Active NPI
Timothy M Cotter, M.D.
- Diagnostic Radiology Physician
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 036-099889
- Practice address
- 1501 S California Ave
Chicago, IL 60608-1732 - Phone
- (773) 257-6498
- NPI assigned
- Dec 5, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 036-099889 | IL | Primary |
Addresses
Primary practice location
1501 S California Ave
Chicago, IL 60608-1732
Mailing address
3537 Paysphere Cir
Chicago, IL 60674-0035
Phone (708) 786-2900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036-099889-1 | Medicaid | IL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, MI, RI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20051020000182 | IL | Practitioner - Diagnostic Radiology | 3476579368 | Reassigns benefits to 3 organizations |
| I20131209000223 | MI | Practitioner - Diagnostic Radiology | 3476579368 | Reassigns benefits to 1 organization |
| I20170328000285 | RI | Practitioner - Diagnostic Radiology | 3476579368 | Reassigns benefits to 3 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-099889 | IL | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mount Sinai Community Foundation | Current | Accepting new patients | |
| Illinois Bone and Joint Institute LLC | Current | Accepting new patients | |
| Mount Sinai Community Foundation | Current | Accepting new patients | |
| Smi Imaging, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Howard Simon MD PLLC | Diagnostic Radiology | Current | Accepting new patients |
| Illinois Bone and Joint Institute, LLC | Current | Accepting new patients | |
| Mount Sinai Community Foundation | Current | Accepting new patients | |
| Basha Diagnostics P C | Diagnostic Radiology | Current | Accepting new patients |
| Mediscan Imaging Center of Rockford LLC | Diagnostic Radiology | Past | Accepting new patients |
| Illinois Bone and Joint Institute | Past | Accepting new patients | |
| Pulmonary & Critical Care Medicine Specialists SC | Past | Accepting new patients | |
| Germbusters, PC | Past | Accepting new patients |
Locations
20414 N 27th Ave
Ste 150
Phoenix, AZ 85027
Phone (623) 234-2520
2101 Waukegan Rd
Ste 110
Bannockburn, IL 60015
Phone (847) 914-9096
4849 W Fullerton Ave
Chicago, IL 60639
Phone (773) 237-2900
5057 Paysphere Cir
Chicago, IL 60674
1501 S California Ave
Chicago, IL 60608
Phone (773) 257-6770
26460 Network Pl
Chicago, IL 60673
Phone (708) 786-2900
3537 Paysphere Cir
Chicago, IL 60674
20530 N Rand Rd
Ste 350
Deer Park, IL 60010
Phone (847) 550-6740
1555 N Barrington Rd
Ste 235
Hoffman Estates, IL 60169
Phone (847) 843-7474
716 Florsheim Dr
Libertyville, IL 60048
Phone (847) 918-9077
9000 Waukegan Rd
Ste 110
Morton Grove, IL 60053
Phone (847) 213-2700
8930 Waukegan Rd
Ste 130
Morton Grove, IL 60053
Phone (847) 929-5453
30701 Woodward Ave
Ste Ll
Royal Oak, MI 48073
Phone (248) 288-1600
Interoperability endpoints
- https://app.meldrx.com/api/fhir/Freedom_IBJI
- https://epicproxy.et1195.epichosted.com/fhirproxy/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.
-
- Diagnostic Radiology Physician
- Chicago, IL
- NPI 1659930998
Diagnostic Radiology, IL, RI
-
- Orthopaedic Surgery Physician
- Bannockburn, IL
- NPI 1205922432
IL
-
- Diagnostic Radiology Physician
- Royal Oak, MI
- NPI 1770693798
Diagnostic Radiology, MI, RI
-
- Diagnostic Radiology Physician
- Scottsdale, AZ
- NPI 1972004489
Diagnostic Radiology, RI
-
- Orthopaedic Surgery Physician
- Arlington Heights, IL
- NPI 1962219568
-
- Emergency Medicine Physician
- Chicago, IL
- NPI 1649318296
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1982657854
-
- Infectious Disease Physician
- Elgin, IL
- NPI 1356353270
-
- Orthopaedic Surgery Physician
- Morton Grove, IL
- NPI 1144269051
-
- Diagnostic Radiology Physician
- Rockford, IL
- NPI 1679695332
Diagnostic Radiology
-
- Pulmonary Disease Physician
- Elgin, IL
- NPI 1659364941
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1133740800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1218758400000",
"number": "1790769511",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3537 PAYSPHERE CIR",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606740035",
"telephone_number": "708-786-2900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1501 S CALIFORNIA AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606081732",
"telephone_number": "773-257-6498"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COTTER",
"first_name": "TIMOTHY",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-12-05",
"last_updated": "2008-08-15",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "IL",
"license": "036-099889",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036-099889-1",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chicago, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.