Individual provider Active NPI

Peter Francis Duggan, M.D.

  • Diagnostic Radiology Physician
  • Park Ridge, IL
National Provider Identifier
1366767287
Registry record updated Oct 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
D0079385 Issued in MD
Practice address
1775 Dempster St
Advocate Lutheran General Hospital -Medicine 8 South
Park Ridge, IL 60068-1143
Phone
(847) 723-2210
NPI assigned
Apr 3, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Diagnostic Radiology Physician 2085R0202X D0079385 MD Primary

Addresses

Primary practice location

1775 Dempster St
Advocate Lutheran General Hospital -Medicine 8 South
Park Ridge, IL 60068-1143

Mailing address

1775 Dempster St
Advocate Lutheran General Hospital -Medicine 8 South
Park Ridge, IL 60068-1143
Phone (847) 723-2210

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC, VA3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20150714002396 MD Practitioner - Diagnostic Radiology 0244543668 Reassigns benefits to 2 organizations
I20160825002366 DC Practitioner - Diagnostic Radiology 0244543668 Reassigns benefits to 2 organizations
I20160921001126 VA Practitioner - Diagnostic Radiology 0244543668

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Columbia University College of Physicians and Surgeons, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Radiology Associates IncGroup PAC ID 5991692444, 64 clinicians

Practice addresses (Care Compare)

10215 Fernwood Rd
Suite 620
Bethesda, MD 20817-1184
Phone (888) 601-0943

67 Thomas Johnson Dr
Suite 4
Frederick, MD 21702-4862
Phone (888) 601-0943

Merit-based Incentive Payment System (MIPS)

Final score
86.25 of 100Reported as group
Quality
75
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0079385MDMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Maryland Imaging Network PC Diagnostic Radiology CurrentSince Sep 3, 2023 Accepting new patients
Community Radiology Associates Inc Diagnostic Radiology CurrentSince Dec 1, 2018 Accepting new patients
Community Radiology Associates Inc Diagnostic Radiology CurrentSince Oct 27, 2024 Accepting new patients
Community Radiology Associates Inc Diagnostic Radiology PastSince Nov 17, 2024 Accepting new patients
Aris Teleradiology Professional Corporation Diagnostic Radiology PastSince Aug 21, 2017 Accepting new patients

Locations

27424 Network Pl
Chicago, IL 60673

10215 Fernwood Rd
Ste 620
Bethesda, MD 20817
Phone (301) 530-6646

5755 Cedar Ln
Columbia, MD 21044
Phone (410) 381-7171

67 Thomas Johnson Dr
Ste 4
Frederick, MD 21702
Phone (301) 607-0444

86 Thomas Johnson Ct
Frederick, MD 21702
Phone (301) 607-0444

20528 Boland Farm Rd
Ste 110
Germantown, MD 20876
Phone (301) 428-2884

18103 Prince Philip Dr
Olney, MD 20832
Phone (301) 460-2600

130 Hospital Rd
Ste LL100
Prnc Frederck, MD 20678
Phone (410) 535-4111

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1270252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540944000000",
    "number": "1366767287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1775 DEMPSTER ST",
            "address_2": "ADVOCATE LUTHERAN GENERAL HOSPITAL -MEDICINE 8 SOUTH",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600681143",
            "telephone_number": "847-723-2210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1775 DEMPSTER ST",
            "address_2": "ADVOCATE LUTHERAN GENERAL HOSPITAL -MEDICINE 8 SOUTH",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600681143",
            "telephone_number": "847-723-2210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUGGAN",
        "first_name": "PETER",
        "middle_name": "FRANCIS",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-04-03",
        "last_updated": "2018-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MD",
            "license": "D0079385",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Park Ridge, IL

Sources for this page

Verify at the official NPI Registry.