Individual provider Active NPI

Michael Joseph Benanti, DO

  • Diagnostic Radiology Physician
  • Rockford, IL
National Provider Identifier
1619945342
Registry record updated Jul 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
204079 Issued in NY
Practice address
8201 E Riverside Blvd
Rockford, IL 61114-2300
Phone
(815) 971-7000
NPI assigned
Mar 9, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 86

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.

View all 86

Hospital & facility affiliations 10

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

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
New York College of Osteo Medicine of New York Institute of Technology, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Humboldt Park Health 106 clinicians
Interfaith Professional Physician Services PC 383 clinicians
Central Valley Community Medical Imaging 97 clinicians
Bayhealth Radiologists LLC 91 clinicians
On-Line Radiology Medical Group Inc 66 clinicians
Radiology Associates of Albuquerque PA 103 clinicians
North Shore Medical Group of the Mount Sinai School of Medicine 325 clinicians
Christiana Care Health Services Inc 1,480 clinicians
Pco PC 82 clinicians
Icahn School of Medicine at Mount Sinai 17 clinicians
Lubbock County Hospital District 97 clinicians
Rockford Health Physicians 520 clinicians
Thorek Radiology Group NFP 41 clinicians
Mercy Health System Corporation 749 clinicians

Practice addresses (Care Compare)

1044 N Francisco Ave
Chicago, IL 60622-2743
Phone (773) 292-8227

1545 Atlantic Ave
Brooklyn, NY 11213-1122
Phone (718) 613-4000

220 Riverside Blvd
Apt 10B
New York, NY 10069-1007
Phone (559) 447-4022

28 Stadium Blvd
East Setauket, NY 11733-1066
Phone (302) 744-7113

3722 82ND St
Jackson Heights, NY 11372-7040
Phone (718) 879-1600

4755 Ogletown Stanton Rd
Newark, DE 19718-2200
Phone (302) 838-3088

510 S 4TH St
Fulton, NY 13069-2951
Phone (317) 614-9881

575 Fern St
West Palm Beach, FL 33401-5725
Phone (561) 268-2000

602 Indiana Ave
Lubbock, TX 79415-3364
Phone (806) 775-8400

8201 E Riverside Blvd
Rockford, IL 61114-2300
Phone (815) 971-2000

850 W Irving Park Rd
Chicago, IL 60613-3077
Phone (773) 975-6722

875 S Route 31
Crystal Lake, IL 60014-8190
Phone (779) 220-5500

Hospital & facility affiliations

  • Christiana Hospital Hospital, Newark, DE, CCN 080001
  • Bayhealth Medical Center, Kent Campus Hospital, Dover, DE, CCN 080004
  • University Medical Center Hospital, Lubbock, TX, CCN 450686
  • Presbyterian Hospital Hospital, Albuquerque, NM, CCN 320021
  • Javon Bea Hospital Hospital, Rockford, IL, CCN 140239

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, FL, DE, MI, IL, TX, NM, CA8 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.

Medicare enrollment records 8

Medicare enrollment files
Enrollment IDStateProvider typePAC IDDetails
I20041213000763 NY Practitioner - Diagnostic Radiology 7911964853 Reassigns benefits to 15 organizations
I20230801004613 FL Practitioner - Diagnostic Radiology 7911964853 Reassigns benefits to 1 organization
I20240905004078 DE Practitioner - Diagnostic Radiology 7911964853 Reassigns benefits to 1 organization
I20241016002041 MI Practitioner - Diagnostic Radiology 7911964853 Reassigns benefits to 1 organization
I20241017001809 IL Practitioner - Diagnostic Radiology 7911964853 Reassigns benefits to 5 organizations
I20241114001336 TX Practitioner - Diagnostic Radiology 7911964853 Reassigns benefits to 4 organizations
I20241203004228 NM Practitioner - Diagnostic Radiology 7911964853 Reassigns benefits to 2 organizations
I20260227001786 CA Practitioner - Diagnostic Radiology 7911964853 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
094093NYMDSocial Worker
20A23546CAMDDiagnostic Radiology Physician
20407NYMDPhysician Assistant

Practice roles (50 of 54)

