Individual provider Active NPI

David B Granato, MD

  • Diagnostic Radiology Physician
  • Des Plaines, IL
National Provider Identifier
1720055320
Registry record updated Sep 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
036080275 Issued in IL
Practice address
1455 Golf Rd
Ste 212
Des Plaines, IL 60016
Phone
(847) 297-1800
Fax
(847) 297-2757
NPI assigned
Mar 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2018

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 036080275 IL Primary

Addresses

Primary practice location

1455 Golf Rd
Ste 212
Des Plaines, IL 60016

Mailing address

6910 S Madison St
Willowbrook, IL 60527
Phone (630) 321-2788

Other practice location 1

205 S Northwest Hwy Ste 110
Park Ridge, IL 60068-5802
Phone (773) 990-7684

Other practice location 2

3101 N Harlem Ave
Chicago, IL 60634-4543
Phone (773) 836-9360

Other identifiers 4

IdentifierTypeStateIssuer
300024281OtherRR
036080275MedicaidIL
CN0576OtherGR
1615479OtherBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20040507000064 IL Practitioner - Diagnostic Radiology 5395734230 Reassigns benefits to 3 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Spectrum Imaging SC CurrentSince Jul 19, 2017 Accepting new patients
Fahey Medical Center S.C. Current Accepting new patients
Specialists in Medical Imaging, SC Diagnostic Radiology CurrentSince Feb 1, 2019 Accepting new patients
Illinois Bone and Joint Institute LLC CurrentSince Jan 1, 2007 Accepting new patients
Illinois Bone and Joint Institute, LLC CurrentSince Jan 1, 2007 Accepting new patients
JDC Partners PLLC Diagnostic Radiology PastSince Oct 14, 2025 Accepting new patients
Scancare Diagnostics LLC PastSince Jul 19, 2017 Accepting new patients
Illinois Bone and Joint Institute Past Accepting new patients
American Home Visiting Physicians Past Accepting new patients

Locations

1300 E Central Rd
Arlington Hts, IL 60005
Phone (847) 255-5036

2101 Waukegan Rd
Ste 110
Bannockburn, IL 60015
Phone (847) 914-9096

5057 Paysphere Cir
Chicago, IL 60674

3101 N Harlem Ave
Chicago, IL 60634
Phone (773) 836-9360

7435 W Talcott Ave
Chicago, IL 60631
Phone (773) 467-9977

150 N River Rd
Ste 100
Des Plaines, IL 60016
Phone (847) 298-0310

581 E Golf Rd
Des Plaines, IL 60016
Phone (847) 297-2240

900 Rand Rd
Ste 100
Des Plaines, IL 60016
Phone (847) 954-7600

100 N River Rd
Des Plaines, IL 60016
Phone (847) 297-1800

2401 Ravine Way
Ste 101
Glenview, IL 60025
Phone (847) 662-4380

716 Florsheim Dr
Libertyville, IL 60048
Phone (847) 918-9077

9000 Waukegan Rd
Morton Grove, IL 60053
Phone (847) 213-2700

205 S Northwest Hwy
Ste 120
Park Ridge, IL 60068
Phone (847) 292-5200

205 S Northwest Hwy
Ste 110
Park Ridge, IL 60068
Phone (773) 990-7684

1875 W Dempster St
Ste 405
Park Ridge, IL 60068
Phone (312) 372-6644

600 S 13th St
Pekin, IL 61554
Phone (309) 347-1151

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/Freedom_IBJI
  • FHIR API: https://epicproxy.et1195.epichosted.com/fhirproxy/api/FHIR/R4/

Organizations & group practices 9

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": "1141257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536796800000",
    "number": "1720055320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6910 S MADISON ST",
            "city": "WILLOWBROOK",
            "state": "IL",
            "postal_code": "60527",
            "telephone_number": "630-321-2788",
            "fax_number": "630-323-1699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1455 GOLF RD",
            "address_2": "STE 212",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "60016",
            "telephone_number": "847-297-1800",
            "fax_number": "847-297-2757"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "205 S Northwest Hwy Ste 110",
            "address_purpose": "LOCATION",
            "city": "Park Ridge",
            "state": "IL",
            "postal_code": "600685802",
            "country_code": "US",
            "telephone_number": "773-990-7684",
            "fax_number": "773-792-5124",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3101 N Harlem Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606344543",
            "country_code": "US",
            "telephone_number": "773-836-9360",
            "fax_number": "773-914-2469",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRANATO",
        "first_name": "DAVID",
        "middle_name": "B",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-02",
        "last_updated": "2018-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IL",
            "license": "036080275",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR",
            "identifier": "300024281",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036080275",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GR",
            "identifier": "CN0576",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "1615479",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Des Plaines, IL

Sources for this page

Verify at the official NPI Registry.