Individual provider Active NPI

Gregory Cizek, M.D.

  • Diagnostic Radiology Physician
  • Saint Louis, MO
National Provider Identifier
1477544724
Registry record updated Sep 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
105428 Issued in MO
Practice address
9930 Watson Rd
Saint Louis, MO 63126-1827
Phone
(314) 984-8827
Fax
(314) 984-0736
NPI assigned
Nov 3, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2012

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 105428 MO Primary

Addresses

Primary practice location

9930 Watson Rd
Saint Louis, MO 63126-1827

Mailing address

PO Box 23340
Saint Louis, MO 63156-3340
Phone (314) 984-8827

Other identifiers 8

IdentifierTypeStateIssuer
110069OtherMOGHP
5872678OtherMOAETNA
144352OtherMOBCBS
000000010591OtherMOESSENCE
288546OtherMOHEALTHLINK
1600300OtherMOUHC
208265116MedicaidMO
F82310OtherMOMERCY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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 1

Enrollment IDStateProvider typePAC IDDetails
I20041209000287 MO Practitioner - Diagnostic Radiology 7719943919 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Washington University School of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Midwest Imaging SpecialistsGroup PAC ID 0244577443, 5 clinicians
Radiology and Imaging Management Services, LLCGroup PAC ID 5698822948, 4 clinicians

Practice addresses (Care Compare)

201 S Mount Auburn Rd
Suite B
Cape Girardeau, MO 63703-4912
Phone (573) 381-0790

9930 Watson Rd
Saint Louis, MO 63126-1845
Phone (314) 984-8827

Merit-based Incentive Payment System (MIPS)

Final score
86.37 of 100Reported as group
Quality
79.66
Promoting interoperability
98
Improvement activities
40
Cost
76.57

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
105428MOMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Imaging Center of Alton, LLC CurrentSince Aug 31, 2023 Accepting new patients
Midwest Imaging Specialists CurrentSince Jan 25, 2022 Accepting new patients
MRI of Springfield, Inc CurrentSince Mar 11, 2020 Accepting new patients
Professional Imaging Columbia, LLC Diagnostic Radiology CurrentSince Apr 6, 2026 Accepting new patients
Therapeutic and Diagnostic Imaging LLC Diagnostic Radiology CurrentSince Apr 19, 2007 Accepting new patients
Midwest Imaging Center II, LLC CurrentSince Mar 1, 2015 Accepting new patients
Radiology and Imaging Management Services, LLC CurrentSince Jan 9, 2009 Accepting new patients
Midwest Imaging Center, LLC CurrentSince Mar 20, 2019 Accepting new patients

Locations

14825 North Outer 40 Rd
Ste 110
Chesterfield, MO 63017
Phone (636) 449-3990

201 S Mount Auburn Rd
Ste B
Cpe Girardeau, MO 63703
Phone (573) 381-0790

5000 Cedar Plaza Pkwy
Ste 110
Saint Louis, MO 63128
Phone (314) 722-2626

9930 Watson Rd
Saint Louis, MO 63126
Phone (314) 984-8827

Interoperability endpoints

  • Direct secure messaging: greg.cizek.p1@direct.essehealth.nextgenshare.com

Organizations & group practices 8

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": "1130976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348185600000",
    "number": "1477544724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 23340",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631563340",
            "telephone_number": "314-984-8827",
            "fax_number": "314-984-0736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9930 WATSON RD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631261827",
            "telephone_number": "314-984-8827",
            "fax_number": "314-984-0736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CIZEK",
        "first_name": "GREGORY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-03",
        "last_updated": "2012-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MO",
            "license": "105428",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHP",
            "identifier": "110069",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "5872678",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "144352",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ESSENCE",
            "identifier": "000000010591",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK",
            "identifier": "288546",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC",
            "identifier": "1600300",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "208265116",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MERCY",
            "identifier": "F82310",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Louis, MO

Sources for this page

Verify at the official NPI Registry.