Organization Active NPI

Naperville Medical Imaging LLC

  • Radiology Clinic/Center
  • Naperville, IL
National Provider Identifier
1164614772
Registry record updated Jun 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
Legal business name
NAPERVILLE MEDICAL IMAGING LLC
Practice address
1888 Bay Scott Cir
Naperville, IL 60540-1106
Phone
(630) 717-3700
Fax
(630) 717-3701
NPI assigned
Aug 16, 2007
Last updated
Jun 27, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2025

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

Authorized official

Name
Brian R Kincaid
Title
Manager
Phone
(847) 213-2700

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X IL Primary
Physiological Laboratory 293D00000X

Addresses

Primary practice location

1888 Bay Scott Cir
Naperville, IL 60540-1106

Mailing address

9000 Waukegan Rd
Suite 110
Morton Grove, IL 60053-2127
Phone (847) 213-2700

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080419000039 IL Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 9133207947 Practice locations: Naperville, IL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
14D2136923Naperville Medical Imaging LLC1888 Bay Scott Circle, Naperville, IL 60540Certificate of waiverSep 17, 2027

National Provider Directory

National Provider Directory

Locations

1888 Bay Scott Cir
Naperville, IL 60540
Phone (630) 305-0010

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1187222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750982400000",
    "number": "1164614772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9000 WAUKEGAN RD",
            "address_2": "SUITE 110",
            "city": "MORTON GROVE",
            "state": "IL",
            "postal_code": "600532127",
            "telephone_number": "847-213-2700",
            "fax_number": "847-213-2709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1888 BAY SCOTT CIR",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605401106",
            "telephone_number": "630-717-3700",
            "fax_number": "630-717-3701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NAPERVILLE MEDICAL IMAGING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-16",
        "last_updated": "2025-06-27",
        "certification_date": "2025-06-27",
        "status": "A",
        "authorized_official_last_name": "KINCAID",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "847-213-2700"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "IL",
            "license": null,
            "primary": true
        },
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Naperville, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.