Individual provider Active NPI

David Soroush Gorovoy, M.D.

  • Diagnostic Radiology Physician
  • Chicago, IL
National Provider Identifier
1194068460
Registry record updated Sep 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
24489 Issued in NV
Practice address
676 N Saint Clair St Ste 800
Chicago, IL 60611-2978
Phone
(312) 695-3696
Fax
(312) 695-5645
NPI assigned
Apr 4, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 2024

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 54609 KY
Diagnostic Radiology Physician 2085R0202X 50683 TX
Diagnostic Radiology Physician 2085R0202X 036148302 IL
Diagnostic Radiology Physician 2085R0202X 66394 CT
Diagnostic Radiology Physician 2085R0202X 294686 NY
Diagnostic Radiology Physician 2085R0202X ME151627 FL
Diagnostic Radiology Physician 2085R0202X 24489 NV Primary

Addresses

Primary practice location

676 N Saint Clair St Ste 800
Chicago, IL 60611-2978

Mailing address

676 N Saint Clair St Ste 800
Chicago, IL 60611-2978
Phone (312) 695-3696

Other practice location 1

178 Pine Tree Rd
Monroe, NY 10950-3964
Phone (845) 662-1039

Other practice location 2

2825 Oak Lawn Ave Unit 192749
Dallas, TX 75219-4688
Phone (510) 683-9500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, IL, FL, CA, NV5 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 5

Enrollment IDStateProvider typePAC IDDetails
I20190829000207 NY Practitioner - Diagnostic Radiology 9335486265 Reassigns benefits to 1 organization
I20220803001329 IL Practitioner - Diagnostic Radiology 9335486265
I20220825004293 FL Practitioner - Diagnostic Radiology 9335486265 Reassigns benefits to 2 organizations
I20230509000993 CA Practitioner - Diagnostic Radiology 9335486265 Reassigns benefits to 1 organization
I20240628000777 NV Practitioner - Diagnostic Radiology 9335486265 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
State University of New York at Buffalo School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physician Affiliate Group of New York PCGroup PAC ID 4688098833, 1,222 clinicians
Ohri LLCGroup PAC ID 4981912169, 130 clinicians
Orlando Health Medical Group IncGroup PAC ID 9537059084, 2,171 clinicians
Riverside Radiology and Interventional Associates IncGroup PAC ID 8729976964, 251 clinicians

Practice addresses (Care Compare)

234 E 149 St
Bronx, NY 10451-5504
Phone (718) 579-6101

2601 Ocean Pkwy
Brooklyn, NY 11235-7745
Phone (718) 616-5356

398 E Altamonte Dr
Altamonte Springs, FL 32701-4402
Phone (407) 331-9355

506 Lenox Ave
New York, NY 10037-1802
Phone (212) 939-1840

52 W Underwood St
Orlando, FL 32806-1110
Phone (407) 841-5111

8309 Cherry Glaze Ave
Unit 104
Las Vegas, NV 89145-3982
Phone (614) 340-7740

Hospital & facility affiliations

  • Orlando Health Hospital, Orlando, FL, CCN 100006
  • Orlando Health South Lake Hospital Hospital, Clermont, FL, CCN 100051
  • Lincoln Medical & Mental Health Center Hospital, Bronx, NY, CCN 330080
  • Orlando Health-Health Central Hospital Hospital, Ocoee, FL, CCN 100030
  • Orlando Health Bayfront Hospital Hospital, Saint Petersburg, FL, CCN 100032

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
50683TXMDPharmacist
66394CTMDDiagnostic Radiology Physician
ME151627FLMDDiagnostic Radiology Physician
036148302ILMDDiagnostic Radiology Physician
54609KYMDDiagnostic Radiology Physician
24489NVMDDiagnostic Radiology Physician
294686NYMDDiagnostic Radiology Physician

Practice roles (20 of 25)

