Individual provider Active NPI

Natalie Marie Kieruzel, MD

  • Diagnostic Radiology Physician
  • Chicago, IL
National Provider Identifier
1851132385
Registry record updated Mar 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
125084225 Issued in IL
Practice address
1740 W Taylor St
Chicago, IL 60612-7232
Phone
(866) 600-2273
NPI assigned
Jun 6, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2025

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 125084225 IL Primary

Addresses

Primary practice location

1740 W Taylor St
Chicago, IL 60612-7232

Mailing address

5130 Shadow Creek Dr Unit 9
Oak Forest, IL 60452-3882
Phone (708) 407-1699

Other practice location 1

4646 N Marine Dr
Chicago, IL 60640-5759
Phone (773) 564-5225

Other practice location 2

5130 Shadow Creek Dr Unit 9
Oak Forest, IL 60452-3882
Phone (708) 407-1699

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
I20240821004651 IL Order and Referring Only - Diagnostic RadiologyPractitioner - Diagnostic Radiology 4082153077

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
125084225ILMDDiagnostic Radiology Physician

Interoperability endpoints

  • Direct secure messaging: nkieruzel188796@uihealth.direct-ci.com
  • Direct secure messaging: natalie.marie.kieruzel.1@18552.direct.athenahealth.com

NPI Registry JSON

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

{
    "created_epoch": "1717632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743120000000",
    "number": "1851132385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5130 SHADOW CREEK DR UNIT 9",
            "city": "OAK FOREST",
            "state": "IL",
            "postal_code": "604523882",
            "telephone_number": "708-407-1699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1740 W TAYLOR ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606127232",
            "telephone_number": "866-600-2273"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4646 N Marine Dr",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606405759",
            "country_code": "US",
            "telephone_number": "773-564-5225",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5130 Shadow Creek Dr Unit 9",
            "address_purpose": "LOCATION",
            "city": "Oak Forest",
            "state": "IL",
            "postal_code": "604523882",
            "country_code": "US",
            "telephone_number": "708-407-1699",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIERUZEL",
        "first_name": "NATALIE",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-06",
        "last_updated": "2025-03-28",
        "certification_date": "2025-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IL",
            "license": "125084225",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.