Organization Active NPI

Elk Grove Imaging Associates, S.C.

  • Diagnostic Radiology Physician
  • Elk Grove Village, IL
National Provider Identifier
1497494033
Registry record updated Jun 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
ELK GROVE IMAGING ASSOCIATES, S.C.
Practice address
800 Biesterfield Rd
Elk Grove Village, IL 60007-3361
Phone
(847) 952-7172
Fax
(847) 981-2004
NPI assigned
Jun 1, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2022

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

Authorized official

Name
Dr. Michael Racenstein, M.D.NPI 1154314912
Title
President
Phone
(847) 952-7172

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X Primary

Addresses

Primary practice location

800 Biesterfield Rd
Elk Grove Village, IL 60007-3361

Mailing address

800 Biesterfield Rd
Elk Grove Village, IL 60007-3361
Phone (847) 952-7172

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, OH, SC, FL, TN, WI, AZ, TX8 enrollments

Enrollment records 8

Enrollment IDStateProvider typePAC IDDetails
O20220714002386 IL Part B Supplier - Clinic/Group Practice 2961883459 Receives reassigned benefits from 3 practitioners
Practice locations: Glencoe, IL; Hinsdale, IL; Lake Forest, IL; Lake Zurich, IL; Lisle, IL; Palatine, IL; Palos Park, IL; Woodridge, IL…
O20220826002148 OH Part B Supplier - Clinic/Group Practice 2961883459 Practice locations: Pepper Pike, OH
O20220922000525 SC Part B Supplier - Clinic/Group Practice 2961883459 Receives reassigned benefits from 1 practitioner
Practice locations: Six Mile, SC
O20230104003013 FL Part B Supplier - Clinic/Group Practice 2961883459 Practice locations: Boca Raton, FL; Tampa, FL
O20230524001563 TN Part B Supplier - Clinic/Group Practice 2961883459 Practice locations: Franklin, TN
O20230629003896 WI Part B Supplier - Clinic/Group Practice 2961883459 Practice locations: Mequon, WI
O20230714003165 AZ Part B Supplier - Clinic/Group Practice 2961883459 Receives reassigned benefits from 1 practitioner
Practice locations: Scottsdale, AZ
O20231026000269 TX Part B Supplier - Clinic/Group Practice 2961883459 Practice locations: Beaumont, TX; Houston, TX

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1654041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655078400000",
    "number": "1497494033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 BIESTERFIELD RD",
            "city": "ELK GROVE VILLAGE",
            "state": "IL",
            "postal_code": "600073361",
            "telephone_number": "847-952-7172",
            "fax_number": "847-981-2004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 BIESTERFIELD RD",
            "city": "ELK GROVE VILLAGE",
            "state": "IL",
            "postal_code": "600073361",
            "telephone_number": "847-952-7172",
            "fax_number": "847-981-2004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELK GROVE IMAGING ASSOCIATES, S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-01",
        "last_updated": "2022-06-13",
        "certification_date": "2022-06-13",
        "status": "A",
        "authorized_official_last_name": "RACENSTEIN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-952-7172",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elk Grove Village, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.