Individual provider Active NPI

Jonathan Samet, M.D.

  • Diagnostic Radiology Physician
  • Chicago, IL
National Provider Identifier
1124284401
Registry record updated Jun 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
36-124632 Issued in IL
Practice address
225 E Chicago Ave, Dept. of Medical Imaging
Chicago, IL 60611
Phone
(312) 227-3502
NPI assigned
Aug 5, 2008
Last updated
Jun 17, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Radiology Physician 2085P0229X 036-124632 IL
Diagnostic Radiology Physician 2085R0202X 125052416 IL
Diagnostic Radiology Physician 2085R0202X 36-124632 IL Primary

Addresses

Primary practice location

225 E Chicago Ave, Dept. of Medical Imaging
Chicago, IL 60611

Mailing address

225 E Chicago Ave, Box 09, Dept. of Medical Imaging
Chicago, IL 60611-2605
Phone (312) 227-3502

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20130722000233 IL Practitioner - Diagnostic Radiology 0446406524 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Maryland School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

251 E Huron
Dept of Radiology
Chicago, IL 60611-2908
Phone (312) 695-5753

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.19 of 100Reported as apm
Quality
83.05
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-124632ILMDPediatric Radiology Physician
125052416ILMDDiagnostic Radiology Physician
36-124632ILMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northwestern Medical Faculty Foundation Pediatric Radiology CurrentSince Aug 1, 2013 Accepting new patients
Northwestern Medical Faculty Foundation CurrentSince Aug 1, 2013 Accepting new patients
Shriners Hospitals for Children CurrentSince Jun 1, 2020 Accepting new patients
Shriners Hospitals for Children CurrentSince Jun 1, 2020 Accepting new patients

Locations

Dept 5777
Carol Stream, IL 60122

2211 N Oak Park Ave
Chicago, IL 60707
Phone (773) 466-6922

225 E Chicago Ave
Chicago, IL 60611
Phone (312) 227-4090

225 E Chicago Ave
#118
Chicago, IL 60611

225 E Chicago Ave
#9
Chicago, IL 60611
Phone (312) 227-4500

251 E Huron St
Chicago, IL 60611

38205 Eagle Way
Chicago, IL 60678

680 N Lake Shore Dr
Ste 1000
Chicago, IL 60611
Phone (312) 695-4022

660 N Westmoreland Rd
Lake Forest, IL 60045
Phone (847) 535-6100

515 Valley View Dr
Ste 201
Moline, IL 61265
Phone (312) 695-0870

Organizations & group practices 4

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": "1217894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655424000000",
    "number": "1124284401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 E CHICAGO AVE, BOX 09, DEPT. OF MEDICAL IMAGING",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606112605",
            "telephone_number": "312-227-3502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 E CHICAGO AVE, DEPT. OF MEDICAL IMAGING",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "60611",
            "telephone_number": "312-227-3502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAMET",
        "first_name": "JONATHAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-08-05",
        "last_updated": "2022-06-17",
        "certification_date": "2022-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085P0229X",
            "taxonomy_group": "",
            "desc": "Radiology, Pediatric Radiology",
            "state": "IL",
            "license": "036-124632",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IL",
            "license": "125052416",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IL",
            "license": "36-124632",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.