Individual provider Active NPI

Neal H Rosner, M.D.

  • Diagnostic Radiology Physician
  • Chicago HTS, IL
National Provider Identifier
1841216488
Registry record updated Feb 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Practice address
333 Dixie Hwy
Chicago HTS, IL 60411-1748
Phone
(708) 756-0100
NPI assigned
Jul 15, 2006
Last updated
Feb 7, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2008

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

333 Dixie Hwy
Chicago HTS, IL 60411-1748

Mailing address

333 Dixie Hwy
Chicago HTS, IL 60411-1748
Phone (708) 756-0100

Other identifiers 5

IdentifierTypeStateIssuer
4673170001OtherILDMERC GROUP
P00006274/CK6882OtherILRAILROAD PIN
P00006275/CK6883OtherILRAILROAD MEDICARE PIN
L022428OtherILCHAMPUS
062839OtherILHEALTH ALLIANCE NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20040420000065 IL Practitioner - Diagnostic RadiologyPractitioner - Interventional Radiology 9739082181 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Columbus Diagnostic Center Inc Diagnostic Radiology CurrentSince Feb 1, 2016 Accepting new patients
Columbus Diagnostic Center Inc Diagnostic Radiology CurrentSince Feb 1, 2016 Accepting new patients
St James Hosptial Past Accepting new patients
Specialty Physicians of Illinois, LLC PastSince Mar 5, 2023 Accepting new patients
Associated St James Radiologists SC Diagnostic Radiology Past Accepting new patients

Locations

2040 10th Ave
Columbus, GA 31901
Phone (706) 322-3000

2131 Comer Ave
Columbus, GA 31904
Phone (706) 323-7622

7500 Veterans Pkwy
Ste B
Columbus, GA 31909
Phone (706) 323-7622

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1202342400000",
    "number": "1841216488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 DIXIE HWY",
            "city": "CHICAGO HTS",
            "state": "IL",
            "postal_code": "604111748",
            "telephone_number": "708-756-0100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 DIXIE HWY",
            "city": "CHICAGO HTS",
            "state": "IL",
            "postal_code": "604111748",
            "telephone_number": "708-756-0100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSNER",
        "first_name": "NEAL",
        "middle_name": "H",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-15",
        "last_updated": "2008-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC GROUP",
            "identifier": "4673170001",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD PIN",
            "identifier": "P00006274/CK6882",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PIN",
            "identifier": "P00006275/CK6883",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CHAMPUS",
            "identifier": "L022428",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH ALLIANCE NUMBER",
            "identifier": "062839",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago HTS, IL

Sources for this page

Verify at the official NPI Registry.