OrganizationSpecialtyStatusNew patients
Fpa Hospital Based CurrentSince Feb 6, 2019 Accepting new patients
Lubbock County Hospital District Diagnostic Radiology CurrentSince Dec 4, 2024 Accepting new patients
Mercy Health System Corporation CurrentSince Jun 18, 2025 Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Jul 13, 2023 Accepting new patients
Ochiltree Hospital District CurrentSince Oct 1, 2025 Accepting new patients
Christiana Care Health Services Inc Diagnostic Radiology CurrentSince Aug 14, 2024 Accepting new patients
Southern Humboldt Community Healthcare District CurrentSince Jan 1, 2026 Accepting new patients
Mercy Health System Corporation CurrentSince Jun 18, 2025 Accepting new patients
Brookdale Hospital Medical Center CurrentSince Aug 1, 2024 Accepting new patients
Mercy Harvard Hospital Inc CurrentSince Dec 1, 2025 Accepting new patients
Interfaith Professional Physician Services, P.C. Diagnostic Radiology CurrentSince Jul 12, 2024 Accepting new patients
Dickinson County Healthcare System Diagnostic Radiology CurrentSince Mar 28, 2026 Accepting new patients
North Shore Medical Group of the Mount Sinai School of Medicine CurrentSince Feb 24, 2019 Accepting new patients
Ochiltree Hospital District CurrentSince Oct 1, 2025 Accepting new patients
On-Line Radiology Medical Group Inc Diagnostic Radiology CurrentSince Oct 13, 2024 Accepting new patients
El Paso County Hospital District CurrentSince Nov 5, 2024 Accepting new patients
Ochiltree Hospital District Current Accepting new patients
Nor-Lea Hospital District CurrentSince Oct 17, 2024 Accepting new patients
Fpa Hospital Based Current Accepting new patients
Morris Heights Health Center, Inc. CurrentSince May 13, 2016 Accepting new patients
Empire State Radiology P C Diagnostic Radiology CurrentSince Jun 17, 2024 Accepting new patients
Thorek Memorial Hospital Current Accepting new patients
North Shore Medical Group of the Mount Sinai School of Medicine Diagnostic Radiology CurrentSince Feb 24, 2019 Accepting new patients
Morris Heights Health Center, Inc. CurrentSince May 13, 2016 Accepting new patients
Southern Humboldt Community Healthcare District CurrentSince Jan 1, 2026 Accepting new patients
Thorek Radiology Group NFP Diagnostic Radiology CurrentSince Feb 15, 2025 Accepting new patients
Ochiltree Hospital District CurrentSince Oct 1, 2025 Accepting new patients
Christiana Care Health Services, Inc Current Accepting new patients
Lubbock County Hospital District Diagnostic Radiology Current Accepting new patients
Edward W Sparrow Hospital Association CurrentSince Sep 9, 2024 Accepting new patients
Edward W Sparrow Hospital Association CurrentSince Sep 9, 2024 Accepting new patients
Christiana Care Health Services Inc CurrentSince Aug 14, 2024 Accepting new patients
The Brookdale Hospital Medical Center CurrentSince Aug 1, 2024 Accepting new patients
Humboldt Park Health CurrentSince Oct 8, 2024 Accepting new patients
Fpa Hospital Based CurrentSince Feb 6, 2019 Accepting new patients
Riverside Radiology Medical Group Inc Diagnostic Radiology CurrentSince Nov 1, 2024 Accepting new patients
Mercy Harvard Hospital Inc CurrentSince Dec 1, 2025 Accepting new patients
Radiology Associates of Albuquerque, PA Diagnostic Radiology CurrentSince Oct 15, 2024 Accepting new patients
Rockford Health Physicians CurrentSince Jun 18, 2025 Accepting new patients
Central Valley Community Medical Imaging Diagnostic Radiology CurrentSince Nov 1, 2024 Accepting new patients
Bayhealth Radiologists LLC Diagnostic Radiology CurrentSince Sep 1, 2024 Accepting new patients
Pco PC Diagnostic Radiology CurrentSince May 1, 2025 Accepting new patients
Edward W Sparrow Hospital Association Current Accepting new patients
El Paso County Hospital District CurrentSince Nov 5, 2024 Accepting new patients
St Catherine of Siena Medical Center Past Accepting new patients
Faculty Physicians and Surgeons of Llusm Past Accepting new patients
Radiology Consulting of Long Island PLLC Diagnostic Radiology Past Accepting new patients
North Shore-Lij Medical PC Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Humboldt Park Health Past Accepting new patients

Locations (25 of 50)

