Individual provider Active NPI

Robert James Dodenhoff, MD

  • Diagnostic Radiology Physician
  • Decatur, IL
National Provider Identifier
1952358665
Registry record updated Dec 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
36094465 Issued in IL
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, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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, AZ2 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

Enrollment IDStateProvider typePAC IDDetails
I20100128000276 IL Practitioner - Diagnostic Radiology 6800878133 Reassigns benefits to 1 organization
I20120104000862 AZ Practitioner - Diagnostic Radiology 6800878133 Reassigns benefits to 2 organizations

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
East Valley Radiology Associates PLLCGroup PAC ID 2062916083, 32 clinicians
Imaging Consultants of Central Illinois SCGroup PAC ID 6800275900, 12 clinicians

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

Merit-based Incentive Payment System (MIPS)

Final score
95.56 of 100Reported as group
Quality
95
Improvement activities
40
Cost
89.56

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
36094465ILMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Imaging Consultants of Central Illinois SC Diagnostic Radiology CurrentSince Jun 1, 2022 Accepting new patients
East Valley Radiology Associates PLLC Diagnostic Radiology CurrentSince Sep 1, 2025 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.

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": "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

Verify at the official NPI Registry.