Individual provider Active NPI

Arnold M Herskovic, MD

  • Radiation Oncology Physician
  • Chicago, IL
National Provider Identifier
1538185095
Registry record updated Apr 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
036-097303 Issued in IL
Practice address
680 N Lake Shore Dr
418
Chicago, IL 60611-4546
Phone
(312) 654-0051
Fax
(312) 942-2894
NPI assigned
Jul 15, 2006
Last updated
Apr 7, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2025

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 036097303 IL
Radiation Oncology Physician 2085R0001X 5146-320 WI
Radiation Oncology Physician 2085R0001X 036097303 IL
Radiation Oncology Physician 2085R0001X 036-097303 IL Primary
Therapeutic Radiology Physician 2085R0203X EMC0006393 MI
General Practice Physician 208D00000X 036097303 IL

Addresses

Primary practice location

680 N Lake Shore Dr
418
Chicago, IL 60611-4546

Mailing address

680 N Lake Shore Dr
418
Chicago, IL 60611-4546
Phone (312) 654-0051

Other practice location 1

2009 5th St
Monroe, WI 53566-1546
Phone (608) 324-2000

Other practice location 2

300 North Ave
Battle Creek, MI 49017-3307
Phone (269) 245-8056

Other practice location 3

1200 Starfire Dr
Ottawa, IL 61350-1632
Phone (815) 434-9999

Other identifiers 1

IdentifierTypeStateIssuer
036-097303MedicaidIL

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address aherskovic453611@direct-ehr-ssmhc.com Direct
FHIR URL https://webproxyprd.monroeclinic.org/FHIR-PRD/api/FHIR/DSTU2/ Other
Direct Messaging Address direct@direct.bronsonhg.org Direct Bronson Healthcare Group

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, MI, GA, WY, WI5 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 5

Enrollment IDStateProvider typePAC IDDetails
I20050624000279 IL Practitioner - Radiation Oncology 5496734691 Reassigns benefits to 7 organizations
I20050718000647 MI Practitioner - Radiation Oncology 5496734691 Reassigns benefits to 1 organization
I20150424001937 GA Practitioner - Radiation Oncology 5496734691 Reassigns benefits to 1 organization
I20241112000450 WY Practitioner - Radiation Oncology 5496734691 Reassigns benefits to 1 organization
I20250224001667 WI Practitioner - Radiation Oncology 5496734691 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036097303ILMDFamily Medicine Physician
036-097303ILMDRadiation Oncology Physician
5146-320WIMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advocate Health and Hospitals Corporation CurrentSince Jan 6, 2023 Accepting new patients
Bronson Battle Creek Hospital Family Medicine CurrentSince Mar 1, 2025 Accepting new patients
Methodist Medical Center of Illinois CurrentSince Aug 5, 2022 Accepting new patients
Methodist Medical Center of Illinois Family Medicine CurrentSince Aug 5, 2022 Accepting new patients
The Monroe Clinic, Inc. CurrentSince Dec 27, 2024 Accepting new patients
City of Hope Medical Group of Georgia LLC Radiation Oncology CurrentSince Feb 19, 2015 Accepting new patients
Advocate Health and Hospitals Corporation CurrentSince Jan 14, 2022 Accepting new patients
City of Hope Medical Group of Illinois PLLC CurrentSince Mar 3, 2014 Accepting new patients
West Park Hospital District CurrentSince Nov 18, 2024 Accepting new patients
Central PA Pharmacy LLC. Current Accepting new patients
Advocate Health and Hospitals Corporation Current Accepting new patients
The Monroe Clinic, Inc. CurrentSince Dec 27, 2024 Accepting new patients
Bronson Battle Creek Hospital CurrentSince Mar 1, 2025 Accepting new patients
Physician Services Corporation of Southern Illinois Inc. Family Medicine CurrentSince Jan 10, 2024 Accepting new patients
Advocate Health & Hospitals Corporation CurrentSince Jan 14, 2022 Accepting new patients
Osf Multi-Specialty Group CurrentSince Jul 25, 2025 Accepting new patients
West Park Hospital District CurrentSince Nov 18, 2024 Accepting new patients
Methodist Medical Center of Illinois Current Accepting new patients
Gibson Community Hospital Association Past Accepting new patients
Metropolitan Anesthesia Network, LLP Past Accepting new patients

