NPIMap

Organization Active NPI

Envision Medical Imaging, LLC

  • Diagnostic Radiology Physician
  • Schaumburg, IL
National Provider Identifier
1649769746
Registry record updated Oct 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
ENVISION MEDICAL IMAGING, LLC
Practice address
915 National Pkwy Ste 915-20
Schaumburg, IL 60173-5160
Phone
(847) 929-6200
NPI assigned
May 3, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2025

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

Authorized official

Name
Richard Kim, MD
Title
Manager
Phone
(847) 929-5454

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0202X Primary
Physiological Laboratory 293D00000X

Addresses

Primary practice location

915 National Pkwy Ste 915-20
Schaumburg, IL 60173-5160

Mailing address

8930 Waukegan Rd Ste 130
Morton Grove, IL 60053-2132
Phone (847) 929-5482

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180727000007 IL Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 5890042410 Practice locations: Schaumburg, IL

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
14D2150331Envision Medical Imaging, L L C915 National Pkwy - Ste 915-20, Schaumburg, IL 60173Certificate of waiverJun 21, 2028

National Provider Directory

National Provider Directory

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

Locations

8930 Waukegan Rd
Ste 130
Morton Grove, IL 60053
Phone (847) 929-5453

915 National Pkwy
Ste 915-20
Schaumburg, IL 60173
Phone (847) 929-5460

Practitioners & affiliated clinicians

Practitioners 17

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

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1525305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761782400000",
    "number": "1649769746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8930 WAUKEGAN RD STE 130",
            "city": "MORTON GROVE",
            "state": "IL",
            "postal_code": "600532132",
            "telephone_number": "847-929-5482",
            "fax_number": "847-929-5461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "915 NATIONAL PKWY STE 915-20",
            "city": "SCHAUMBURG",
            "state": "IL",
            "postal_code": "601735160",
            "telephone_number": "847-929-6200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENVISION MEDICAL IMAGING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-03",
        "last_updated": "2025-10-30",
        "certification_date": "2025-10-30",
        "status": "A",
        "authorized_official_last_name": "KIM",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "847-929-5454",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Schaumburg, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.