NPIMap

Organization Active NPI

Cdi Geneva LLC

  • Diagnostic Radiology Physician
  • Geneva, IL
National Provider Identifier
1245490903
Registry record updated Oct 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
CDI GENEVA LLC
Practice address
1416 S Randall Rd
Suite C1
Geneva, IL 60134-4682
Phone
(630) 208-9325
Fax
(630) 208-9326
NPI assigned
Jun 16, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2021

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

Authorized official

Name
Ramona Ahern
Title
Special Assistant Secretary
Phone
(952) 738-4441

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X Primary

Addresses

Primary practice location

1416 S Randall Rd
Suite C1
Geneva, IL 60134-4682

Mailing address

5775 Wayzata Blvd
Suite 400
St Louis Park, MN 55416-1222
Phone (952) 525-6338

Other names 1

  • RAYUS RADIOLOGY Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090304000046 IL Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 1052477890 Practice locations: Geneva, IL

National Provider Directory

National Provider Directory

Locations

1416 S Randall Rd
Ste C1
Geneva, IL 60134
Phone (630) 208-9325

1416 S Randall Rd
Ste 180
Geneva, IL 60134
Phone (630) 208-9325

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1213574400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633651200000",
    "number": "1245490903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5775 WAYZATA BLVD",
            "address_2": "SUITE 400",
            "city": "ST LOUIS PARK",
            "state": "MN",
            "postal_code": "554161222",
            "telephone_number": "952-525-6338",
            "fax_number": "952-513-6880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1416 S RANDALL RD",
            "address_2": "SUITE C1",
            "city": "GENEVA",
            "state": "IL",
            "postal_code": "601344682",
            "telephone_number": "630-208-9325",
            "fax_number": "630-208-9326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CDI GENEVA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-16",
        "last_updated": "2021-10-08",
        "certification_date": "2021-10-08",
        "status": "A",
        "authorized_official_last_name": "AHERN",
        "authorized_official_first_name": "RAMONA",
        "authorized_official_title_or_position": "SPECIAL ASSISTANT SECRETARY",
        "authorized_official_telephone_number": "952-738-4441"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RAYUS RADIOLOGY",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Geneva, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.