Active NPI
Jeffrey D Radawski, M.D.
- Radiation Oncology Physician
- Rockford, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- License
- 036168582
- Practice address
- 3535 N Bell School Rd
Rockford, IL 61114-6624 - Phone
- (779) 696-9400
- NPI assigned
- May 6, 2008
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiation Oncology Physician | 2085R0001X | 57.013354 | OH | |
| Radiation Oncology Physician | 2085R0001X | 01092188A | IN | |
| Surgery Physician | 208600000X | 57.013354 | OH | |
| Radiation Oncology Physician | 2085R0001X | 036168582 | IL | Primary |
Addresses
Primary practice location
3535 N Bell School Rd
Rockford, IL 61114-6624
Mailing address
200 N Park St
Kalamazoo, MI 49007-3731
Phone (269) 373-7488
Other practice location 1
200 N Park St
Kalamazoo, MI 49007-3731
Phone (269) 373-7488
Other practice location 2
1025 Michigan Ave Ste 15
Logansport, IN 46947-1593
Phone (574) 753-9000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750557047 | Medicaid | MI | |
| 1588778484 | Other | MI | BCBSM - WMCC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI, WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Radiation Oncology
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2009 5TH St
Monroe, WI 53566-1546
Phone (608) 324-2000
480 E Division St
Fond Du Lac, WI 54935-3734
Phone (920) 926-4100
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036168582 | IL | MD | Radiation Oncology Physician |
| 57.013354 | OH | MD | Radiation Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Monroe Clinic, Inc. | Current | Accepting new patients | |
| Covenant Medical Center, Inc | Radiation Oncology | Current | Accepting new patients |
| Covenant Medical Center, Inc. | Current | Accepting new patients | |
| Agnesian Healthcare, Inc | Current | Accepting new patients | |
| The Monroe Clinic, Inc. | Current | Accepting new patients | |
| West Michigan Cancer Center | Radiation Oncology | Current | Accepting new patients |
| West Michigan Cancer Center | Radiation Oncology | Current | Accepting new patients |
| Swedishamerican Hospital | Current | Accepting new patients | |
| Agnesian Healthcare Inc | Current | Accepting new patients | |
| Agnesian Healthcare Inc | Surgery | Current | Accepting new patients |
Locations
3535 N Bell School Rd
Rockford, IL 61114
Phone (779) 696-9400
2550 Charles St
Rockford, IL 61108
Phone (779) 696-7285
6824 Newburg Rd
Rockford, IL 61108
Phone (779) 696-7610
200 N Park St
Kalamazoo, MI 49007
Phone (269) 373-7453
5400 Mackinaw Rd
Saginaw, MI 48604
Phone (989) 583-5200
1447 N Harrison St
Saginaw, MI 48602
Phone (989) 583-4220
480 E Division St
Fond du Lac, WI 54935
Phone (800) 236-1428
420 E Division St
Fond du Lac, WI 54935
Phone (920) 923-7400
1808 W Beltline Hwy
Madison, WI 53713
Phone (608) 250-1497
2009 5th St
Monroe, WI 53566
Phone (608) 324-1454
515 22nd Ave
Monroe, WI 53566
Phone (608) 324-1000
Interoperability endpoints
- jradawski284038@direct.aspirus.org
Organizations & group practices 10
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.
-
dba SSM Health St Agnes Hospital Fond Du Lac
- General Acute Care Hospital
- Fond Du Lac, WI
- NPI 1346228541
-
dba SSM Health Monroe Clinic Medical Group
- Specialist
- Monroe, WI
- NPI 1386720548
-
dba Covenant HealthCare
- Emergency Medicine Physician
- Saginaw, MI
- NPI 1972590412
-
- Medical Oncology Physician
- Kalamazoo, MI
- NPI 1447261730
Radiation Oncology
-
dba SwedishAmerican Medical Group
- Family Medicine Physician
- Rockford, IL
- NPI 1962451732
-
dba SSM Health Fond Du Lac Regional Clinic
- Family Medicine Physician
- Fond Du Lac, WI
- NPI 1730162991
Surgery
-
- Family Medicine Physician
- Saginaw, MI
- NPI 1619412376
Radiation Oncology
-
dba SSM Health Monroe Hospital
- General Acute Care Hospital
- Monroe, WI
- NPI 1740291491
-
dba West Michigan Cancer Center Radiation Oncology
- Radiation Oncology Physician
- Kalamazoo, MI
- NPI 1588778484
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Promedica Monroe Regional Hospital
- General Acute Care Hospital
- Monroe, MI
- NPI 1811097223
-
dba Monroe Cancer Center
- Specialist
- Monroe, MI
- NPI 1376997551
Hospital
-
dba SSM Health Monroe Hospital
- General Acute Care Hospital
- Monroe, WI
- NPI 1740291491
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210032000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785888000000",
"number": "1750557047",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 N PARK ST",
"city": "KALAMAZOO",
"state": "MI",
"postal_code": "490073731",
"telephone_number": "269-373-7488",
"fax_number": "269-373-0123"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3535 N BELL SCHOOL RD",
"city": "ROCKFORD",
"state": "IL",
"postal_code": "611146624",
"telephone_number": "779-696-9400"
}
],
"practiceLocations": [
{
"address_1": "200 N Park St",
"address_purpose": "LOCATION",
"city": "Kalamazoo",
"state": "MI",
"postal_code": "490073731",
"country_code": "US",
"telephone_number": "269-373-7488",
"fax_number": "269-373-0123",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1025 Michigan Ave Ste 15",
"address_purpose": "LOCATION",
"city": "Logansport",
"state": "IN",
"postal_code": "469471593",
"country_code": "US",
"telephone_number": "574-753-9000",
"fax_number": "574-753-1328",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RADAWSKI",
"first_name": "JEFFREY",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-05-06",
"last_updated": "2026-08-05",
"certification_date": "2026-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "OH",
"license": "57.013354",
"primary": false
},
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "IN",
"license": "01092188A",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "OH",
"license": "57.013354",
"primary": false
},
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "IL",
"license": "036168582",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1750557047",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSM - WMCC",
"identifier": "1588778484",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rockford, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2026; 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.