OrganizationSpecialtyStatusNew patients
Prohealth Advanced Imaging Medical Group, Inc. Diagnostic Radiology CurrentSince Feb 1, 2023 Accepting new patients
Ohri, LLC CurrentSince Jul 1, 2023 Accepting new patients
Ohri, LLC Diagnostic Radiology CurrentSince Jul 1, 2023 Accepting new patients
Orlando Health Medical Group Inc CurrentSince Jul 1, 2023 Accepting new patients
Orlando Health Medical Group Inc CurrentSince Jul 1, 2023 Accepting new patients
Physician Affiliate Group of New York PC CurrentSince Dec 9, 2024 Accepting new patients
Riverside Radiology and Interventional Associates Inc Diagnostic Radiology CurrentSince May 4, 2025 Accepting new patients
Midtown Medical Imaging - Southlake, LLC CurrentSince Jun 1, 2021 Accepting new patients
Ohi West Medical Group, LLC Diagnostic Radiology CurrentSince Nov 2, 2023 Accepting new patients
Northwestern Memorial Hospital Past Accepting new patients
Northwestern Memorial Hospital Past Accepting new patients
New York City Health and Hospitals Corporation Past Accepting new patients
New York City Health and Hospitals Corporation Past Accepting new patients
Saint Francis Hospital and Medical Center Past Accepting new patients
New York City Health and Hospitals Corporation Past Accepting new patients
Northwestern Lake Forest Hospital Past Accepting new patients
Copley Memorial Hospital, Inc. Past Accepting new patients
Kishwaukee Community Hospital Past Accepting new patients
New York City Health and Hospitals Corporation Past Accepting new patients
Stanford Health Care Tri-Valley Past Accepting new patients

Locations

145 S Doheny Dr
Beverly Hills, CA 90211
Phone (310) 550-5858

2560 W Olympic Blvd
Ste 100
Los Angeles, CA 90006
Phone (323) 703-1000

10767 Riverside Dr
North Hollywood, CA 91602
Phone (818) 301-6700

18388 Clark St
Ste 115
Tarzana, CA 91356
Phone (818) 609-0911

23456 Hawthorne Blvd
Ste 120
Torrance, CA 90505
Phone (818) 710-6011

14915 Burbank Blvd
Van Nuys, CA 91411
Phone (818) 909-7111

7345 Medical Center Dr
Ste 130
West Hills, CA 91307
Phone (818) 710-6011

398 E Altamonte Dr
Altamonte Springs, FL 32701
Phone (407) 331-3955

52 Underwood St
Orlando, FL 32806
Phone (321) 841-3581

32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820

2601 Ocean Pkwy
Brooklyn, NY 11235
Phone (718) 616-5354

506 Malcolm X Blvd
New York, NY 10037
Phone (212) 939-1000

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Freedom Health HMO Network
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H1722

Interoperability endpoints

  • Direct secure messaging: dgorovoy1233091@nychhc.direct-ci.com

Organizations & group practices 20

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.

View all 20

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": "1365033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725926400000",
    "number": "1194068460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "676 N SAINT CLAIR ST STE 800",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606112978",
            "telephone_number": "312-695-3696",
            "fax_number": "312-695-5645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "676 N SAINT CLAIR ST STE 800",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606112978",
            "telephone_number": "312-695-3696",
            "fax_number": "312-695-5645"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "178 Pine Tree Rd",
            "address_purpose": "LOCATION",
            "city": "Monroe",
            "state": "NY",
            "postal_code": "109503964",
            "country_code": "US",
            "telephone_number": "845-662-1039",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2825 Oak Lawn Ave Unit 192749",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752194688",
            "country_code": "US",
            "telephone_number": "510-683-9500",
            "fax_number": "877-880-2039",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GOROVOY",
        "first_name": "DAVID",
        "middle_name": "SOROUSH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-04-04",
        "last_updated": "2024-09-10",
        "certification_date": "2024-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "KY",
            "license": "54609",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "50683",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IL",
            "license": "036148302",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CT",
            "license": "66394",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "294686",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "ME151627",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NV",
            "license": "24489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.