Michael McConnell, D.O.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

036.139705 Issued in IL

Practice address

12490 Business Center Dr Ste 200
Victorville, CA 92395-5833

Phone

(760) 728-1900

NPI assigned

May 27, 2010

Last updated

May 8, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IL, CA2 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 2

Specialty

Diagnostic Radiology

Education

Midwestern University, Chicago College of Osteopathic Med, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Freeport Memorial HospitalGroup PAC ID 8426958232, 168 clinicians

Sol Radiology IncGroup PAC ID 1850796681, 66 clinicians

Krishna Das MD IncGroup PAC ID 3971940479, 18 clinicians

Rahul Nayyar MD IncGroup PAC ID 5698111318, 10 clinicians

Camelot Radiology Associates LTDGroup PAC ID 4880580521, 24 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Shasta Regional Medical Center Hospital, Redding, CA, CCN 050764
• Hillsboro Area Hospital Hospital, Hillsboro, IL, CCN 141332
• Carlinville Area Hospital Hospital, Carlinville, IL, CCN 141347
• Desert Valley Hospital Hospital, Victorville, CA, CCN 050709
• Salem Township Hospital Hospital, Salem, IL, CCN 141345

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Quality

100

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

87.08 of 100Reported as group

Quality

86.25

Improvement activities

40

Cost

77.17

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mmcconnell236274@cityofhope.direct-ci.com

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.

• Krishna Das MD Inc.

  • Diagnostic Radiology Physician
  • Victorville, CA
  • NPI 1164284196

  IL

  Medicare reassignment Care Compare group NPD
• Rahul Nayyar MD Inc

  • Diagnostic Radiology Physician
  • Victorville, CA
  • NPI 1518729516

  IL

  Medicare reassignment Care Compare group NPD
• Sol Radiology, Inc.

  • Diagnostic Radiology Physician
  • Victorville, CA
  • NPI 1457928111

  IL

  Medicare reassignment Care Compare group NPD
• Camelot Radiology Associates LTD

  dba Northern Illinois Radiologists

  • Diagnostic Radiology Physician
  • Freeport, IL
  • NPI 1841244753
  Medicare reassignment Care Compare group NPD
• Freeport Memorial Hospital

  dba FHN-Memorial Hospital

  • General Acute Care Hospital
  • Freeport, IL
  • NPI 1447228788
  Medicare reassignment Care Compare group NPD
• Megha Nayyar Gupta MD Inc.

  • Diagnostic Radiology Physician
  • Victorville, CA
  • NPI 1669234670

  IL

  Medicare reassignment NPD
• Associated Imaging Specialists

  • Diagnostic Radiology Physician
  • Elgin, IL
  • NPI 1366493256
  Medicare reassignment NPD
• Cdi Geneva LLC

  dba Rayus Radiology

  • Diagnostic Radiology Physician
  • Geneva, IL
  • NPI 1245490903
  NPD
• Sol Radiology, Inc.

  dba SOL Medical Imaging Center

  • Diagnostic Radiology Physician
  • Victorville, CA
  • NPI 1851163984
  NPD (past)
• Beloit Health System Inc

  dba At-Home Healthcare

  • Home Health Agency
  • Beloit, WI
  • NPI 1841244282
  NPD (past)
• Rochelle Community Hospital Association

  • Medicare Defined Swing Bed Hospital Unit
  • Rochelle, IL
  • NPI 1346207669
  NPD (past)

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

• Desert Valley Hospital, LLC

  dba Desert Valley Hospital

  • General Acute Care Hospital
  • Victorville, CA
  • NPI 1851396576
  Care Compare affiliation
• Prime Healthcare Services - Shasta LLC

  • General Acute Care Hospital
  • Redding, CA
  • NPI 1205089026
  Care Compare affiliation
• Carlinville Area Hospital Association

  dba Carlinville Area Hospital

  • Critical Access Hospital
  • Carlinville, IL
  • NPI 1053425124
  Care Compare affiliation
• Hillsboro Area Hospital, Inc.

  • Critical Access Hospital
  • Hillsboro, IL
  • NPI 1194705210
  Care Compare affiliation
• Hillsboro Area Hospital, Inc.

  dba Hillsboro Area Hospital Primary Care Clinic

  • Rural Health Clinic/Center
  • Hillsboro, IL
  • NPI 1811774771

  Hospital

  Care Compare affiliation
• Salem Township Hospital

  • Critical Access Hospital
  • Salem, IL
  • NPI 1295739548
  Care Compare affiliation

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

{
    "created_epoch": "1274918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746662400000",
    "number": "1669791893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1229 BULL VALLEY DR",
            "city": "WOODSTOCK",
            "state": "IL",
            "postal_code": "600988084",
            "telephone_number": "847-533-6498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12490 BUSINESS CENTER DR STE 200",
            "city": "VICTORVILLE",
            "state": "CA",
            "postal_code": "923955833",
            "telephone_number": "760-728-1900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1229 Bull Valley Dr",
            "address_purpose": "LOCATION",
            "city": "Woodstock",
            "state": "IL",
            "postal_code": "600988084",
            "country_code": "US",
            "telephone_number": "847-533-6498",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "77 N Airlite St",
            "address_purpose": "LOCATION",
            "city": "Elgin",
            "state": "IL",
            "postal_code": "60123",
            "country_code": "US",
            "telephone_number": "847-695-8850",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCONNELL",
        "first_name": "MICHAEL",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-05-27",
        "last_updated": "2025-05-08",
        "certification_date": "2025-05-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "20A20719",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IL",
            "license": "036.139705",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "036.139705",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chanel McCampbell
• Amber C McCarter, FNP-C
• Glenda McCauley
• Tess McClellan
• Yvonne Monique McCombs
• Charles Keith McCord, P.A.
• Miranda McCormack
• Nimi McCoy, RPH
• Jada Rayshill McCullough
• Quincy Eugene McCullough

• Diagnostic Radiology Physician in Victorville, CA
• Providers in Victorville, CA by specialty
• Diagnostic Radiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.