18300 US Highway 18
Apple Valley, CA 92307
Phone (760) 424-2311

600 N Highland Springs Ave
Banning, CA 92220
Phone (833) 443-6287

733 Cedar St
Garberville, CA 95542
Phone (707) 923-3921

26520 Cactus Ave
Moreno Valley, CA 92555
Phone (951) 486-5610

4500 Brockton Ave
Ste 219
Riverside, CA 92501
Phone (951) 276-7550

4445 Magnolia Ave
Riverside, CA 92501
Phone (800) 498-7156

4510 Brockton Ave
Ste 175
Riverside, CA 92501
Phone (951) 786-5100

1805 Medical Center Dr
Sn Bernrdno, CA 92411
Phone (909) 877-6333

2101 N Waterman Ave
Sn Bernrdno, CA 92404
Phone (909) 881-4305

4755 Ogletown Stanton Rd
Newark, DE 19718
Phone (302) 733-1700

600 University Blvd
Ste 200
Jupiter, FL 33458
Phone (561) 627-2210

575 Fern St
West Palm Beach, FL 33401
Phone (561) 268-2000

29624 Network Pl
Chicago, IL 60673
Phone (608) 741-7652

8175 Reliable Pkwy
Chicago, IL 60686

2741 Paysphere Cir
Chicago, IL 60674

1044 N Francisco Ave
Chicago, IL 60622
Phone (773) 292-8227

875 S State Route 31
Crystal Lake, IL 60014
Phone (779) 220-5500

1001 Grant St
Harvard, IL 60033
Phone (815) 943-8090

901 Grant St
Harvard, IL 60033
Phone (815) 943-5431

348 S Division St
Harvard, IL 60033
Phone (815) 943-1122

2300 N Rockton Ave
Rockford, IL 61103
Phone (815) 971-5510

2350 N Rockton Ave
Rockford, IL 61103
Phone (815) 971-2200

8201 E Riverside Blvd
Rockford, IL 61114
Phone (815) 971-4066

1215 E Michigan Ave
Lansing, MI 48912
Phone (517) 336-8080

1215 E Michigan Ave
Fl 4
Lansing, MI 48912
Phone (517) 364-3480

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Interoperability endpoints

  • Direct secure messaging: mbenanti1237942@direct.llu.edu

Specialties & licenses 3

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X C2-0024581 DE
Diagnostic Radiology Physician 2085R0202X 20A23546 CA
Diagnostic Radiology Physician 2085R0202X 204079 NY Primary

Addresses

NPPES NPI Registry

Primary practice location

8201 E Riverside Blvd
Rockford, IL 61114-2300

Mailing address

29624 Network PL
Chicago, IL 60673-1296
Phone (608) 756-6278

Other practice location 1

1001 Grant St
Harvard, IL 60033-1822
Phone (815) 943-8090

Other practice location 2

4755 Ogletown Stanton Rd
Newark, DE 19718-2200
Phone (302) 733-1840

Other practice location 3

1000 Montauk Highway
Good Samaritan Hospital
West Islip, NY 11795
Phone (952) 595-1100

Other practice location 4

875 S Route 31
Crystal Lake, IL 60014-8190
Phone (779) 220-5500

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 10, 2025.

{
    "created_epoch": "1141862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752105600000",
    "number": "1619945342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29624 NETWORK PL",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606731296",
            "telephone_number": "608-756-6278"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8201 E RIVERSIDE BLVD",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611142300",
            "telephone_number": "815-971-7000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1001 Grant St",
            "address_purpose": "LOCATION",
            "city": "Harvard",
            "state": "IL",
            "postal_code": "600331822",
            "country_code": "US",
            "telephone_number": "815-943-8090",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4755 Ogletown Stanton Rd",
            "address_purpose": "LOCATION",
            "city": "Newark",
            "state": "DE",
            "postal_code": "197182200",
            "country_code": "US",
            "telephone_number": "302-733-1840",
            "fax_number": "302-733-1633",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1000 Montauk Highway",
            "address_2": "Good Samaritan Hospital",
            "address_purpose": "LOCATION",
            "city": "West Islip",
            "state": "NY",
            "postal_code": "11795",
            "country_code": "US",
            "telephone_number": "952-595-1100",
            "fax_number": "612-294-4903",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "875 S Route 31",
            "address_purpose": "LOCATION",
            "city": "Crystal Lake",
            "state": "IL",
            "postal_code": "600148190",
            "country_code": "US",
            "telephone_number": "779-220-5500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BENANTI",
        "first_name": "MICHAEL",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-09",
        "last_updated": "2025-07-10",
        "certification_date": "2025-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "DE",
            "license": "C2-0024581",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "20A23546",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "204079",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockford, IL

Sources for this page

Verify at the official NPI Registry.