Advanced Midwest Interventional Radiology, LLC

Primary specialty

Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X

Legal business name

ADVANCED MIDWEST INTERVENTIONAL RADIOLOGY, LLC

Practice address

1890 Silver Cross Blvd Ste 450
New Lenox, IL 60451-9518

Phone

(815) 900-9060

NPI assigned

Oct 21, 2017

Last updated

Mar 7, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Tarra Grant, MA

Title

Practice Manager

Phone

(815) 900-9060

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/24623/brand/1/csg/1/fhir/r4

Practitioners 21

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• William Andrew Bremer, MD

  • Diagnostic Radiology Physician
  • New Lenox, IL
  • NPI 1770960007
  Medicare reassignment Care Compare group
• Ashish Vyas, MD

  • Diagnostic Radiology Physician
  • New Lenox, IL
  • NPI 1770879579
  Medicare reassignment Care Compare group
• Humera Farheen Baig, MD

  • Diagnostic Radiology Physician
  • New Lenox, IL
  • NPI 1356639942
  Medicare reassignment
• Desirae Demarco, APN

  • Nurse Practitioner
  • Chicago, IL
  • NPI 1821628710
  Medicare reassignment
• Andre Edwards, MD

  • Diagnostic Radiology Physician
  • New Lenox, IL
  • NPI 1427205418
  Medicare reassignment
• Joseph Brian Gastala, M.D.

  • Diagnostic Radiology Physician
  • Elmhurst, IL
  • NPI 1801152517
  Medicare reassignment
• Nasir Iqbal, MD

  • Diagnostic Radiology Physician
  • Oak Brook, IL
  • NPI 1821075797
  Medicare reassignment
• Reeni M Karavattuveetil, M.D.

  • Diagnostic Radiology Physician
  • Berwyn, IL
  • NPI 1184663247
  Medicare reassignment
• Darius A Keblinskas, M.D.

  • Diagnostic Radiology Physician
  • New Lenox, IL
  • NPI 1619946639
  Medicare reassignment
• Hiren R Patel, M.D.

  • Diagnostic Radiology Physician
  • Joliet, IL
  • NPI 1316231202
  Medicare reassignment
• Nimesh Patel, M.D.

  • Diagnostic Radiology Physician
  • Naperville, IL
  • NPI 1174700942
  Medicare reassignment
• Nisha Patel, M.D.

  • Diagnostic Radiology Physician
  • Joliet, IL
  • NPI 1407828882
  Medicare reassignment

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

{
    "created_epoch": "1508544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741305600000",
    "number": "1114438769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3010 HIGHLAND PKWY STE 325",
            "city": "DOWNERS GROVE",
            "state": "IL",
            "postal_code": "605155670",
            "telephone_number": "630-581-6524"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1890 SILVER CROSS BLVD STE 450",
            "city": "NEW LENOX",
            "state": "IL",
            "postal_code": "604519518",
            "telephone_number": "815-900-9060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED MIDWEST INTERVENTIONAL RADIOLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-21",
        "last_updated": "2025-03-07",
        "certification_date": "2025-03-07",
        "status": "A",
        "authorized_official_last_name": "GRANT",
        "authorized_official_first_name": "TARRA",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "815-900-9060",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Accelerated Rehabilitation Centers, LTD (Athletico Physical Therapy)
• Acura Medical Equipment & Supplies Inc
• Anese Linda Adams Collier
• Advanced Eye Care SC
• Advanced Eye Care SC
• Advanced Midwest Radiology S C
• Advantage Speech Therapy Solutions, LLC
• Affinity Healthcare and Wellness PLLC
• Angela Agnich, CRNA
• Michael Agnich, CRNA

• Vascular & Interventional Radiology Physician in New Lenox, IL
• Providers in New Lenox, IL by specialty
• Vascular & Interventional Radiology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.