Individual provider Active NPI

George A Radich, MD

  • Diagnostic Radiology Physician
  • Chicago, IL
National Provider Identifier
1720026669
Registry record updated Jun 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
036-113926 Issued in IL
Practice address
2900 N Lake Shore Dr
Chicago, IL 60657-5640
Phone
(773) 665-3240
NPI assigned
Jun 3, 2006
Last updated
Jun 27, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2012

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 036-113926 IL Primary

Addresses

Primary practice location

2900 N Lake Shore Dr
Chicago, IL 60657-5640

Mailing address

2900 N Lake Shore Dr
Chicago, IL 60657-5640
Phone (773) 665-3240

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, NY2 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

Enrollment IDStateProvider typePAC IDDetails
I20060825000097 IL Practitioner - Diagnostic Radiology 8325041700 Reassigns benefits to 4 organizations
I20231114000190 NY Practitioner - Diagnostic Radiology 8325041700 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Loyola University of Chicago, Stritch School of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Western New York Radiology Associates LLCGroup PAC ID 3072402296, 27 clinicians
Kaleida HealthGroup PAC ID 7810805280, 214 clinicians
Great Lakes Medical Imaging LLCGroup PAC ID 2163681859, 42 clinicians
Radiology Consultants of Rockford LTDGroup PAC ID 3274596572, 24 clinicians
General Physician PCGroup PAC ID 9537213079, 488 clinicians

Practice addresses (Care Compare)

100 High St
Buffalo, NY 14203-1126
Phone (716) 332-8078

111 N Maplemere Rd
Suite 120
Williamsville, NY 14221-3178
Phone (716) 836-4646

1215 N Alpine Rd
Rockford, IL 61107-2201
Phone (815) 391-7800

3857 N Oakley Ave
Chicago, IL 60618-3813
Phone (580) 355-8699

535 Main St
Olean, NY 14760-1500
Phone (716) 372-0141

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
45.23 of 100Reported as group
Quality
27.79
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
93.95 of 100Reported as group
Quality
90.59
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-113926ILMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Radiology Consultants of Rockford LTD Diagnostic Radiology CurrentSince Sep 1, 2022 Accepting new patients
Comanche County Hospital Authority Southwest Radiology Diagnostic Radiology CurrentSince Sep 20, 2022 Accepting new patients
Olean Medical Practice PLLC Current Accepting new patients
Western New York Radiology Associates LLC Diagnostic Radiology CurrentSince Nov 2, 2023 Accepting new patients
University Orthopaedic Services Inc. CurrentSince Nov 1, 2024 Accepting new patients
University Orthopaedic Services, Inc CurrentSince Nov 1, 2024 Accepting new patients
General Physician, PC CurrentSince Oct 1, 2024 Accepting new patients
SHPS, PLLC Diagnostic Radiology CurrentSince Sep 1, 2022 Accepting new patients
Great Lakes Medical Imaging LLC Diagnostic Radiology CurrentSince Nov 2, 2023 Accepting new patients
SHPS PLLC Diagnostic Radiology CurrentSince Sep 1, 2022 Accepting new patients
Eastpointe Radiologists, P.C. Diagnostic Radiology CurrentSince Jul 26, 2023 Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients
Eastpointe Radiologists, PC Diagnostic Radiology Past Accepting new patients
Midwest Imaging Professionals, LLC Diagnostic Radiology Past Accepting new patients
Chicago Imaging Associates, LLC Diagnostic Radiology Past Accepting new patients
Mercy Health Physicians Kentucky LLC Past Accepting new patients

Locations (25 of 30)

39020 Eagle Way
Chicago, IL 60678

3 Erie Ct
Oak Park, IL 60302
Phone (708) 763-6200

1215 N Alpine Rd
Rockford, IL 61107
Phone (815) 391-7700

1340 Charles St
Ste 404
Rockford, IL 61104
Phone (815) 229-2300

1530 Lone Oak Rd
Paducah, KY 42003
Phone (270) 444-2444

36750 26 Mile Rd
Chesterfield, MI 48047
Phone (586) 879-2000

51307 Gratiot Ave
Chesterfield, MI 48051
Phone (586) 741-3772

43900 Garfield Rd
Ste 222
Clinton Twp, MI 48038
Phone (586) 263-1234

22101 Moross Rd
Detroit, MI 48236
Phone (313) 343-3248

4100 S River Rd
East China, MI 48054
Phone (810) 329-6677

17141 Kercheval Ave
Grosse Pointe, MI 48230
Phone (313) 642-4980

17700 23 Mile Rd
Macomb, MI 48044
Phone (586) 416-7500

46591 Romeo Plank Rd
Macomb, MI 48044
Phone (586) 226-6269

46591 Romeo Plank Rd
Ste 220
Macomb, MI 48044
Phone (586) 226-6170

27351 Dequindre Rd
Madison Hts, MI 48071
Phone (248) 967-7000

13350 24 Mile Rd
Ste 200
Shelby Township, MI 48315
Phone (586) 566-7100

21000 E 12 Mile Rd
St Clr Shores, MI 48081
Phone (586) 447-5000

11800 E 12 Mile Rd
Warren, MI 48093
Phone (586) 573-5000

64580 Van Dyke Rd
Ste C
Washington Township, MI 48095
Phone (586) 752-9483

100 High St
Buffalo, NY 14203
Phone (716) 632-3700

160 Farber Hall
Buffalo, NY 14214
Phone (716) 829-2070

4949 Harlem Rd
Buffalo, NY 14226
Phone (716) 204-3201

3085 Harlem Rd
Ste 150
Cheektowaga, NY 14225
Phone (716) 844-5300

445 Tremont St
North Tonawanda, NY 14120
Phone (716) 690-2291

535 Main St
Olean, NY 14760
Phone (716) 372-0141

Interoperability endpoints

  • Direct secure messaging: gradich1145322@direct.hfhs.org

Organizations & group practices 18

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.

View all 18

Hospital & facility affiliations 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340755200000",
    "number": "1720026669",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 N LAKE SHORE DR",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606575640",
            "telephone_number": "773-665-3240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 N LAKE SHORE DR",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606575640",
            "telephone_number": "773-665-3240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RADICH",
        "first_name": "GEORGE",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-03",
        "last_updated": "2012-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IL",
            "license": "036-113926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.