NPIMap

Individual provider Active NPI

Lisa D Roller, MD

  • Diagnostic Radiology Physician
  • Grayslake, IL
National Provider Identifier
1265661870
Registry record updated Feb 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
036132518 Issued in IL
Practice address
1275 E Belvidere Rd
Suite 200
Grayslake, IL 60030-2082
Phone
(847) 918-1462
Fax
(847) 968-4311
NPI assigned
Jul 6, 2009
Last updated
Feb 3, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2016

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 036132518 IL Primary

Addresses

Primary practice location

1275 E Belvidere Rd
Suite 200
Grayslake, IL 60030-2082

Mailing address

1275 E Belvidere Rd
Suite 200
Grayslake, IL 60030-2082
Phone (847) 918-1462

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, WI2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20150702001432 IL Practitioner - Diagnostic Radiology 7214249358 Reassigns benefits to 1 organization
I20170808002422 WI Practitioner - Diagnostic Radiology 7214249358 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Rush Medical College of Rush University, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radiology Associates of the Fox Valley SCGroup PAC ID 0446152748, 73 clinicians

Practice addresses (Care Compare)

314 S Cottage Hill Ave
Elmhurst, IL 60126-3302
Phone (614) 340-7740

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sheridan Radiology Services of Central Florida, Inc. Diagnostic Radiology CurrentSince Jan 15, 2025 Accepting new patients
Beloit Radiology LTD Diagnostic Radiology CurrentSince Jul 1, 2022 Accepting new patients
Sheridan Radiology Services of Central Florida Inc Diagnostic Radiology CurrentSince Jan 15, 2025 Accepting new patients
Orthopedic & Sports Medicine Specialists of Green Bay, SC CurrentSince Jan 1, 2023 Accepting new patients
Madison Radiologists S C Diagnostic Radiology CurrentSince Jul 1, 2022 Accepting new patients

Locations

1969 W Hart Rd
Beloit, WI 53511
Phone (608) 364-5011

1515 Park Ave
Columbus, WI 53925
Phone (920) 623-1200

800 Clay St
Darlington, WI 53530
Phone (608) 776-4466

800 Compassion Way
Dodgeville, WI 53533
Phone (608) 930-7200

2223 Lime Kiln Rd
Ste 1
Green Bay, WI 54311
Phone (920) 468-0246

700 S Park St
Madison, WI 53715
Phone (608) 260-2900

515 22nd Ave
Monroe, WI 53566
Phone (608) 324-1000

1205 West American Dr
Neenah, WI 54956
Phone (920) 727-8144

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/0cda6ed7-9e18-4112-ab11-d5a45a40c8d5/

Organizations & group practices 6

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 16

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1246838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454457600000",
    "number": "1265661870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1275 E BELVIDERE RD",
            "address_2": "SUITE 200",
            "city": "GRAYSLAKE",
            "state": "IL",
            "postal_code": "600302082",
            "telephone_number": "847-918-1462",
            "fax_number": "847-968-4311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1275 E BELVIDERE RD",
            "address_2": "SUITE 200",
            "city": "GRAYSLAKE",
            "state": "IL",
            "postal_code": "600302082",
            "telephone_number": "847-918-1462",
            "fax_number": "847-968-4311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROLLER",
        "first_name": "LISA",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-06",
        "last_updated": "2016-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IL",
            "license": "036132518",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grayslake, IL

Sources for this page

Verify at the official NPI Registry.