Individual provider Active NPI

Michael Hinz, M.D.

  • Diagnostic Radiology Physician
  • Chicago, IL
National Provider Identifier
1780619155
Registry record updated Aug 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
036050214 Issued in IL
Practice address
2320 E 93Rd St
Chicago, IL 60617-3983
Phone
(773) 967-2000
NPI assigned
Jul 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 036050214 IL Primary

Addresses

Primary practice location

2320 E 93Rd St
Chicago, IL 60617-3983

Mailing address

2320 E 93Rd St
Chicago, IL 60617-3983
Phone (773) 967-2000

Other identifiers 3

IdentifierTypeStateIssuer
01618831OtherILBCBS PROVIDER NUMBER
036050214MedicaidIL
P00215593OtherILRR MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, FL, KY, TN, WA, MO, AZ, DC, HI, KS, PA11 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 11

Enrollment IDStateProvider typePAC IDDetails
I20050504000585 IL Practitioner - Diagnostic Radiology 9638164767 Reassigns benefits to 5 organizations
I20130520000563 FL Practitioner - Diagnostic Radiology 9638164767 Reassigns benefits to 6 organizations
I20130611000429 KY Practitioner - Diagnostic RadiologyPractitioner - Internal Medicine 9638164767 Reassigns benefits to 3 organizations
I20130615000168 TN Practitioner - Diagnostic Radiology 9638164767 Reassigns benefits to 2 organizations
I20130924000974 WA Practitioner - Diagnostic Radiology 9638164767 Reassigns benefits to 1 organization
I20140609002282 MO Practitioner - Diagnostic Radiology 9638164767 Reassigns benefits to 2 organizations
I20140711002148 AZ Practitioner - Diagnostic Radiology 9638164767 Reassigns benefits to 2 organizations
I20141202000911 DC Practitioner - Diagnostic Radiology 9638164767 Reassigns benefits to 3 organizations
I20241223002752 HI Practitioner - Diagnostic Radiology 9638164767 Reassigns benefits to 2 organizations
I20250711000250 KS Practitioner - Diagnostic Radiology 9638164767 Reassigns benefits to 1 organization
I20250826004144 PA Practitioner - Diagnostic Radiology 9638164767 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Loyola University of Chicago, Stritch School of Medicine, 1973
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Reono Bertagnolli a Medical GroupGroup PAC ID 6800709783, 47 clinicians

Practice addresses (Care Compare)

10580 Barkley St
Suite 415
Overland Park, KS 66212-1850
Phone 800786801576145

1134 Industry Dr
Tukwila, WA 98188-4803
Phone (800) 786-8015

4400 140TH Ave N
Suite 200 230
Clearwater, FL 33762-3832
Phone 800786801576156

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036050214ILMDDiagnostic Radiology Physician
1334MNMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Kan-Di-Ki LLC CurrentSince Mar 1, 2017 Accepting new patients
Bucktail Medical Center CurrentSince Jan 1, 2026 Accepting new patients
Kan-Di-Ki LLC CurrentSince Jun 1, 2017 Accepting new patients
Kan-Di-Ki, LLC CurrentSince Dec 2, 2024 Accepting new patients
Kan-Di-Ki LLC CurrentSince Jan 1, 2017 Accepting new patients
Kan-Di-Ki LLC CurrentSince Mar 8, 2019 Accepting new patients
Bucktail Medical Center CurrentSince Jan 1, 2026 Accepting new patients
Hospital & Medical Foundation of Paris, Inc. Past Accepting new patients
Elk Grove Radiology S.C. Diagnostic Radiology Past Accepting new patients

Locations

2538 E University Dr
Ste F220
Phoenix, AZ 85034
Phone (602) 281-4221

7776 S Pointe Pkwy W
Ste 150
Phoenix, AZ 85044
Phone (602) 281-4225

930 Ridgebrook Rd
Sparks Glencoe, MD 21152
Phone (264) 532-5146

930 Ridgebrook Rd
#3
Sparks Glencoe, MD 21152

930 Ridgebrook Rd
Fl 3
Sparks Glencoe, MD 21152
Phone (443) 662-4101

1134 Industry Dr
Tukwila, WA 98188
Phone (206) 466-1478

12668 Interurban Ave S
Tukwila, WA 98168
Phone (253) 314-5769

Organizations & group practices 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1249430400000",
    "number": "1780619155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2320 E 93RD ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606173983",
            "telephone_number": "773-967-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2320 E 93RD ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606173983",
            "telephone_number": "773-967-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HINZ",
        "first_name": "MICHAEL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2009-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IL",
            "license": "036050214",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "01618831",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036050214",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00215593",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.