Individual provider Active NPI

Lara L. Dennis, M.D.

  • Diagnostic Radiology Physician
  • Springfield, IL
National Provider Identifier
1538272547
Registry record updated Dec 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Practice address
800 E Carpenter St
Department of Radiology
Springfield, IL 62702-5324
Phone
(217) 544-6464
Fax
(217) 525-5671
NPI assigned
Aug 16, 2006
Last updated
Dec 11, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2007

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 IL Primary

Addresses

Primary practice location

800 E Carpenter St
Department of Radiology
Springfield, IL 62702-5324

Mailing address

611 N 6TH St
Springfield, IL 62702-5327
Phone (217) 544-2149

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20050928000603 IL Practitioner - Diagnostic Radiology 8527093699 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Illinois College of Med (CHI/Peor/Rock/CHM-Urb), 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clinical Radiologists SCGroup PAC ID 3476540873, 32 clinicians
Central Illinois Radiological Associates LTDGroup PAC ID 9436061827, 205 clinicians

Practice addresses (Care Compare)

1 Memorial Dr
Alton, IL 62002-6722
Phone (217) 726-8096

1404 Cross St
Shiloh, IL 62269-2988
Phone (217) 726-8096

221 NE Glen Oak Ave
Peoria, IL 61636-0001
Phone (309) 672-5522

2227 Vadalabene Dr
Maryville, IL 62062-5823
Phone (618) 391-5320

3050 Montvale Dr
Suite a
Springfield, IL 62704-6924
Phone (217) 726-8096

4500 Memorial Dr
Belleville, IL 62226-5360
Phone (217) 726-8096

530 Neglen Oak Ave
Peoria, IL 61636-0001
Phone (309) 655-2000

6800 State Route 162
Maryville, IL 62062-8500
Phone (618) 288-5711

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036109401ILMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Clinical Radiologists, S.C. Diagnostic Radiology CurrentSince Sep 21, 2024 Accepting new patients
Central Illinois Radiological Associates, LTD. Diagnostic Radiology CurrentSince Dec 15, 2025 Accepting new patients
Anderson Medical Group, LLC CurrentSince Sep 12, 2025 Accepting new patients
Open MRI of Michigan Past Accepting new patients
Springfield Radiologists SC Diagnostic Radiology Past Accepting new patients
Open MRI of Michigan LLC Diagnostic Radiology Past Accepting new patients
Southfield Radiology Associates, PLLC Diagnostic Radiology Past Accepting new patients
Southfield Radiology Associates PLLC Diagnostic Radiology Past Accepting new patients
Cira Michigan PC Diagnostic Radiology Past Accepting new patients

Locations

1 Memorial Dr
Alton, IL 62002
Phone (618) 463-7240

5200 Reliable Pkwy
Chicago, IL 60686
Phone (309) 671-8748

812 N Logan Ave
Danville, IL 61832
Phone (217) 443-5000

1215 Franciscan Dr
Litchfield, IL 62056
Phone (217) 324-2191

6800 State Route 162
Maryville, IL 62062
Phone (618) 288-4095

6810 State Route 162
Ste 215
Maryville, IL 62062
Phone (618) 391-6405

114 W Stratford Dr
Ste E
Peoria, IL 61614
Phone (309) 740-4270

530 NE Glen Oak Ave
Peoria, IL 61637
Phone (309) 655-2553

530neglen Oak Ave
Peoria, IL 61636
Phone (309) 685-1054

3050 Montvale Dr
Ste A
Springfield, IL 62704
Phone (217) 222-9302

800 E Carpenter St
Springfield, IL 62702
Phone (217) 525-5643

Organizations & group practices 9

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197331200000",
    "number": "1538272547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 N 6TH ST",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627025327",
            "telephone_number": "217-544-2149",
            "fax_number": "217-544-9553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 E CARPENTER ST",
            "address_2": "DEPARTMENT OF RADIOLOGY",
            "city": "SPRINGFIELD",
            "state": "IL",
            "postal_code": "627025324",
            "telephone_number": "217-544-6464",
            "fax_number": "217-525-5671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENNIS",
        "first_name": "LARA",
        "middle_name": "L.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-16",
        "last_updated": "2007-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, IL

Sources for this page

Verify at the official NPI Registry.