Individual provider Active NPI

Robert A. Palmer, MD

  • Diagnostic Radiology Physician
  • Aurora, IL
National Provider Identifier
1942401021
Registry record updated May 24, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
036123254 Issued in IL
Practice address
2000 Ogden Avenue
Aurora, IL 60504-7222
Phone
(630) 898-4515
Fax
(630) 978-6805
NPI assigned
May 29, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 9158 FL
Diagnostic Radiology Physician 2085R0202X 38400 IA
Diagnostic Radiology Physician 2085R0202X 036123254 IL Primary

Addresses

Primary practice location

2000 Ogden Avenue
Aurora, IL 60504-7222

Mailing address

2000 Ogden Avenue
Aurora, IL 60504-7222
Phone (630) 898-4515

Other identifiers 1

IdentifierTypeStateIssuer
036-123254MedicaidIL

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
I20101029001147 IL Practitioner - Diagnostic Radiology 2668524679 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Valley Imaging Consultants LLCGroup PAC ID 6800882374, 13 clinicians

Practice addresses (Care Compare)

1100 W Veterans Pkwy
Yorkville, IL 60560-4728
Phone (630) 898-4515

2000 Ogden Ave
Aurora, IL 60504-7222
Phone (630) 898-4515

904 Julian CT
Naperville, IL 60540-7600
Phone (630) 898-4515

Hospital & facility affiliations

  • Copley Memorial Hospital Hospital, Aurora, IL, CCN 140029
  • Rush University Medical Center Hospital, Chicago, IL, CCN 140119

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9158FLMDClinical Social Worker
38400IAMDDiagnostic Radiology Physician
036123254ILMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Anthony Health Affiliates CurrentSince Jul 1, 2022 Accepting new patients
Integrated Imaging Consultants LLC Diagnostic Radiology CurrentSince Nov 22, 2017 Accepting new patients
Valley Imaging Consultants, LLC Diagnostic Radiology CurrentSince Jul 1, 2010 Accepting new patients
Saint Anthony Health Affiliates CurrentSince Jul 1, 2022 Accepting new patients

Locations

2088 Ogden Ave
Ste 210
Aurora, IL 60504
Phone (630) 360-5500

2000 Ogden Ave
Aurora, IL 60504
Phone (630) 466-8200

2875 W 19th St
Chicago, IL 60623
Phone (773) 484-4300

4177 S Archer Ave
Chicago, IL 60632
Phone (773) 254-2222

1775 W Dempster St
Park Ridge, IL 60068
Phone (847) 723-5150

1100 W Veterans Pkwy
Yorkville, IL 60560
Phone (630) 236-4307

L4386
Columbus, OH 43260

Interoperability endpoints

  • Direct secure messaging: rpalmer20970@cghmc.direct-ci.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

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": "1180396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464048000000",
    "number": "1942401021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 OGDEN AVENUE",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605047222",
            "telephone_number": "630-898-4515",
            "fax_number": "630-879-6805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 OGDEN AVENUE",
            "city": "AURORA",
            "state": "IL",
            "postal_code": "605047222",
            "telephone_number": "630-898-4515",
            "fax_number": "630-978-6805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALMER",
        "first_name": "ROBERT",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-29",
        "last_updated": "2016-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "FL",
            "license": "9158",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IA",
            "license": "38400",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IL",
            "license": "036123254",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036-123254",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Aurora, IL

Sources for this page

Verify at the official NPI Registry.