Individual provider Active NPI

Steven Dondlinger, M.D.

  • Diagnostic Radiology Physician
  • Peoria, IL
National Provider Identifier
1720441959
Registry record updated Nov 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
70399 Issued in MN
Practice address
530 NE Glen Oak Ave
Peoria, IL 61637-7399
Phone
(309) 655-2000
NPI assigned
Apr 4, 2016
Last updated
Nov 16, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Diagnostic Radiology Physician 2085R0202X 036-166128 IL
Diagnostic Radiology Physician 2085R0202X 2020-00821 NC
Diagnostic Radiology Physician 2085R0202X 70399 MN Primary

Addresses

Primary practice location

530 NE Glen Oak Ave
Peoria, IL 61637-7399

Mailing address

111 Oakwood Rd
East Peoria, IL 61611-1853
Phone (309) 740-4272

Other practice location 1

7595 Anagram Dr
Eden Prairie, MN 55344-7399
Phone (612) 573-2200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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
I20220413001715 MN Practitioner - Diagnostic Radiology 4082010905 Reassigns benefits to 12 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ridgeview Medical CenterGroup PAC ID 9234041997, 407 clinicians

Practice addresses (Care Compare)

111 Hundertmark Rd
Chaska, MN 55318-4551
Phone (952) 856-4001

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-166128ILMDDiagnostic Radiology Physician
70399MNMDDiagnostic Radiology Physician
2020-00821NCMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Warren Community Hospital, Inc. CurrentSince Aug 31, 2023 Accepting new patients
Minnesota Valley Health Center Inc CurrentSince Aug 7, 2025 Accepting new patients
Allina Health System CurrentSince Jun 1, 2022 Accepting new patients
Allina Health System CurrentSince Dec 31, 2022 Accepting new patients
Stevens Community Medical Center Inc CurrentSince Jul 1, 2022 Accepting new patients
Stevens Community Medical Center Inc. Current Accepting new patients
St. Francis Regional Medical Center CurrentSince Jun 1, 2022 Accepting new patients
Allina Health System Current Accepting new patients
Ridgeview Medical Center Current Accepting new patients
Central Illinois Radiological Associates, LTD. Diagnostic Radiology CurrentSince Sep 11, 2023 Accepting new patients
Mankato Clinic LTD Diagnostic Radiology CurrentSince Jun 1, 2022 Accepting new patients
Stevens Community Medical Center Inc CurrentSince Jul 1, 2022 Accepting new patients
Noran Neurological Clinic P.a. CurrentSince Nov 15, 2022 Accepting new patients
Minnesota Valley Health Center Inc Current Accepting new patients
Sibley Medical Center CurrentSince Apr 13, 2024 Accepting new patients
Ridgeview Medical Center Diagnostic Radiology CurrentSince Jun 1, 2022 Accepting new patients
Madelia Health Current Accepting new patients
Allina Health System CurrentSince Jun 1, 2022 Accepting new patients
St Francis Regional Medical Center CurrentSince Jun 1, 2022 Accepting new patients
Consulting Radiologists, LTD Diagnostic Radiology PastSince Jun 1, 2022 Accepting new patients
Quest Diagnostics LLC Il PastSince Nov 15, 2022 Accepting new patients

Locations

5200 Reliable Pkwy
Chicago, IL 60686
Phone (309) 671-8748

111 Oakwood Rd
Peoria, IL 61611
Phone (586) 412-4144

530 NE Glen Oak Ave
Peoria, IL 61637
Phone (309) 655-2553

440 Elm St E
Annandale, MN 55302
Phone (320) 682-5225

601 W Chandler St
Arlington, MN 55307
Phone (507) 964-2271

7907 Powers Blvd
Chanhassen, MN 55317
Phone (952) 934-0570

111 Hundertmark Rd
Chaska, MN 55318
Phone (952) 361-2447

111 Hundertmark Rd
Ste 130
Chaska, MN 55318
Phone (952) 456-7400

1805 Hennepin Ave N
Glencoe, MN 55336
Phone (320) 864-3121

265 Creek Ln S
Jordan, MN 55352
Phone (952) 428-1200

621 S 4th St
Le Sueur, MN 56058
Phone (507) 665-3375

121 Drew Ave SE
Madelia, MN 56062
Phone (507) 642-3255

1230 E Main St
Mankato, MN 56001
Phone (507) 389-8502

2215 Park Ave
Minneapolis, MN 55404
Phone (612) 775-8800

2828 Chicago Ave
Ste 200
Minneapolis, MN 55407
Phone 61287910001502

2925 Chicago Ave
#10957
Minneapolis, MN 55407
Phone (612) 262-8640

3601 Minnesota Dr
Ste 200
Minneapolis, MN 55435
Phone (952) 992-5691

800 E 28th St
Minneapolis, MN 55407
Phone (612) 863-3547

400 E 1st St
Morris, MN 56267
Phone (320) 589-1313

1455 Saint Francis Ave
Shakopee, MN 55379
Phone (952) 403-2200

500 S Maple St
Waconia, MN 55387
Phone (612) 442-2191

300 W Good Samaritan Dr
Warren, MN 56762
Phone (218) 745-4211

Organizations & group practices 22

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 22

Hospital & facility affiliations 3

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": "1459728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700092800000",
    "number": "1720441959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "111 OAKWOOD RD",
            "city": "EAST PEORIA",
            "state": "IL",
            "postal_code": "616111853",
            "telephone_number": "309-740-4272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 NE GLEN OAK AVE",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616377399",
            "telephone_number": "309-655-2000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7595 Anagram Dr",
            "address_purpose": "LOCATION",
            "city": "Eden Prairie",
            "state": "MN",
            "postal_code": "553447399",
            "country_code": "US",
            "telephone_number": "612-573-2200",
            "fax_number": "612-573-2250",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DONDLINGER",
        "first_name": "STEVEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-04-04",
        "last_updated": "2023-11-16",
        "certification_date": "2023-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IL",
            "license": "036-166128",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NC",
            "license": "2020-00821",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MN",
            "license": "70399",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, IL

Sources for this page

Verify at the official NPI Registry.