Individual provider Active NPI

Evaldas Radzevicius, MD

  • Psychiatry Physician
  • Orland Park, IL
National Provider Identifier
1750376869
Registry record updated May 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
036126035 Issued in IL
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, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
036126035MedicaidIL
K377OtherALMEDICARE GROUP
009984865MedicaidAL
P00358766OtherALMEDICARE 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110112000774 IL Practitioner - Psychiatry 8325014418 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1994
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Silver Oaks Behavioral, LLCGroup PAC ID 4183976434, 11 clinicians
Evaldas Radzevicius P.C.Group PAC ID 1658524939, 2 clinicians
Institute of Neurobehavior Services SCGroup PAC ID 7618107608, 9 clinicians

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

LicenseStateTypeSpecialty
24217ALMDFamily Psychologist
036126035ILMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Institute of Neurobehavior Services SC Psychiatry CurrentSince Jan 1, 2014 Accepting new patients
Silver Oaks Behavioral, LLC CurrentSince Jun 1, 2021 Accepting new patients
BHC Streamwood Hospital Inc. CurrentSince Oct 8, 2018 Accepting new patients
The McGrath Clinic Past Accepting new patients
NWMC Winfield Physicians LLC Psychiatry PastSince Mar 1, 2020 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 PastSince Aug 2, 2004 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

  • FHIR API: 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.

Hospital & facility affiliations 2

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": "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

Verify at the official NPI Registry.