Individual provider Active NPI

Jeffrey Lee Rosengarten, MD

  • Diagnostic Radiology Physician
  • Libertyville, IL
National Provider Identifier
1093792913
Registry record updated Jan 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
036080130 Issued in IL
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

Updated by the provider on Jan 25, 2023

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

Specialties & licenses 10

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
202926OtherILGROUP PTAN
212545OtherILGROUP PTAN
036080130MedicaidIL
34174800MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, IL2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20040312000718 WI Practitioner - Diagnostic Radiology 3577476605 Reassigns benefits to 1 organization
I20050225000646 IL Practitioner - Diagnostic Radiology 3577476605 Reassigns benefits to 2 organizations

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
Illinois Bone and Joint Institute, LLCGroup PAC ID 6002814878, 603 clinicians
Diaspora Radiology SCGroup PAC ID 0547501942, 6 clinicians

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 100Reported as group
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

LicenseStateTypeSpecialty
43681AZMDDiagnostic Radiology Physician
036080130-5ILMDDiagnostic Radiology Physician
01058962AINMDDiagnostic Radiology Physician
40761KYMDDiagnostic Radiology Physician
35.091126OHMDDiagnostic Radiology Physician
0101240730VAMDDiagnostic Radiology Physician
28696WIMDDiagnostic Radiology Physician
28696-020WIMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Illinois Bone and Joint Institute, LLC CurrentSince Jan 1, 2007 Accepting new patients
Diaspora Radiology, SC Diagnostic Radiology CurrentSince Mar 1, 2019 Accepting new patients
Illinois Bone and Joint Institute LLC CurrentSince Jan 1, 2007 Accepting new patients
Gurnee Radiology Center, LLC Diagnostic Radiology PastSince Jul 1, 1983 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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

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    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674604800000",
    "number": "1093792913",
    "addresses": [
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            "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"
        },
        {
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            "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",
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            "postal_code": "535622565",
            "country_code": "US",
            "telephone_number": "314-238-5260",
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        },
        {
            "address_1": "2106 Shofield Ave Suite 7",
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            "country_name": "United States",
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        {
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            "fax_number": "314-821-1833",
            "country_name": "United States",
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        {
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            "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

Verify at the official NPI Registry.