Roger Boodoo, MD

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

A92879 Issued in CA

Practice address

1740 W Taylor St
Chicago, IL 60612-7232

Phone

(312) 355-2095

NPI assigned

Jul 3, 2006

Last updated

Aug 10, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX, CA2 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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Halo Medical Group

  dba Desert Medical Imaging

  • Diagnostic Radiology Physician
  • Indian Wells, CA
  • NPI 1467506451

  TX

  Medicare reassignment NPD
• Sierra Hematology and Oncology Medical Centers

  • Hematology & Oncology Physician
  • Carmichael, CA
  • NPI 1992796759

  Diagnostic Radiology

  Medicare reassignment NPD
• Universal Radiology Partners of California PC

  • Diagnostic Radiology Physician
  • Temecula, CA
  • NPI 1467225235
  Medicare reassignment NPD
• Akumin Imaging Texas LLC

  • Radiology Clinic/Center
  • El Paso, TX
  • NPI 1235771205
  NPD
• Memorial MRI and Diagnostic LLC

  • Diagnostic Radiology Physician
  • Houston, TX
  • NPI 1912989120
  NPD
• Palms Imaging Medical Group

  • Diagnostic Radiology Physician
  • Oxnard, CA
  • NPI 1851347272
  NPD
• Preferred Imaging of Amarillo, LLC

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • Amarillo, TX
  • NPI 1235544669
  NPD
• Preferred Imaging of Austin LLC

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • Austin, TX
  • NPI 1437542818

  Diagnostic Radiology

  NPD
• Preferred Imaging of Corinth, LLC

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • Corinth, TX
  • NPI 1831328392
  NPD
• Preferred Imaging of Frisco, LLC

  • Radiology Clinic/Center
  • Frisco, TX
  • NPI 1881028397

  Diagnostic Radiology

  NPD
• Preferred Imaging of Grapevine/Colleyville, LLC

  • Radiology Clinic/Center
  • Grapevine, TX
  • NPI 1518040369
  NPD
• Preferred Imaging of Irving LLC

  • Radiology Clinic/Center
  • Irving, TX
  • NPI 1598215733

  Diagnostic Radiology

  NPD

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470787200000",
    "number": "1861421570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1740 W TAYLOR ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606127232"
        },
        {
            "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": "312-355-2095"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOODOO",
        "first_name": "ROGER",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-03",
        "last_updated": "2016-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A92879",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julianne Murphy Bonwit, LCSW, MSW
• Stephanie Bonza, PSY.D.
• Stephen Michael Bonzak, L.AC.
• Lauren Bonzelaar, MD, MS
• Christian Scott Bonzheim, PA-C
• Annette C Boogerd
• Alyssa Katlin Book, CCC-SLP
• Zachary R. Book, MD
• G Bradley Bookatz, M.D.
• Shadae Booker-Shelton, FNP-BC

• Diagnostic Radiology Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Diagnostic Radiology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2016; 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.

Verify at the official NPI Registry.