Individual provider Active NPI

Jeffrey D Radawski, M.D.

  • Radiation Oncology Physician
  • Rockford, IL
National Provider Identifier
1750557047
Registry record updated Aug 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
036168582 Issued in IL
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

Updated by the provider on Aug 5, 2026

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1750557047MedicaidMI
1588778484OtherMIBCBSM - WMCC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, WI2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20121001000135 MI Practitioner - Radiation Oncology 8527217983 Reassigns benefits to 2 organizations
I20231222000280 WI Practitioner - Radiation Oncology 8527217983 Reassigns benefits to 2 organizations

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
The Monroe Clinic, Inc.Group PAC ID 3072425495, 199 clinicians
Agnesian Healthcare IncGroup PAC ID 1658289624, 392 clinicians

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

LicenseStateTypeSpecialty
036168582ILMDRadiation Oncology Physician
57.013354OHMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Monroe Clinic, Inc. CurrentSince Jan 10, 2025 Accepting new patients
Covenant Medical Center, Inc Radiation Oncology CurrentSince Mar 24, 2023 Accepting new patients
Covenant Medical Center, Inc. Current Accepting new patients
Agnesian Healthcare, Inc Current Accepting new patients
The Monroe Clinic, Inc. CurrentSince Jan 10, 2025 Accepting new patients
West Michigan Cancer Center Radiation Oncology Current Accepting new patients
West Michigan Cancer Center Radiation Oncology CurrentSince Aug 1, 2012 Accepting new patients
Swedishamerican Hospital Current Accepting new patients
Agnesian Healthcare Inc CurrentSince Dec 12, 2023 Accepting new patients
Agnesian Healthcare Inc Surgery CurrentSince Dec 12, 2023 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

  • Direct secure messaging: 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.

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": "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

Verify at the official NPI Registry.