Individual provider Active NPI

Courtney Masse, MD

  • Diagnostic Radiology Physician
  • Chicago, IL
National Provider Identifier
1760613160
Registry record updated Aug 21, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
125058014 Issued in IL
Practice address
1901 W Harrison St
Chicago, IL 60612-3714
Phone
(312) 864-6000
NPI assigned
Aug 3, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MT196107 PA
Diagnostic Radiology Physician 2085R0202X 125058014 IL Primary

Addresses

Primary practice location

1901 W Harrison St
Chicago, IL 60612-3714

Mailing address

1901 W Harrison St
Chicago, IL 60612-3714
Phone (312) 864-6000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR, FL, TX3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20170217001417 AR Practitioner - Diagnostic Radiology 0547487464 Reassigns benefits to 1 organization
I20200108000981 FL Practitioner - Diagnostic Radiology 0547487464 Reassigns benefits to 3 organizations
I20240509001967 TX Practitioner - Diagnostic Radiology 0547487464 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Smi Imaging LLC 380 clinicians
Simonmed Imaging Florida LLC 302 clinicians

Practice addresses (Care Compare)

4051 Upper Creek Dr
Suite 103a
Sun City Center, FL 33573-6848
Phone (813) 634-0010

5715 Title Row Dr
Bradenton, FL 34210-4071
Phone (480) 306-6949

Merit-based Incentive Payment System (MIPS)

Final score
89.21 of 100Reported as group
Quality
76.88
Promoting interoperability
76
Improvement activities
40
Cost
73.83

Merit-based Incentive Payment System (MIPS)

Final score
79.36 of 100Reported as group
Quality
75.71
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
79.36 of 100Reported as group
Quality
75.71
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MT196107PAMDInternal Medicine Physician
125058014ILMDDiagnostic Radiology Physician

Practice roles (12 of 14)

OrganizationSpecialtyStatusNew patients
Gila River Health Care Corporation Current Accepting new patients
Gila River Health Care Corporation Current Accepting new patients
Simonmed Imaging Florida LLC Diagnostic Radiology CurrentSince Oct 10, 2022 Accepting new patients
Lakes Radiology Inc Diagnostic Radiology CurrentSince May 1, 2022 Accepting new patients
Hot Springs Radiology Services, LTD CurrentSince Feb 15, 2017 Accepting new patients
Gila River Health Care CurrentSince Feb 27, 2024 Accepting new patients
Cyrus Diagnostic Imaging, Inc CurrentSince Jul 21, 2020 Accepting new patients
Smi Imaging, LLC Diagnostic Radiology CurrentSince Oct 10, 2022 Accepting new patients
Homestead Diagnostic Center Inc Diagnostic Radiology CurrentSince Nov 1, 2020 Accepting new patients
Gila River Health Care Corporation CurrentSince Feb 27, 2024 Accepting new patients
Simonmed Imaging Florida LLC Diagnostic Radiology CurrentSince Oct 10, 2022 Accepting new patients
Cyrus Diagnostic Imaging Inc CurrentSince Jul 21, 2020 Accepting new patients

Locations

3633 Central Ave
Ste D
Hot Springs National Park, AR 71913
Phone (501) 623-6693

17487 S Healthcare Dr
#H
Laveen, AZ 85339
Phone (520) 550-6000

48203 W Farrell Rd
#H
Maricopa, AZ 85139
Phone (520) 568-3881

20414 N 27th Ave
Phoenix, AZ 85027
Phone (602) 529-1016

20414 N 27th Ave
Ste 150
Phoenix, AZ 85027
Phone (623) 234-2520

15810 S 45th St
Ste 110
Phoenix, AZ 85048
Phone (480) 743-6161

208 W Oak St
Kissimmee, FL 34741
Phone (407) 788-2888

165 Waymont Ct
Lake Mary, FL 32746
Phone (407) 321-3012

4051 Upper Creek Dr
Ste 10
Sun City Ctr, FL 33573
Phone (813) 634-0010

14302 Bruce B Downs Blvd
Tampa, FL 33613
Phone (813) 975-1111

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1249257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282348800000",
    "number": "1760613160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1901 W HARRISON ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606123714",
            "telephone_number": "312-864-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 W HARRISON ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606123714",
            "telephone_number": "312-864-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASSE",
        "first_name": "COURTNEY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-08-03",
        "last_updated": "2010-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MT196107",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IL",
            "license": "125058014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.