Active NPI
James Stephen Radke, MD
- Gastroenterology Physician
- Lighthouse Point, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- ME154298
- Practice address
- 5340 N Federal Hwy Ste 110
Lighthouse Point, FL 33064-7058 - Phone
- (954) 428-2480
- Fax
- (954) 428-2904
- NPI assigned
- Sep 21, 2005
- Last updated
- Feb 14, 2025
- 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 |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 33833 | WI | |
| Gastroenterology Physician | 207RG0100X | 036088439 | IL | |
| Gastroenterology Physician | 207RG0100X | ME154298 | FL | Primary |
Addresses
Primary practice location
5340 N Federal Hwy Ste 110
Lighthouse Point, FL 33064-7058
Mailing address
5340 N Federal Hwy Ste 110
Lighthouse Point, FL 33064-7058
Phone (954) 428-2480
Other practice location 1
252 McHenry St
Burlington, WI 53105-1828
Phone (262) 767-6148
Other practice location 2
1206 E 9th St Fl 3
Lockport, IL 60441-2404
Phone (630) 717-2600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 32223900 | Medicaid | WI |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jradke222845@direct.edward.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- Education
- Loyola University of Chicago, Stritch School of Medicine, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5340 N Federal Hwy
Suite 110
Lighthouse Point, FL 33064-7058
Phone (954) 428-2480
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 99.15 of 100
- Promoting interoperability
- 99
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 69 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 84 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33833 | WI | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premium Practice Solutions, LLC | Gastroenterology | Current | Accepting new patients |
| Aurora Medical Group, Inc. | Past | Accepting new patients | |
| West Suburban Gastroenterology S C | Gastroenterology | Past | Accepting new patients |
| Lighthouse Foot & Ankle Center | Past | Accepting new patients |
Locations
1500 N University Dr
Ste 100
Coral Springs, FL 33071
Phone (954) 428-2480
5340 N Federal Hwy
Ste 110
Lighthouse Point, FL 33064
Phone (954) 358-4949
Interoperability endpoints
- jradke222845@direct.edward.org
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Gastroenterology Physician
- Lighthouse Point, FL
- NPI 1164711214
-
- Foot & Ankle Surgery Podiatrist
- Deerfield Beach, FL
- NPI 1508056326
-
- Durable Medical Equipment & Medical Supplies
- Union Grove, WI
- NPI 1245440601
-
- Gastroenterology Physician
- Oak Park, IL
- NPI 1487724852
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Boca Raton, FL
- NPI 1902826779
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127260800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739491200000",
"number": "1518953025",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5340 N FEDERAL HWY STE 110",
"city": "LIGHTHOUSE POINT",
"state": "FL",
"postal_code": "330647058",
"telephone_number": "954-428-2480",
"fax_number": "954-428-2904"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5340 N FEDERAL HWY STE 110",
"city": "LIGHTHOUSE POINT",
"state": "FL",
"postal_code": "330647058",
"telephone_number": "954-428-2480",
"fax_number": "954-428-2904"
}
],
"practiceLocations": [
{
"address_1": "252 McHenry St",
"address_purpose": "LOCATION",
"city": "Burlington",
"state": "WI",
"postal_code": "531051828",
"country_code": "US",
"telephone_number": "262-767-6148",
"fax_number": "262-767-6147",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1206 E 9th St Fl 3",
"address_purpose": "LOCATION",
"city": "Lockport",
"state": "IL",
"postal_code": "604412404",
"country_code": "US",
"telephone_number": "630-717-2600",
"fax_number": "630-718-2656",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RADKE",
"first_name": "JAMES",
"middle_name": "STEPHEN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-21",
"last_updated": "2025-02-14",
"certification_date": "2025-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "WI",
"license": "33833",
"primary": false
},
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "IL",
"license": "036088439",
"primary": false
},
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "FL",
"license": "ME154298",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "32223900",
"state": "WI"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jradke222845@direct.edward.org",
"affiliation": "N",
"address_1": "1206 E 9th St Fl 3",
"city": "Lockport",
"state": "IL",
"country_code": "US",
"postal_code": "604412404",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Lighthouse Point, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2025; 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.