Active NPI
David B Granato, MD
- Diagnostic Radiology Physician
- Des Plaines, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 036080275
- 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
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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 300024281 | Other | RR | |
| 036080275 | Medicaid | IL | |
| CN0576 | Other | GR | |
| 1615479 | Other | BCBS |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Spectrum Imaging SC | Current | Accepting new patients | |
| Fahey Medical Center S.C. | Current | Accepting new patients | |
| Specialists in Medical Imaging, SC | Diagnostic Radiology | Current | Accepting new patients |
| Illinois Bone and Joint Institute LLC | Current | Accepting new patients | |
| Illinois Bone and Joint Institute, LLC | Current | Accepting new patients | |
| JDC Partners PLLC | Diagnostic Radiology | Past | Accepting new patients |
| Scancare Diagnostics LLC | Past | 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
- https://app.meldrx.com/api/fhir/Freedom_IBJI
- 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.
-
- Orthopaedic Surgery Physician
- Bannockburn, IL
- NPI 1205922432
IL
-
- Diagnostic Radiology Physician
- Olympia Fields, IL
- NPI 1841687951
Diagnostic Radiology, IL
-
- Clinic/Center
- Des Plaines, IL
- NPI 1780735977
-
- Orthopaedic Surgery Physician
- Arlington Heights, IL
- NPI 1962219568
-
- General Practice Physician
- Des Plaines, IL
- NPI 1144525510
-
- Orthopaedic Surgery Physician
- Morton Grove, IL
- NPI 1144269051
-
- Mobile Radiology Clinic/Center
- Chicago, IL
- NPI 1154744654
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2018; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.