Individual provider Active NPI

Daniel S Koscielski, MD

  • Diagnostic Radiology Physician
  • Oak Lawn, IL
National Provider Identifier
1679557417
Registry record updated Feb 24, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
036113907 Issued in IL
Practice address
4440 W 95TH St
Oak Lawn, IL 60453-2600
Phone
(708) 648-5520
NPI assigned
Dec 5, 2005
Last updated
Feb 24, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
036113907MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, GA, WI3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20050815000678 IL Practitioner - Diagnostic Radiology 7113957606 Reassigns benefits to 6 organizations
I20140620001181 GA Practitioner - Diagnostic Radiology 7113957606 Reassigns benefits to 1 organization
I20250723003017 WI Practitioner - Diagnostic Radiology 7113957606 Reassigns benefits to 2 organizations

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
Specialists in Medical Imaging SCGroup PAC ID 2163733544, 228 clinicians
Medical X-Ray Consultants LTDGroup PAC ID 3274447313, 38 clinicians
Tomah Memorial Hospital IncGroup PAC ID 6901897016, shared by 4 NPIs, 54 clinicians
Advanced Radiology, S.C.Group PAC ID 2365339207, 57 clinicians

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

LicenseStateTypeSpecialty
036113907ILMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tomah Memorial Hospital Inc CurrentSince Nov 1, 2025 Accepting new patients
Tomah Memorial Hospital Inc CurrentSince Jul 1, 2025 Accepting new patients
Medical X-Ray Consultants, LTD Diagnostic Radiology CurrentSince Sep 8, 2025 Accepting new patients
Jackson Park Hospital Foundation Current Accepting new patients
Louisville Radiology Imaging Consultants, PLLC Diagnostic Radiology CurrentSince Mar 1, 2013 Accepting new patients
Advanced Radiology, S.C. Diagnostic Radiology CurrentSince Apr 5, 2025 Accepting new patients
Radiology Associates of Appleton, S.C. Diagnostic Radiology CurrentSince Aug 19, 2024 Accepting new patients
Specialists in Medical Imaging SC Diagnostic Radiology CurrentSince Mar 11, 2018 Accepting new patients
Radiology Partners of Iowa Inc Diagnostic Radiology CurrentSince Jun 25, 2017 Accepting new patients
Tomah Memorial Hospital Inc Diagnostic Radiology CurrentSince Jul 1, 2025 Accepting new patients
Medical Xray Consultants, LTD PastSince May 16, 2021 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

  • Direct secure messaging: danielkoscielski@jph.medalliesdirect.net
  • Direct secure messaging: 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.

Hospital & facility affiliations 6

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

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

Verify at the official NPI Registry.