NPIMap

Individual provider Active NPI

Robert Aaron Breit, M.D.

  • Neuroradiology Physician
  • Libertyville, IL
National Provider Identifier
1922080399
Registry record updated Nov 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuroradiology PhysicianTaxonomy code 2085N0700X
License
036068882 Issued in IL
Practice address
1800 Hollister Dr
Suite G-18
Libertyville, IL 60048-5263
Phone
(847) 918-1462
Fax
(847) 968-4311
NPI assigned
Nov 18, 2005
Last updated
Nov 14, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2011

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Neuroradiology Physician 2085N0700X 036068882 IL Primary
Diagnostic Radiology Physician 2085R0202X 036068882 IL
Diagnostic Radiology Physician 2085R0202X 25000041 OH
Diagnostic Radiology Physician 2085R0202X 01060991A IN
Diagnostic Radiology Physician 2085R0202X 34114 WI

Addresses

Primary practice location

1800 Hollister Dr
Suite G-18
Libertyville, IL 60048-5263

Mailing address

1800 Hollister Dr
Suite G-18
Libertyville, IL 60048-5263
Phone (847) 918-1462

Other identifiers 4

IdentifierTypeStateIssuer
202926OtherILGROUP PTAN
036068882MedicaidIL
212545OtherILGROUP PTAN
036068882OtherILBLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040216000149 IL Practitioner - Diagnostic Radiology 6103711692 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Virginia School of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

660 N Westmoreland Rd
Lake Forest, IL 60045-1659
Phone (847) 234-5600

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.19 of 100Reported as apm
Quality
83.05
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036068882ILMDDiagnostic Radiology Physician
01060991AINMDDiagnostic Radiology Physician
25000041OHMDDiagnostic Radiology Physician
34114WIMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Illinois Bone and Joint Institute LLC CurrentSince Sep 1, 2014 Accepting new patients
Northwestern Medical Faculty Foundation Diagnostic Radiology CurrentSince Jun 1, 2017 Accepting new patients
Northwestern Medical Faculty Foundation CurrentSince Jun 1, 2017 Accepting new patients
Illinois Bone and Joint Institute, LLC CurrentSince Sep 1, 2014 Accepting new patients
Rand Imaging Center Past Accepting new patients
Central Dupage Physician Group Neuroradiology Past Accepting new patients
Global Medical Imaging, SC Diagnostic Radiology Past Accepting new patients
Touchstone Imaging of Peoria, LLC Past Accepting new patients
Waukegan Illinois Hospital Company, LLC Diagnostic Radiology Past Accepting new patients
On-Line Radiology Medical Group Inc Diagnostic Radiology Past Accepting new patients

Locations

2101 Waukegan Rd
Ste 110
Bannockburn, IL 60015
Phone (847) 914-9096

1709 Jumer Dr
Ste B
Bloomington, IL 61704
Phone (309) 664-6808

1450 Busch Pkwy
Buffalo Grove, IL 60089
Phone (847) 459-7860

Carol Stream, IL 60122
Phone (630) 933-3300

Dept 5777
Carol Stream, IL 60122

38205 Eagle Way
Chicago, IL 60678

5057 Paysphere Cir
Chicago, IL 60674

680 N Lake Shore Dr
Ste 1000
Chicago, IL 60611
Phone (312) 695-4022

355 Ridge Ave
Evanston, IL 60202
Phone (847) 316-2329

25 Tower Ct
Ste A
Gurnee, IL 60031
Phone (847) 249-3700

350 S Greenleaf St
Ste 401
Gurnee, IL 60031
Phone (847) 336-2344

660 N Westmoreland Rd
Lake Forest, IL 60045
Phone (847) 535-6100

660 N Westmoreland Rd
#302
Lake Forest, IL 60045

1050 Red Oak Ln
Lindenhurst, IL 60046
Phone (847) 356-4700

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
St Jude Childrens Research Hospital IncMemphis, TN, CCN 443302 Hospital Corporate Director Jul 1, 1996

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

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 5

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": "1132272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321228800000",
    "number": "1922080399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 HOLLISTER DR",
            "address_2": "SUITE G-18",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600485263",
            "telephone_number": "847-918-1462",
            "fax_number": "847-968-4311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 HOLLISTER DR",
            "address_2": "SUITE G-18",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600485263",
            "telephone_number": "847-918-1462",
            "fax_number": "847-968-4311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BREIT",
        "first_name": "ROBERT",
        "middle_name": "AARON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-18",
        "last_updated": "2011-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "IL",
            "license": "036068882",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IL",
            "license": "036068882",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OH",
            "license": "25000041",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IN",
            "license": "01060991A",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WI",
            "license": "34114",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP PTAN",
            "identifier": "202926",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036068882",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP PTAN",
            "identifier": "212545",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "036068882",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Libertyville, IL

Sources for this page

Verify at the official NPI Registry.