Individual provider Active NPI

John P. Anastos, D.O.

  • Diagnostic Radiology Physician
  • Park Ridge, IL
National Provider Identifier
1780684886
Registry record updated Nov 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Practice address
1420 Renaissance Dr
Suite #307
Park Ridge, IL 60068-1330
Phone
(847) 803-1000
NPI assigned
Jul 29, 2005
Last updated
Nov 26, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2007

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 IL Primary

Addresses

Primary practice location

1420 Renaissance Dr
Suite #307
Park Ridge, IL 60068-1330

Mailing address

520 E 22ND St
Lombard, IL 60148-6110
Phone (630) 874-2542

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, IN2 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
I20031208000338 IL Practitioner - Diagnostic Radiology 5597660175 Reassigns benefits to 3 organizations
I20210308001642 IN Practitioner - Diagnostic Radiology 5597660175 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
X-Ray Consultants IncGroup PAC ID 7315859832, 38 clinicians

Practice addresses (Care Compare)

121 S Saint Louis Blvd
South Bend, IN 46617-2924
Phone (219) 233-3123

1915 Lake Ave
Plymouth, IN 46563-9366
Phone (574) 936-3181

340 Old Farm Rd
Northfield, IL 60093-1041
Phone (847) 878-2255

5215 Holy Cross Pkwy
Mishawaka, IN 46545-1469
Phone (574) 335-5000

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Joseph Regional Medical Center-South Bend Campus, Inc Current Accepting new patients
Saint Joseph Regional Medical Center- Plymouth Campus Inc Current Accepting new patients
Huron Valley Radiology PC Diagnostic Radiology CurrentSince Nov 1, 2022 Accepting new patients
Integrated Imaging Consultants LLC Diagnostic Radiology CurrentSince Nov 1, 2014 Accepting new patients
Advanced Radiology Consultants SC Diagnostic Radiology CurrentSince Jan 1, 2003 Accepting new patients
X-Ray Consultants Inc Diagnostic Radiology CurrentSince Mar 1, 2021 Accepting new patients
Saint Joseph Regional Medical Center- Plymouth Campus Inc CurrentSince Mar 11, 2022 Accepting new patients
Saint Joseph Regional Medical Center-South Bend Campus, Inc. CurrentSince Mar 11, 2022 Accepting new patients
Uropartners, LLC Past Accepting new patients

Locations

1245 W Dundee Rd
Buffalo Grove, IL 60089
Phone (847) 797-7226

249 S River Rd
Des Plaines, IL 60016
Phone (847) 759-1002

520 E 22nd St
Lombard, IL 60148
Phone (630) 874-2542

1420 Renaissance Dr
Ste 307
Park Ridge, IL 60068
Phone (847) 803-1000

1700 Luther Ln
Park Ridge, IL 60068
Phone (847) 268-8200

1775 W Dempster St
Park Ridge, IL 60068
Phone (847) 723-5150

5215 Holy Cross Pkwy
Mishawaka, IN 46545
Phone (574) 335-2443

611 E Douglas Rd
Ste 122
Mishawaka, IN 46545
Phone (574) 272-9991

611 E Douglas Rd
Ste 137
Mishawaka, IN 46545
Phone (574) 335-6214

1915 Lake Ave
Plymouth, IN 46563
Phone (219) 936-3181

510 W Adams St
Ste 150
Plymouth, IN 46563
Phone (574) 335-3987

121 S Saint Louis Blvd
South Bend, IN 46617
Phone (219) 233-3123

Interoperability endpoints

  • Direct secure messaging: janastos1155122@direct.trinity-health.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 7

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": "1122595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196035200000",
    "number": "1780684886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 E 22ND ST",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601486110",
            "telephone_number": "630-874-2542",
            "fax_number": "630-874-2642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1420 RENAISSANCE DR",
            "address_2": "SUITE #307",
            "city": "PARK RIDGE",
            "state": "IL",
            "postal_code": "600681330",
            "telephone_number": "847-803-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANASTOS",
        "first_name": "JOHN",
        "middle_name": "P.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-29",
        "last_updated": "2007-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Park Ridge, IL

Sources for this page

Verify at the official NPI Registry.