Locations

600 Celebrate Life Pkwy
Newnan, GA 30265
Phone (404) 844-8334

1221 N Highland Ave
Aurora, IL 60506
Phone (630) 859-6700

2357 Sequoia Dr
Aurora, IL 60506
Phone (630) 859-6700

210 Saint Joseph Dr
Bloomington, IL 61701
Phone (309) 663-5050

214 McHenry Rd
Buffalo Grove, IL 60089
Phone (847) 459-1160

2361 Paysphere Cir
Chicago, IL 60674
Phone (847) 746-4358

28594 Network Pl
Chicago, IL 60673

29373 Network Pl
Chicago, IL 60673

62742 Collections Ctr Dr
Chicago, IL 60693

2 Good Samaritan Way
Ste 320
Mount Vernon, IL 62864
Phone (618) 899-1944

4117 Veterans Memorial Dr
Mount Vernon, IL 62864
Phone (618) 241-1827

1100 E Norris Dr
Ottawa, IL 61350
Phone (815) 416-1224

221 NE Glen Oak Ave
Peoria, IL 61636
Phone (309) 672-4281

815 Main St
Ste A
Peoria, IL 61602
Phone (309) 671-3000

815 Main St
Ste A1
Peoria, IL 61602

8600 State Route 91
Ste 130
Peoria, IL 61615
Phone (309) 683-5050

2520 Elisha Ave
Zion, IL 60099
Phone (800) 322-9183

300 North Ave
Battle Creek, MI 49017
Phone (269) 966-8000

300 North Ave
Fl 2
Battle Creek, MI 49017
Phone (269) 245-5862

601 John St
Kalamazoo, MI 49007
Phone (269) 341-7100

2009 5th St
Monroe, WI 53566
Phone (608) 324-1454

515 22nd Ave
Monroe, WI 53566
Phone (608) 324-1000

1025 9th St
Cody, WY 82414
Phone (307) 578-2955

424 Yellowstone Ave
Ste 120
Cody, WY 82414
Phone (307) 578-2903

707 Sheridan Ave
Cody, WY 82414
Phone (307) 527-7561

Interoperability endpoints

  • Direct secure messaging: aherskovic408764@ecommunitydirect.com
  • Direct secure messaging: aherskovic453611@direct-ehr-ssmhc.com
  • Direct secure messaging: direct@direct.bronsonhg.org

Organizations & group practices 21

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.

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743984000000",
    "number": "1538185095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "680 N LAKE SHORE DR",
            "address_2": "418",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606114546",
            "telephone_number": "312-654-0051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "680 N LAKE SHORE DR",
            "address_2": "418",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606114546",
            "telephone_number": "312-654-0051",
            "fax_number": "312-942-2894"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2009 5th St",
            "address_purpose": "LOCATION",
            "city": "Monroe",
            "state": "WI",
            "postal_code": "535661546",
            "country_code": "US",
            "telephone_number": "608-324-2000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "300 North Ave",
            "address_purpose": "LOCATION",
            "city": "Battle Creek",
            "state": "MI",
            "postal_code": "490173307",
            "country_code": "US",
            "telephone_number": "269-245-8056",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1200 Starfire Dr",
            "address_purpose": "LOCATION",
            "city": "Ottawa",
            "state": "IL",
            "postal_code": "613501632",
            "country_code": "US",
            "telephone_number": "815-434-9999",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERSKOVIC",
        "first_name": "ARNOLD",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-15",
        "last_updated": "2025-04-07",
        "certification_date": "2025-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "036097303",
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "WI",
            "license": "5146-320",
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "IL",
            "license": "036097303",
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "IL",
            "license": "036-097303",
            "primary": true
        },
        {
            "code": "2085R0203X",
            "taxonomy_group": "",
            "desc": "Radiology, Therapeutic Radiology",
            "state": "MI",
            "license": "EMC0006393",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "IL",
            "license": "036097303",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036-097303",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "aherskovic453611@direct-ehr-ssmhc.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "aherskovic453611@direct-ehr-ssmhc.com",
            "address_1": "2009 5th St",
            "city": "Monroe",
            "state": "WI",
            "country_code": "US",
            "postal_code": "535661546",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://webproxyprd.monroeclinic.org/FHIR-PRD/api/FHIR/DSTU2/",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "FHIR API",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "2009 5th St",
            "city": "Monroe",
            "state": "WI",
            "country_code": "US",
            "postal_code": "535661546",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "direct@direct.bronsonhg.org",
            "affiliation": "Y",
            "endpointDescription": "Bronson Healthcare Group Direct address",
            "affiliationName": "Bronson Healthcare Group",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Continuity of Care document",
            "address_1": "601 John St",
            "city": "Kalamazoo",
            "state": "MI",
            "country_code": "US",
            "postal_code": "490075341",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.