Gregg S Coccaro, M.D.

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

036085552 Issued in IL

Practice address

1423 Chicago Rd
Radiology Department
Chicago Heights, IL 60411-3400

Phone

(708) 756-1000

NPI assigned

Sep 13, 2006

Last updated

May 26, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 6

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Associated St James Radiologists SC

  • Diagnostic Radiology Physician
  • Chicago Heights, IL
  • NPI 1982709135
  NPD (past) Authorized official
• Advanced Health SC

  dba Osteo Relief Institute

  • Family Medicine Physician
  • Elmhurst, IL
  • NPI 1740489897
  NPD
• Radiology Imaging Consultants S C

  dba Oaklawn Radiology Imaging Consultants

  • Diagnostic Radiology Physician
  • Oak Lawn, IL
  • NPI 1881647386
  NPD (past)
• Radiology Imaging Consultants SC

  • Diagnostic Radiology Physician
  • Harvey, IL
  • NPI 1568524841
  NPD (past)
• Specialty Physicians of Illinois, LLC

  • Urgent Care Clinic/Center
  • Frankfort, IL
  • NPI 1962024612
  NPD (past)
• Kern Radiology Medical Group, Inc

  • Diagnostic Radiology Physician
  • Bakersfield, CA
  • NPI 1720023997
  NPD (past)
• Louisville Radiology Imaging Consultants, PLLC

  • Diagnostic Radiology Physician
  • Owensboro, KY
  • NPI 1639115447
  NPD (past)
• Quantum Medical Radiology PC

  • Diagnostic Radiology Physician
  • Smyrna, GA
  • NPI 1164475869
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432598400000",
    "number": "1760587869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1423 CHICAGO RD",
            "address_2": "RADIOLOGY DEPARTMENT",
            "city": "CHICAGO HEIGHTS",
            "state": "IL",
            "postal_code": "604113400",
            "telephone_number": "708-756-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1423 CHICAGO RD",
            "address_2": "RADIOLOGY DEPARTMENT",
            "city": "CHICAGO HEIGHTS",
            "state": "IL",
            "postal_code": "604113400",
            "telephone_number": "708-756-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COCCARO",
        "first_name": "GREGG",
        "middle_name": "S",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-13",
        "last_updated": "2015-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IL",
            "license": "036085552",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPARTMENT OF LABOR",
            "identifier": "131719100",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD ID",
            "identifier": "300050047",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036085552",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHAMPUS",
            "identifier": "L022428",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS ID",
            "identifier": "1618334",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH ALLIANCE",
            "identifier": "078631",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chicago Vamc
• Yang K Chun, M.D.
• City of Chicago Heights
• Cobb Medical LLC
• Nyerere Wert Cobb
• Fairouz Carpizo Codina, M.D.
• Mario Cole
• Kendralyn Coleman
• Timothy J Coleman, PT
• Mankea S Collier

• Diagnostic Radiology Physician in Chicago Heights, IL
• Providers in Chicago Heights, IL by specialty
• Diagnostic Radiology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.