Individual provider Active NPI

Julio Cordero, MD

  • Nuclear Medicine Physician
  • Evanston, IL
National Provider Identifier
1295197754
Registry record updated Mar 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nuclear Medicine PhysicianTaxonomy code 207U00000X
License
036152233 Issued in IL
Practice address
2650 Ridge Ave.
Department of Radiology
Evanston, IL 60201
Phone
(847) 570-2475
NPI assigned
Mar 24, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nuclear Medicine Physician 207U00000X 036152233 IL Primary
Nuclear Medicine Physician 207U00000X ME137651 FL
Diagnostic Radiology Physician 2085R0202X 036152233 IL

Addresses

Primary practice location

2650 Ridge Ave.
Department of Radiology
Evanston, IL 60201

Mailing address

2650 Ridge Ave.
Department of Radiology
Evanston, IL 60201
Phone (847) 570-2475

Other practice location 1

3402 W Dr Martin Luther King Jr Blvd
Tampa, FL 33607-6214
Phone (813) 875-3950

Other practice location 2

403 S Kings Ave Ste 100
Brandon, FL 33511-5962
Phone (813) 982-3460

Other practice location 3

1475 NW 12th Ave
Miami, FL 33136-1002
Phone (305) 243-5512

Other identifiers 1

IdentifierTypeStateIssuer
116625300MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, FL2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20200402002643 IL Practitioner - Nuclear MedicinePractitioner - Diagnostic Radiology 9830528454 Reassigns benefits to 1 organization
I20221220001186 FL Practitioner - Nuclear MedicinePractitioner - Diagnostic Radiology 9830528454 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nuclear Medicine
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mori Bean and Brooks IncGroup PAC ID 8820077878, 966 clinicians
Endeavor Health Medical GroupGroup PAC ID 2163334699, 3,330 clinicians
Tower Imaging LLCGroup PAC ID 2860470077, 95 clinicians

Practice addresses (Care Compare)

2001 Kingsley Ave
Orange Park, FL 32073-5148
Phone (904) 399-5550

2650 Ridge Ave
Suite 2218a
Evanston, IL 60201-1700
Phone (847) 503-4222

9708 SW 108TH Ter
Miami, FL 33176-2852
Phone (800) 874-7000

Hospital & facility affiliations

  • Northshore University Healthsystem - Evanston Hospital Hospital, Evanston, IL, CCN 140010
  • Swedish Hospital Hospital, Chicago, IL, CCN 140114
  • Sarasota Memorial Hospital Hospital, Sarasota, FL, CCN 100087
  • Tampa General Hospital Brooksville Hospital, Brooksville, FL, CCN 100071
  • Sarasota Memorial Hospital - Venice Hospital, North Venice, FL, CCN 100359

Merit-based Incentive Payment System (MIPS)

Final score
84.9 of 100Reported as group
Quality
75.91
Promoting interoperability
99
Improvement activities
40
Cost
74.6

Merit-based Incentive Payment System (MIPS)

Final score
96.22 of 100Reported as group
Quality
95.56
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
78.06 of 100Reported as group
Quality
72.79
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME137651FLMDNuclear Medicine Physician
036152233ILMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mori Bean and Brooks Inc Diagnostic Radiology CurrentSince Nov 1, 2022 Accepting new patients
Endeavor Health Medical Group Nuclear Medicine CurrentSince Apr 1, 2020 Accepting new patients
Endeavor Health Medical Group CurrentSince Apr 1, 2020 Accepting new patients
Florida Cancer Specialists & Research Institute, LLC Diagnostic Radiology CurrentSince May 1, 2023 Accepting new patients
Tower Imaging LLC Nuclear Medicine Current Accepting new patients
Tower Imaging LLC Diagnostic Radiology CurrentSince Jan 1, 2022 Accepting new patients
Tower Imaging LLC Diagnostic Radiology CurrentSince Jan 1, 2022 Accepting new patients

Locations

403 S Kings Ave
Ste 100
Brandon, FL 33511
Phone (813) 982-3460

2001 Kingsley Ave
Orange Park, FL 32073
Phone (904) 215-7015

1970 Golf St
Fl Cancer
Sarasota, FL 34236
Phone (941) 795-3780

3402 W Dr Martin Luther King Jr Blvd
Fl Cancer
Tampa, FL 33607
Phone (813) 875-3950

4719 N Habana Ave
Tampa, FL 33614
Phone (813) 874-9769

3402 W Mlk Blvd
Tampa, FL 33607
Phone (813) 875-3950

2106 S Lois Ave
Tampa, FL 33629
Phone (813) 287-1191

9532 Eagle Way
Chicago, IL 60678

2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222

2650 Ridge Ave
Evanston, IL 60201
Phone (847) 570-1206

2650 Ridge Ave
#1223
Evanston, IL 60201
Phone (847) 982-3172

9977 Woods Dr
#B70
Skokie, IL 60077

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

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 and National Provider Directory roles.

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": "1458777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710979200000",
    "number": "1295197754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2650 RIDGE AVE.",
            "address_2": "DEPARTMENT OF RADIOLOGY",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "60201",
            "telephone_number": "847-570-2475",
            "fax_number": "847-570-2942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2650 RIDGE AVE.",
            "address_2": "DEPARTMENT OF RADIOLOGY",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "60201",
            "telephone_number": "847-570-2475"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3402 W Dr Martin Luther King Jr Blvd",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336076214",
            "country_code": "US",
            "telephone_number": "813-875-3950",
            "fax_number": "813-872-2741",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "403 S Kings Ave Ste 100",
            "address_purpose": "LOCATION",
            "city": "Brandon",
            "state": "FL",
            "postal_code": "335115962",
            "country_code": "US",
            "telephone_number": "813-982-3460",
            "fax_number": "813-982-3461",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1475 NW 12th Ave",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331361002",
            "country_code": "US",
            "telephone_number": "305-243-5512",
            "fax_number": "305-243-4613",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CORDERO",
        "first_name": "JULIO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-24",
        "last_updated": "2024-03-21",
        "certification_date": "2024-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207U00000X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine",
            "state": "IL",
            "license": "036152233",
            "primary": true
        },
        {
            "code": "207U00000X",
            "taxonomy_group": "",
            "desc": "Nuclear Medicine",
            "state": "FL",
            "license": "ME137651",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IL",
            "license": "036152233",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "116625300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Evanston, IL

Sources for this page

Verify at the official NPI Registry.