Active NPI
Julio Cordero, MD
- Nuclear Medicine Physician
- Evanston, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nuclear Medicine Physician
- License
- 036152233
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 116625300 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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
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
- Swedish Hospital
- Sarasota Memorial Hospital
- Tampa General Hospital Brooksville
- Sarasota Memorial Hospital - Venice
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.9 of 100
- Quality
- 75.91
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 74.6
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.22 of 100
- Quality
- 95.56
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 78.06 of 100
- Quality
- 72.79
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME137651 | FL | MD | Nuclear Medicine Physician |
| 036152233 | IL | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mori Bean and Brooks Inc | Diagnostic Radiology | Current | Accepting new patients |
| Endeavor Health Medical Group | Nuclear Medicine | Current | Accepting new patients |
| Endeavor Health Medical Group | Current | Accepting new patients | |
| Florida Cancer Specialists & Research Institute, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Tower Imaging LLC | Nuclear Medicine | Current | Accepting new patients |
| Tower Imaging LLC | Diagnostic Radiology | Current | Accepting new patients |
| Tower Imaging LLC | Diagnostic Radiology | Current | 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.
-
- Emergency Medicine Physician
- Evanston, IL
- NPI 1497701882
Nuclear Medicine
-
- Diagnostic Radiology Physician
- Tampa, FL
- NPI 1093782070
-
- Medical Oncology Physician
- Cape Coral, FL
- NPI 1760590962
Diagnostic Radiology
-
- Anesthesiology Physician
- Evanston, IL
- NPI 1265695944
-
- Diagnostic Radiology Physician
- Tampa, FL
- NPI 1396707063
-
- Diagnostic Radiology Physician
- Spring Hill, FL
- NPI 1669267134
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Evanston, IL
- NPI 1184670549
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1831151257
-
- General Acute Care Hospital
- North Venice, FL
- NPI 1013534445
-
- General Acute Care Hospital
- Sarasota, FL
- NPI 1245294826
-
- General Acute Care Hospital
- Brooksville, FL
- NPI 1063294197
-
- General Acute Care Hospital
- Spring Hill, FL
- NPI 1275305013
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 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.