NPIMap

Individual provider Active NPI

Diane Digirolamo, M.D.

  • Diagnostic Radiology Physician
  • Evanston, IL
National Provider Identifier
1659318079
Registry record updated Jun 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
036082899 Issued in IL
Practice address
2650 Ridge Ave.
Department of Radiology
Evanston, IL 60201
Phone
(847) 570-2477
NPI assigned
Jun 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 036082899 IL Primary
Body Imaging Physician 2085B0100X 036082899 IL
Body Imaging Physician 2085B0100X 263148-1 NY
General Practice Physician 208D00000X 263148 NY

Addresses

Primary practice location

2650 Ridge Ave.
Department of Radiology
Evanston, IL 60201

Mailing address

2650 Ridge Ave.
Department of Radiology
Evanston, IL 60201
Phone (847) 570-2477

Other practice location 1

4802 10th Ave, 3rd floor
Credentialing - MMC Radiology FPP
Brooklyn, NY 11219
Phone (718) 283-6158

Other identifiers 1

IdentifierTypeStateIssuer
100825033MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
372KYMDSpecialist
036082899ILMDBody Imaging Physician
263148-1NYMDBody Imaging Physician
263148NYMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Maimonides Medical Center - MMC Radiology FPP Diagnostic Radiology Past Accepting new patients
Bucks County Radiology Associates, PC Body Imaging Past Accepting new patients
Louisville Radiology Imaging Consultants, PLLC Diagnostic Radiology Past Accepting new patients
Northeast Imaging Associates of Philadelphia, P.C. Body Imaging Past Accepting new patients
National Radiology Group, LLC Diagnostic Radiology Past Accepting new patients
Trinity Imaging Associates, P.C. Body Imaging Past Accepting new patients

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1149206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656028800000",
    "number": "1659318079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2650 RIDGE AVE.",
            "address_2": "DEPARTMENT OF RADIOLOGY",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "60201",
            "telephone_number": "847-570-2477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2650 RIDGE AVE.",
            "address_2": "DEPARTMENT OF RADIOLOGY",
            "city": "EVANSTON",
            "state": "IL",
            "postal_code": "60201",
            "telephone_number": "847-570-2477"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4802 10th Ave, 3rd floor",
            "address_2": "Credentialing - MMC Radiology FPP",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "11219",
            "country_code": "US",
            "telephone_number": "718-283-6158",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIGIROLAMO",
        "first_name": "DIANE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-02",
        "last_updated": "2022-06-24",
        "certification_date": "2022-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IL",
            "license": "036082899",
            "primary": true
        },
        {
            "code": "2085B0100X",
            "taxonomy_group": "",
            "desc": "Radiology, Body Imaging",
            "state": "IL",
            "license": "036082899",
            "primary": false
        },
        {
            "code": "2085B0100X",
            "taxonomy_group": "",
            "desc": "Radiology, Body Imaging",
            "state": "NY",
            "license": "263148-1",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NY",
            "license": "263148",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100825033",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Evanston, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.