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 43681 | AZ | |
| Diagnostic Radiology Physician | 2085R0202X | 35.091126 | OH | |
| Diagnostic Radiology Physician | 2085R0202X | 40761 | KY | |
| Diagnostic Radiology Physician | 2085R0202X | 22638 | WV | |
| Diagnostic Radiology Physician | 2085R0202X | 0101240730 | VA | |
| Diagnostic Radiology Physician | 2085R0202X | 28696-020 | WI | |
| Diagnostic Radiology Physician | 2085R0202X | 01058962A | IN | |
| Diagnostic Radiology Physician | 2085R0202X | 036080130-5 | IL | |
| Diagnostic Radiology Physician | 2085R0202X | 28696 | WI | |
| Diagnostic Radiology Physician | 2085R0202X | 036080130 | IL | Primary |
Addresses
Primary practice location
1800 Hollister Dr
Suite G-18
Libertyville, IL 60048-5263
Mailing address
PO Box 772555
Detroit, MI 48277-2555
Phone (314) 238-5260
Other practice location 1
111 Sand Lake Rd
Onalaska, WI 54650-2760
Phone (314) 821-8055
Other practice location 2
8307 Murphy Dr
Middleton, WI 53562-2565
Phone (314) 238-5260
Other practice location 3
2106 Shofield Ave Suite 7
Weston, WI 55476-2412
Phone (314) 238-5260
Other practice location 4
2602 Mulberry Ln
Northbrook, IL 60062
Phone (847) 878-9109
Other practice location 5
718 Florsheim Dr
Libertyville, IL 60048
Phone (314) 238-5260
Other practice location 6
350 S Greenleaf St Ste 401
Gurnee, IL 60031
Phone (847) 878-9109
Other practice location 7
3004 Golf Rd Ste 101
Eau Claire, WI 54701-8794
Phone (855) 694-3300
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 202926 | Other | IL | GROUP PTAN |
| 212545 | Other | IL | GROUP PTAN |
| 036080130 | Medicaid | IL | |
| 34174800 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WI, IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- University of Wisconsin School of Medicine, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2101 Waukegan Rd
Bannockburn, IL 60015-1836
2602 Mulberry LN
Northbrook, IL 60062-5937
Phone (847) 878-9109
3004 Golf Rd
Suite 101a
Eau Claire, WI 54701-8794
Phone (855) 694-3300
718 Florsheim Dr
Libertyville, IL 60048-3757
Phone (847) 362-4483
720 Florsheim Dr
Libertyville, IL 60048-3757
Phone (847) 247-4000
724 Florsheim Dr
Libertyville, IL 60048-3757
Phone (847) 247-4000
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.07 of 100
- Quality
- 76.54
- Promoting interoperability
- 83
- Improvement activities
- 40
- Cost
- 74.52
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 43681 | AZ | MD | Diagnostic Radiology Physician |
| 036080130-5 | IL | MD | Diagnostic Radiology Physician |
| 01058962A | IN | MD | Diagnostic Radiology Physician |
| 40761 | KY | MD | Diagnostic Radiology Physician |
| 35.091126 | OH | MD | Diagnostic Radiology Physician |
| 0101240730 | VA | MD | Diagnostic Radiology Physician |
| 28696 | WI | MD | Diagnostic Radiology Physician |
| 28696-020 | WI | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Illinois Bone and Joint Institute, LLC | Current | Accepting new patients | |
| Diaspora Radiology, SC | Diagnostic Radiology | Current | Accepting new patients |
| Illinois Bone and Joint Institute LLC | Current | Accepting new patients | |
| Gurnee Radiology Center, LLC | Diagnostic Radiology | Past | Accepting new patients |
| City of Hope Medical Group of Illinois PLLC | Past | Accepting new patients | |
| Amerirad Inc | Diagnostic Radiology | Past | Accepting new patients |
| Arlington Heights Radiology Center, LLC | Past | Accepting new patients | |
| Stat Anesthesia Specialists, LTD. | Past | Accepting new patients | |
| Global Medical Imaging, SC | Diagnostic Radiology | Past | Accepting new patients |
Locations
2101 Waukegan Rd
Ste 110
Bannockburn, IL 60015
Phone (847) 914-9096
2525 S Michigan Ave
Chicago, IL 60616
Phone (312) 355-1153
5057 Paysphere Cir
Chicago, IL 60674
350 S Greenleaf St
Ste 401
Gurnee, IL 60031
Phone (847) 336-2344
350 S Greenleaf St
Ste 405
Gurnee, IL 60031
Phone (847) 336-3335
1200 N Westmoreland Rd
Ste 100
Lake Forest, IL 60045
Phone (847) 234-2710
660 N Westmoreland Rd
#302
Lake Forest, IL 60045
660 N Westmoreland Rd
Lake Forest, IL 60045
Phone (847) 535-6100
716 Florsheim Dr
Libertyville, IL 60048
Phone (847) 918-9077
718 Florsheim Dr
Libertyville, IL 60048
Phone (847) 362-4483
2520 Elisha Ave
Zion, IL 60099
Phone (800) 322-9183
3004 Golf Rd
Ste 101A
Eau Claire, WI 54701
Phone (847) 878-9109
3004 Golf Rd
Ste 101
Eau Claire, WI 54701
Phone (608) 690-7210
8307 Murphy Dr
Middleton, WI 53562
Phone (608) 690-7210
2106 Schofield Ave
Ste 7
Weston, WI 54476
Phone (608) 690-7210
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.
