NPIMap

Organization Active NPI

Hi Tech Radiation Oncology

  • Radiation Oncology Physician
  • Palos Heights, IL
National Provider Identifier
1922089267
Registry record updated Jul 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
Legal business name
HI TECH RADIATION ONCOLOGY
Practice address
11800 Southwest Hwy
Palos Heights, IL 60463-1029
Phone
(708) 923-3285
Fax
(708) 923-3610
NPI assigned
Nov 11, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2010

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

Authorized official

Name
Dr. J. David Morgan III, MD
Title
Officer
Phone
(708) 774-2970

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0001X Primary

Addresses

Primary practice location

11800 Southwest Hwy
Palos Heights, IL 60463-1029

Mailing address

PO Box 379
Orland Park, IL 60462-0379
Phone (708) 774-2970

Other identifiers 2

IdentifierTypeStateIssuer
01619117OtherILBCBSIL GROUP #
CN6869OtherILRR MEDICARE GROUP #

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040325001270 IL Part B Supplier - Clinic/Group Practice 0547152563 Receives reassigned benefits from 8 practitioners
Practice locations: Palos Heights, IL

National Provider Directory

National Provider Directory

Locations

11800 Southwest Hwy
Ste 106
Palos Heights, IL 60463
Phone (708) 923-3285

11800 Southwest Hwy
#2N
Palos Heights, IL 60463

1 Main St
#5F
Evansville, IN 47708

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1131667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279843200000",
    "number": "1922089267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 379",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604620379",
            "telephone_number": "708-774-2970",
            "fax_number": "708-460-1117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11800 SOUTHWEST HWY",
            "city": "PALOS HEIGHTS",
            "state": "IL",
            "postal_code": "604631029",
            "telephone_number": "708-923-3285",
            "fax_number": "708-923-3610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HI TECH RADIATION ONCOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-11",
        "last_updated": "2010-07-23",
        "status": "A",
        "authorized_official_last_name": "MORGAN",
        "authorized_official_first_name": "J.",
        "authorized_official_middle_name": "DAVID",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "708-774-2970",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Radiation Oncology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSIL GROUP #",
            "identifier": "01619117",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE GROUP #",
            "identifier": "CN6869",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palos Heights, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.