Active NPI
Evaldas Radzevicius, MD
- Psychiatry Physician
- Orland Park, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 036126035
- Practice address
- 14315 108TH Ave
Ste 215
Orland Park, IL 60467-5701 - Phone
- (708) 966-0993
- Fax
- (708) 966-0997
- NPI assigned
- Sep 14, 2005
- Reactivated
- Mar 28, 2006
- Last updated
- May 12, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Psychologist | 103TF0000X | 24217 | AL | |
| Psychiatry Physician | 2084P0800X | 036126035 | IL | Primary |
Addresses
Primary practice location
14315 108TH Ave
Ste 215
Orland Park, IL 60467-5701
Mailing address
14315 108TH Ave
Ste 215
Orland Park, IL 60467-5701
Phone (708) 966-0993
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036126035 | Medicaid | IL | |
| K377 | Other | AL | MEDICARE GROUP |
| 009984865 | Medicaid | AL | |
| P00358766 | Other | AL | MEDICARE ID |
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
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Other, 1994
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1004 Pawlak Pkwy
New Lenox, IL 60451-9401
Phone (844) 580-5000
14315 108TH Ave
Suite 215
Orland Park, IL 60467-5701
Phone (708) 966-0993
14315 S 108TH Ave
Suite 215
Orland Park, IL 60462-5701
Phone (708) 586-9751
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 24217 | AL | MD | Family Psychologist |
| 036126035 | IL | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Institute of Neurobehavior Services SC | Psychiatry | Current | Accepting new patients |
| Silver Oaks Behavioral, LLC | Current | Accepting new patients | |
| BHC Streamwood Hospital Inc. | Current | Accepting new patients | |
| The McGrath Clinic | Past | Accepting new patients | |
| NWMC Winfield Physicians LLC | Psychiatry | Past | Accepting new patients |
| Riverbend Center for Mental Health | Past | Accepting new patients | |
| NWMC-Winfield Physician Practices, LLC | Past | Accepting new patients | |
| The McGrath Clinic S C | Past | Accepting new patients |
Locations
1004 Pawlak Pkwy
New Lenox, IL 60451
Phone (815) 215-3300
14315 108th Ave
Ste 215
Orland Park, IL 60467
Phone (708) 586-9751
1400 E Irving Park Rd
Streamwood, IL 60107
Phone (630) 483-5578
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/EBBFBD
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Psychiatry Physician
- Orland Park, IL
- NPI 1346661139
-
- Psychiatry Physician
- Flossmoor, IL
- NPI 1952677718
-
dba Silver Oaks Behavioral Hospital
- Psychiatric Hospital
- New Lenox, IL
- NPI 1376020479
-
dba Streamwood Behavioral Health Center
- Psychiatric Hospital
- Streamwood, IL
- NPI 1619916822
-
- Psychiatric Hospital Unit
- Orland Park, IL
- NPI 1265585400
-
- Mental Health Counselor
- Orland Park, IL
- NPI 1952452971
-
dba Northwest Emergency Physicians Group
- Emergency Medical Services (Emergency Medicine) Physician
- Winfield, AL
- NPI 1609019157
-
- Community/Behavioral Health Agency
- Florence, AL
- NPI 1508822313
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rehabilitation Hospital Unit
- New Lenox, IL
- NPI 1003933797
-
dba Silver Cross Hospital
- General Acute Care Hospital
- New Lenox, IL
- NPI 1568553519
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126656000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1589241600000",
"number": "1750376869",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14315 108TH AVE",
"address_2": "STE 215",
"city": "ORLAND PARK",
"state": "IL",
"postal_code": "604675701",
"telephone_number": "708-966-0993",
"fax_number": "708-966-0997"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14315 108TH AVE",
"address_2": "STE 215",
"city": "ORLAND PARK",
"state": "IL",
"postal_code": "604675701",
"telephone_number": "708-966-0993",
"fax_number": "708-966-0997"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RADZEVICIUS",
"first_name": "EVALDAS",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-14",
"last_updated": "2020-05-12",
"certification_date": "2020-05-12",
"deactivation_date": "2006-03-23",
"reactivation_date": "2006-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "103TF0000X",
"taxonomy_group": "",
"desc": "Psychologist, Family",
"state": "AL",
"license": "24217",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "IL",
"license": "036126035",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036126035",
"state": "IL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP",
"identifier": "K377",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009984865",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE ID",
"identifier": "P00358766",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Orland Park, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2020; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.