Individual provider Active NPI

Alan P. Nazerian, M.D.

  • Diagnostic Radiology Physician
  • Oak Brook, IL
National Provider Identifier
1235179409
Registry record updated Oct 23, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
036092890 Issued in IL
Practice address
2000 Spring Rd
Suite 200
Oak Brook, IL 60523-1804
Phone
(630) 472-8800
Fax
(630) 472-9502
NPI assigned
Jun 7, 2006
Last updated
Oct 23, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 036092890 IL Primary

Addresses

Primary practice location

2000 Spring Rd
Suite 200
Oak Brook, IL 60523-1804

Mailing address

2000 Spring Rd
Suite 200
Oak Brook, IL 60523-1804
Phone (630) 472-8800

Other identifiers 7

IdentifierTypeStateIssuer
612742700OtherILDEPT. OF LABOR
1636444OtherBCBS
036092890MedicaidIL
300110733OtherILRR MEDICARE ID
P00312639OtherILRR MEDICARE ID
130771300OtherILDEPT. OF LABOR
2215114OtherBCBS

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
I20040417000223 IL Practitioner - Diagnostic Radiology 2567457799 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Wayne State University School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Naperville Radiologists SCGroup PAC ID 3870492572, 16 clinicians

Practice addresses (Care Compare)

1534 W Oakdale Ave
Chicago, IL 60657-4011
Phone (773) 936-9987

801 S Washington St
Naperville, IL 60540-7430
Phone (630) 527-3425

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.55 of 100Reported as group
Quality
100
Improvement activities
40
Cost
68.49

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036092890ILMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Naperville Radiologists, SC Diagnostic Radiology CurrentSince Apr 1, 2008 Accepting new patients
Triumph Radiology Inc Past Accepting new patients
Galilee Medical Center, S.C. Past Accepting new patients
Endeavor Health Medical Group Past Accepting new patients
Suburban Radiologists, S.C. Diagnostic Radiology PastSince Sep 15, 2019 Accepting new patients
Addison Radiology Associates SC Diagnostic Radiology Past Accepting new patients
Midwest Radiology Associates SC Diagnostic Radiology Past Accepting new patients

Locations

4115 Fairview Ave
Downers Grove, IL 60515
Phone (630) 968-1881

1259 Rickert Dr
Ste 101
Naperville, IL 60540
Phone (630) 355-1300

801 S Washington St
Naperville, IL 60540
Phone (312) 355-0450

801 S Washington St
Fl 3
Naperville, IL 60540
Phone (630) 527-5197

9500 Bryn Mawr Ave
Ste 300
Rosemont, IL 60018
Phone (847) 410-5706

Organizations & group practices 7

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 3

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": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193097600000",
    "number": "1235179409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 SPRING RD",
            "address_2": "SUITE 200",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605231804",
            "telephone_number": "630-472-8800",
            "fax_number": "630-472-9502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 SPRING RD",
            "address_2": "SUITE 200",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605231804",
            "telephone_number": "630-472-8800",
            "fax_number": "630-472-9502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAZERIAN",
        "first_name": "ALAN",
        "middle_name": "P.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-07",
        "last_updated": "2007-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IL",
            "license": "036092890",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT. OF LABOR",
            "identifier": "612742700",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1636444",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036092890",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE ID",
            "identifier": "300110733",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE ID",
            "identifier": "P00312639",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT. OF LABOR",
            "identifier": "130771300",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "2215114",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Brook, IL

Sources for this page

Verify at the official NPI Registry.