Active NPI
David Soroush Gorovoy, M.D.
- Diagnostic Radiology Physician
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 24489
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, NV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 5
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
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
- Orlando Health South Lake Hospital
- Lincoln Medical & Mental Health Center
- Orlando Health-Health Central Hospital
- Orlando Health Bayfront Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 50683 | TX | MD | Pharmacist |
| 66394 | CT | MD | Diagnostic Radiology Physician |
| ME151627 | FL | MD | Diagnostic Radiology Physician |
| 036148302 | IL | MD | Diagnostic Radiology Physician |
| 54609 | KY | MD | Diagnostic Radiology Physician |
| 24489 | NV | MD | Diagnostic Radiology Physician |
| 294686 | NY | MD | Diagnostic Radiology Physician |
Practice roles (20 of 25)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prohealth Advanced Imaging Medical Group, Inc. | Diagnostic Radiology | Current | Accepting new patients |
| Ohri, LLC | Current | Accepting new patients | |
| Ohri, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Orlando Health Medical Group Inc | Current | Accepting new patients | |
| Orlando Health Medical Group Inc | Current | Accepting new patients | |
| Physician Affiliate Group of New York PC | Current | Accepting new patients | |
| Riverside Radiology and Interventional Associates Inc | Diagnostic Radiology | Current | Accepting new patients |
| Midtown Medical Imaging - Southlake, LLC | Current | Accepting new patients | |
| Ohi West Medical Group, LLC | Diagnostic Radiology | Current | 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
- 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.
-
- Diagnostic Radiology Physician
- Altamonte Springs, FL
- NPI 1386034346
Diagnostic Radiology, FL
-
- Diagnostic Radiology Physician
- Columbus, OH
- NPI 1093718496
Diagnostic Radiology, NV
-
- Diagnostic Radiology Physician
- North Hollywood, CA
- NPI 1003874702
CA, Diagnostic Radiology
-
- Radiology Clinic/Center
- Southlake, TX
- NPI 1023683307
-
- Radiology Clinic/Center
- St Petersburg, FL
- NPI 1285240192
Diagnostic Radiology
-
- Radiology Clinic/Center
- Clermont, FL
- NPI 1083570261
-
- Durable Medical Equipment & Medical Supplies
- Winter Park, FL
- NPI 1265019541
-
- General Acute Care Hospital
- Aurora, IL
- NPI 1295882561
-
- Institutional Pharmacy
- Dekalb, IL
- NPI 1356529648
-
- General Acute Care Hospital
- Lake Forest, IL
- NPI 1124025176
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Bronx, NY
- NPI 1427063270
Hospital
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.