Active NPI
Daniel S Koscielski, MD
- Diagnostic Radiology Physician
- Oak Lawn, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 036113907
- Practice address
- 4440 W 95TH St
Oak Lawn, IL 60453-2600 - Phone
- (708) 648-5520
- NPI assigned
- Dec 5, 2005
- Last updated
- Feb 24, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 036113907 | IL | Primary |
Addresses
Primary practice location
4440 W 95TH St
Oak Lawn, IL 60453-2600
Mailing address
37241 Eagle Way
Chicago, IL 60678-1372
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036113907 | Medicaid | IL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, GA, WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- University of Wisconsin School of Medicine, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Tomah Memorial Hospital Inc
Practice addresses (Care Compare)
1 Ingalls Dr
Harvey, IL 60426-3558
Phone (309) 671-8282
1201 Pine St
Eldorado, IL 62930-1634
Phone (309) 671-8282
1418 College Dr
Mount Carmel, IL 62863-2638
Phone (309) 671-8282
20201 Crawford Ave
Olympia Fields, IL 60461-1010
Phone (309) 671-8282
2650 Ridge Ave
Evanston, IL 60201-1700
Phone (920) 738-6536
3333 W Deyoung St
Marion, IL 62959-5884
Phone (309) 671-8282
3837 N Hoyne Ave
Chicago, IL 60618-3907
Phone (715) 834-5511
501 Gopher Dr
Tomah, WI 54660-4513
Phone (608) 372-2181
600 S 13TH St
Pekin, IL 61554-4936
Phone (309) 671-8282
6116 N Wolcott Ave
Chicago, IL 60660-2324
Phone (715) 839-4151
615 Valley View Dr
Moline, IL 61265-6150
Phone (309) 762-1072
6701 159TH St
Suite 107
Tinley Park, IL 60477-1758
Phone (309) 671-8282
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036113907 | IL | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tomah Memorial Hospital Inc | Current | Accepting new patients | |
| Tomah Memorial Hospital Inc | Current | Accepting new patients | |
| Medical X-Ray Consultants, LTD | Diagnostic Radiology | Current | Accepting new patients |
| Jackson Park Hospital Foundation | Current | Accepting new patients | |
| Louisville Radiology Imaging Consultants, PLLC | Diagnostic Radiology | Current | Accepting new patients |
| Advanced Radiology, S.C. | Diagnostic Radiology | Current | Accepting new patients |
| Radiology Associates of Appleton, S.C. | Diagnostic Radiology | Current | Accepting new patients |
| Specialists in Medical Imaging SC | Diagnostic Radiology | Current | Accepting new patients |
| Radiology Partners of Iowa Inc | Diagnostic Radiology | Current | Accepting new patients |
| Tomah Memorial Hospital Inc | Diagnostic Radiology | Current | Accepting new patients |
| Medical Xray Consultants, LTD | Past | Accepting new patients |
Locations (25 of 26)
710 Center St
Columbus, GA 31901
Phone (706) 571-1000
1001 Pennsylvania Ave
Ottumwa, IA 52501
Phone (641) 472-4111
1937 Momentum Pl
Chicago, IL 60689
7531 S Stony Island Ave
Chicago, IL 60649
Phone (773) 947-7310
2650 Ridge Ave
Evanston, IL 60201
Phone (847) 570-1206
112 E Clark St
Harrisburg, IL 62946
Phone (618) 252-8337
1 Ingalls Dr
Harvey, IL 60426
Phone (708) 333-2300
615 Valley View Dr
Ste 102
Moline, IL 61265
Phone (309) 762-7227
4440 W 95th St
Oak Lawn, IL 60453
Phone (708) 346-5520
600 S 13th St
Pekin, IL 61554
Phone (309) 347-1151
111 Spring St
Streator, IL 61364
Phone (815) 672-4587
811 E Parrish Ave
Owensboro, KY 42303
Phone (270) 684-8611
1625 Nashville St
Russellville, KY 42276
Phone (270) 726-4011
12554 Riata Vista Cir
Austin, TX 78727
Phone (512) 519-3462
7600 W Tidwell Rd
Ste 103
Houston, TX 77040
1000 Oakleaf Way
Altoona, WI 54720
Phone (715) 831-8130
1818 N Meade St
Appleton, WI 54911
Phone (920) 731-4101
225 Memorial Dr
Berlin, WI 54923
Phone (920) 361-1313
1705 16th Ave
Cumberland, WI 54829
Phone (715) 822-7222
1720 Harding Ave
Eau Claire, WI 54701
305 E 12th St
Kaukauna, WI 54130
Phone (920) 731-3111
130 2nd St
Neenah, WI 54956
Phone (920) 729-2063
100 Cty Road B
Shawano, WI 54166
Phone (715) 524-2161
1120 Pine St
Stanley, WI 54768
Phone (715) 644-5530
501 Gopher Dr
Tomah, WI 54660
Phone (608) 371-2181
Interoperability endpoints
- danielkoscielski@jph.medalliesdirect.net
- dkoscielskimd242600@uchospital.direct-ci.com
Organizations & group practices 12
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.
-
- Diagnostic Radiology Physician
- Rock Island, IL
- NPI 1790773539
-
- Diagnostic Radiology Physician
- Olympia Fields, IL
- NPI 1841687951
-
- Vascular & Interventional Radiology Physician
- Alexandria, MN
- NPI 1386601383
Diagnostic Radiology, IL
-
- Diagnostic Radiology Physician
- Appleton, WI
- NPI 1841229093
IL
-
- Diagnostic Radiology Physician
- Owensboro, KY
- NPI 1639115447
IL
-
dba Tomah Health
- Critical Access Hospital
- Tomah, WI
- NPI 1992970453
Diagnostic Radiology
-
- Diagnostic Radiology Physician
- Harvey, IL
- NPI 1831461771
GA
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1497750699
-
dba Tomah Memorial Hospital
- Medicare Defined Swing Bed Hospital Unit
- Tomah, WI
- NPI 1205978046
-
dba MXC Neurosurgical Services
- Neurological Surgery Physician
- Alexandria, MN
- NPI 1679838023
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Deaconess Illinois Medical Center
- General Acute Care Hospital
- Marion, IL
- NPI 1750007266
-
- Critical Access Hospital
- Fairfield, IL
- NPI 1255422416
-
- General Acute Care Hospital
- Olympia Fields, IL
- NPI 1588771919
-
- General Acute Care Hospital
- Harvey, IL
- NPI 1598756686
-
- Critical Access Hospital
- Mount Carmel, IL
- NPI 1194728808
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133740800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1424736000000",
"number": "1679557417",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "37241 EAGLE WAY",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606781372"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4440 W 95TH ST",
"city": "OAK LAWN",
"state": "IL",
"postal_code": "604532600",
"telephone_number": "708-648-5520"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOSCIELSKI",
"first_name": "DANIEL",
"middle_name": "S",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-05",
"last_updated": "2015-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "IL",
"license": "036113907",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036113907",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Oak Lawn, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2015; 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.