Active NPI
Robert James Dodenhoff, MD
- Diagnostic Radiology Physician
- Decatur, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 36094465
- Practice address
- 2300 N Edward St
Decatur, IL 62526-4163 - Phone
- (217) 876-2300
- Fax
- (217) 876-2725
- NPI assigned
- May 28, 2006
- Last updated
- Dec 5, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 36094465 | IL | Primary |
Addresses
Primary practice location
2300 N Edward St
Decatur, IL 62526-4163
Mailing address
2300 N Edward St
Decatur, IL 62526-4163
Phone (217) 876-2300
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- University of Michigan Medical School, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
Scottsdale, AZ 85255
Phone (480) 728-3000
1955 W Frye Rd
Chandler, AZ 85224-6282
Phone (480) 728-3000
210 W McKinley Ave
Decatur, IL 62526-5858
Phone (217) 876-8121
2300 N Edward St
Decatur, IL 62526-4163
Phone (217) 876-8121
321 Regency Park
Suite 100
O Fallon, IL 62269-1887
Phone (618) 416-7970
389 W Weaver Rd
Forsyth, IL 62535-9800
Phone (217) 876-5369
905 Medical Park Dr
Effingham, IL 62401-2190
Phone (800) 424-6589
9820 E Thompson Peak Pkwy
Unit 724
Scottsdale, AZ 85255-6657
Phone (317) 614-9804
Hospital & facility affiliations
- Decatur Memorial Hospital
- Chandler Regional Medical Center
- Pana Community Hospital
- Mercy Gilbert Medical Center
- Warner Hospital and Health Services
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.56 of 100
- Quality
- 95
- Improvement activities
- 40
- Cost
- 89.56
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36094465 | IL | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Imaging Consultants of Central Illinois SC | Diagnostic Radiology | Current | Accepting new patients |
| East Valley Radiology Associates PLLC | Diagnostic Radiology | Current | Accepting new patients |
Locations
1955 W Frye Rd
Chandler, AZ 85224
Phone (480) 507-2961
1501 N Gilbert Rd
Gilbert, AZ 85234
Phone (480) 503-5400
3555 S Val Vista Dr
Gilbert, AZ 85297
Phone (480) 434-4356
20750 N John Wayne Pkwy
Maricopa, AZ 85139
Phone (520) 233-2468
4545 E Chandler Blvd
Ste 101
Phoenix, AZ 85048
2300 N Edward St
Decatur, IL 62526
Phone (217) 876-3000
389 W Weaver Rd
Forsyth, IL 62535
Phone (217) 876-5340
Organizations & group practices 2
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.
-
- Diagnostic Radiology Physician
- Decatur, IL
- NPI 1427796838
AZ
-
- Diagnostic Radiology Physician
- Chandler, AZ
- NPI 1518853928
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Warner Hospital and Health Services
- Critical Access Hospital
- Clinton, IL
- NPI 1235211301
-
- General Acute Care Hospital
- Decatur, IL
- NPI 1548357973
-
- Critical Access Hospital
- Pana, IL
- NPI 1942326970
-
dba Chandler Regional Medical Center
- General Acute Care Hospital
- Chandler, AZ
- NPI 1700910189
-
dba Mercy Gilbert Medical Center
- General Acute Care Hospital
- Gilbert, AZ
- NPI 1992735088
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148774400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1196812800000",
"number": "1952358665",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2300 N EDWARD ST",
"city": "DECATUR",
"state": "IL",
"postal_code": "625264163",
"telephone_number": "217-876-2300",
"fax_number": "217-876-2725"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2300 N EDWARD ST",
"city": "DECATUR",
"state": "IL",
"postal_code": "625264163",
"telephone_number": "217-876-2300",
"fax_number": "217-876-2725"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DODENHOFF",
"first_name": "ROBERT",
"middle_name": "JAMES",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-28",
"last_updated": "2007-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "IL",
"license": "36094465",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Decatur, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2007; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.