-
- Magnetic Resonance Imaging (MRI) Clinic/Center
- Northbrook, IL
- NPI 1730652017
Diagnostic Radiology, WI
-
- Orthopaedic Surgery Physician
- Bannockburn, IL
- NPI 1205922432
-
- Specialist
- Arlington Heights, IL
- NPI 1851302699
-
- Diagnostic Radiology Physician
- Libertyville, IL
- NPI 1144217142
-
- Diagnostic Radiology Physician
- Gurnee, IL
- NPI 1083601314
-
- Orthopaedic Surgery Physician
- Arlington Heights, IL
- NPI 1962219568
-
- Specialist
- Zion, IL
- NPI 1548258072
-
- Diagnostic Radiology Physician
- Morgantown, WV
- NPI 1790739985
-
- Anesthesiology Physician
- Bremen, IN
- NPI 1992754089
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135900800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674604800000",
"number": "1093792913",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 772555",
"city": "DETROIT",
"state": "MI",
"postal_code": "482772555",
"telephone_number": "314-238-5260",
"fax_number": "314-821-1833"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1800 HOLLISTER DR",
"address_2": "SUITE G-18",
"city": "LIBERTYVILLE",
"state": "IL",
"postal_code": "600485263",
"telephone_number": "847-918-1462",
"fax_number": "847-968-4311"
}
],
"practiceLocations": [
{
"address_1": "111 Sand Lake Rd",
"address_purpose": "LOCATION",
"city": "Onalaska",
"state": "WI",
"postal_code": "546502760",
"country_code": "US",
"telephone_number": "314-821-8055",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8307 Murphy Dr",
"address_purpose": "LOCATION",
"city": "Middleton",
"state": "WI",
"postal_code": "535622565",
"country_code": "US",
"telephone_number": "314-238-5260",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2106 Shofield Ave Suite 7",
"address_purpose": "LOCATION",
"city": "Weston",
"state": "WI",
"postal_code": "554762412",
"country_code": "US",
"telephone_number": "314-238-5260",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2602 Mulberry Ln",
"address_purpose": "LOCATION",
"city": "Northbrook",
"state": "IL",
"postal_code": "60062",
"country_code": "US",
"telephone_number": "847-878-9109",
"fax_number": "314-821-1833",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "718 Florsheim Dr",
"address_purpose": "LOCATION",
"city": "Libertyville",
"state": "IL",
"postal_code": "60048",
"country_code": "US",
"telephone_number": "314-238-5260",
"fax_number": "314-821-1833",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "350 S Greenleaf St Ste 401",
"address_purpose": "LOCATION",
"city": "Gurnee",
"state": "IL",
"postal_code": "60031",
"country_code": "US",
"telephone_number": "847-878-9109",
"fax_number": "314-821-1833",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3004 Golf Rd Ste 101",
"address_purpose": "LOCATION",
"city": "Eau Claire",
"state": "WI",
"postal_code": "547018794",
"country_code": "US",
"telephone_number": "855-694-3300",
"fax_number": "314-821-1833",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ROSENGARTEN",
"first_name": "JEFFREY",
"middle_name": "LEE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-30",
"last_updated": "2023-01-25",
"certification_date": "2023-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "AZ",
"license": "43681",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "OH",
"license": "35.091126",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "KY",
"license": "40761",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "WV",
"license": "22638",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "VA",
"license": "0101240730",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "WI",
"license": "28696-020",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "IN",
"license": "01058962A",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "IL",
"license": "036080130-5",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "WI",
"license": "28696",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "IL",
"license": "036080130",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP PTAN",
"identifier": "202926",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP PTAN",
"identifier": "212545",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036080130",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "34174800",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Libertyville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.