Individual provider Active NPI

Ernest John Laney IV, MD

  • Neuroradiology Physician
  • Elk Grove Village, IL
National Provider Identifier
1154600104
Registry record updated Jan 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuroradiology PhysicianTaxonomy code 2085N0700X
License
19767 Issued in ND
Practice address
31 S. Arlington Heights Road
Elk Grove Village, IL 60007
Phone
(847) 439-2315
Fax
(847) 439-3935
NPI assigned
Aug 9, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 23, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 036135666 IL
Diagnostic Radiology Physician 2085R0202X S8728 TX
Neuroradiology Physician 2085N0700X 19767 ND Primary

Addresses

Primary practice location

31 S. Arlington Heights Road
Elk Grove Village, IL 60007

Mailing address

31 S. Arlington Heights Road
Elk Grove Village, IL 60007
Phone (847) 439-2315

Other practice location 1

700 E Marshall Ave
Longview, TX 75601-5580
Phone (903) 315-1488

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, IN, FL, TX4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20160826000703 IL Practitioner - Diagnostic Radiology 9537467246 Reassigns benefits to 4 organizations
I20170620001008 IN Practitioner - Diagnostic Radiology 9537467246 Reassigns benefits to 2 organizations
I20200204000052 FL Practitioner - Diagnostic Radiology 9537467246 Reassigns benefits to 2 organizations
I20230823001439 TX Practitioner - Diagnostic Radiology 9537467246 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Munster Radiology Group PCGroup PAC ID 1951299940, 26 clinicians
Powers Health Diagnostic Group LLCGroup PAC ID 8820573280, 25 clinicians
Bright Light Medical Imaging SCGroup PAC ID 3678527140, 18 clinicians

Practice addresses (Care Compare)

1602 Butterfield Rd
Flossmoor, IL 60422-1835
Phone (219) 924-3450

2738 N Racine Ave
Apt 2
Chicago, IL 60614-7901
Phone (219) 924-3450

31 Arlington Heights Rd
Elk Grove Village, IL 60007-1405
Phone (847) 439-2315

8752 Greenridge LN
Tallahassee, FL 32312-3695
Phone (850) 509-3163

901 Macarthur Blvd
Munster, IN 46321-2901
Phone (219) 836-1600

Hospital & facility affiliations

  • Community Hospital Hospital, Munster, IN, CCN 150125
  • St Mary Medical Center Inc Hospital, Hobart, IN, CCN 150034
  • St Catherine Hospital Inc Hospital, East Chicago, IN, CCN 150008
  • Franciscan Health Crown Point Hospital, Crown Point, IN, CCN 150126
  • Methodist Hospitals Inc Hospital, Gary, IN, CCN 150002

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036135666ILMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Sanford Medical Center Fargo CurrentSince Jul 16, 2023 Accepting new patients
Munster Radiology Group PC Neuroradiology CurrentSince Jul 10, 2017 Accepting new patients
Mount Sinai Community Foundation Current Accepting new patients
Christus Trinity Clinic Texas CurrentSince Aug 12, 2023 Accepting new patients
Bright Light Medical Imaging, SC Diagnostic Radiology CurrentSince May 30, 2017 Accepting new patients
Mount Sinai Community Foundation CurrentSince Jan 28, 2017 Accepting new patients
Sanford Medical Center Fargo CurrentSince Jul 16, 2023 Accepting new patients
Radiology Associates of Tallahassee PA Neuroradiology CurrentSince Dec 15, 2019 Accepting new patients
Christus Trinity Clinic Texas CurrentSince Aug 12, 2023 Accepting new patients
Mount Sinai Community Foundation CurrentSince Jan 28, 2017 Accepting new patients

Locations

1600 Phillips Rd
Tallahassee, FL 32308
Phone (850) 216-3686

1300 Miccosukee Rd
Tallahassee, FL 32308
Phone (850) 431-1155

330 E Algonquin Rd
Arlington Heights, IL 60005
Phone (847) 616-2000

26460 Network Pl
Chicago, IL 60673
Phone (708) 786-2900

7456 S State Rd
Chicago, IL 60638
Phone (708) 930-1420

7372 Route 83
Darien, IL 60561
Phone (630) 455-5552

31 Arlington Heights Rd
Elk Grove Vlg, IL 60007
Phone (847) 439-2315

8319 W North Ave
Melrose Park, IL 60160
Phone (708) 450-9700

646 N Addison Rd
Villa Park, IL 60181
Phone (630) 686-1000

270 W Loop Rd
Wheaton, IL 60189
Phone (630) 653-3284

4321 Fir St
East Chicago, IN 46312
Phone (219) 392-1700

901 MacArthur Blvd
Munster, IN 46321
Phone (219) 703-1443

1220 Sheyenne St
West Fargo, ND 58078
Phone (701) 234-4445

700 E Marshall Ave
Longview, TX 75601
Phone (903) 236-2000

630 S Fleishel Ave
Tyler, TX 75701
Phone (903) 510-8888

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 and National Provider Directory roles.

Hospital & facility affiliations 6

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": "1312848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705968000000",
    "number": "1154600104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 S. ARLINGTON HEIGHTS ROAD",
            "city": "ELK GROVE VILLAGE",
            "state": "IL",
            "postal_code": "60007",
            "telephone_number": "847-439-2315",
            "fax_number": "847-439-3935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 S. ARLINGTON HEIGHTS ROAD",
            "city": "ELK GROVE VILLAGE",
            "state": "IL",
            "postal_code": "60007",
            "telephone_number": "847-439-2315",
            "fax_number": "847-439-3935"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "700 E Marshall Ave",
            "address_purpose": "LOCATION",
            "city": "Longview",
            "state": "TX",
            "postal_code": "756015580",
            "country_code": "US",
            "telephone_number": "903-315-1488",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LANEY",
        "first_name": "ERNEST",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "name_suffix": "IV",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-08-09",
        "last_updated": "2024-01-23",
        "certification_date": "2024-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IL",
            "license": "036135666",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "S8728",
            "primary": false
        },
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "ND",
            "license": "19767",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elk Grove Village, IL

Sources for this page

Verify at the official NPI Registry.