Ketan Amin, MD
Individual provider Active NPI Vascular & Interventional Radiology Physician · Winfield, IL
NPI 1992955009 · NPPES record last updated Jan 20, 2023
Key facts
- NPI
- 1992955009
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Vascular & Interventional Radiology Physician 2085R0204X
- License
- 036121177 (IL)
- Practice address
- 25 N Winfield Rd Ste 103
Winfield, IL 60190-1379 - Phone
- (630) 933-6930
- Fax
- (630) 933-2009
- NPI assigned
- Sep 25, 2008
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 23
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Interventional Radiology
- Education
- Southern Illinois University School of Medicine, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Central Dupage Physician Group
Northwestern Medical Faculty Foundation
Practice addresses (Care Compare)
351 Delnor Dr
Geneva, IL 60134-4222
Phone (630) 923-9600
4201 W Medical Ctr Dr
McHenry, IL 60050-8409
Phone (815) 759-4323
Hospital & facility affiliations
- Northwestern Medicine Delnor Community Hospital
- Northwestern Medicine Central Dupage Hospital
- Northwestern Medicine McHenry
- Northwestern Memorial Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110617000535 | IL | Practitioner - Interventional Radiology |
7810175080 | Reassigns benefits to 4 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DR.0055536 | CO | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Illinois Diagnostic and Interventional Radiology PLLC | Diagnostic Radiology | Current |
Accepting new patients |
| Integrated Imaging Consultants LLC | Diagnostic Radiology | Current |
Accepting new patients |
| Northwestern Medical Faculty Foundation | Diagnostic Radiology | Current |
Accepting new patients |
| Central Dupage Physician Group | Current |
Accepting new patients | |
| Northwestern Medical Faculty Foundation | Current |
Accepting new patients | |
| Central Dupage Physician Group | Vascular & Interventional Radiology | Current |
Accepting new patients |
| Northwest Suburban Imaging Associates, S.C. | Diagnostic Radiology | Past | Accepting new patients |
| Adventist Health Partners, Inc | Past | Accepting new patients |
Locations
Carol Stream, IL 60122
Phone (630) 933-3300
Dept 5777
Carol Stream, IL 60122
7435 W Talcott Ave
Chicago, IL 60631
Phone (773) 467-9977
1425 N Randall Rd
Elgin, IL 60123
Phone (224) 783-5437
351 Delnor Dr
Geneva, IL 60134
Phone (630) 262-1001
351 Delnor Dr
Ste 200
Geneva, IL 60134
Phone (630) 846-1600
5101 Willow Springs Rd
Lagrange Hlds, IL 60525
Phone (708) 245-4073
660 N Westmoreland Rd
#302
Lake Forest, IL 60045
4201 W Medical Center Dr
McHenry, IL 60050
Phone (815) 759-3100
515 Valley View Dr
Ste 201
Moline, IL 61265
Phone (312) 695-0870
1775 W Dempster St
Park Ridge, IL 60068
Phone (847) 723-5150
1800 N Main St
Wheaton, IL 60187
Phone (630) 469-0045
0N025 Winfield Rd
Winfield, IL 60190
Phone (630) 832-0050
25 N Winfield Rd
Ste 103
Winfield, IL 60190
Phone (630) 933-4487
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | DR.0055536 | CO | |
| Vascular & Interventional Radiology Physician | 2085R0204X | 036121177 | IL | Yes |
Addresses
Primary practice location
25 N Winfield Rd Ste 103
Winfield, IL 60190-1379
Mailing address
25 N Winfield Rd Ste 103
Winfield, IL 60190-1379
Phone (630) 933-6930
Other practice location 1
1400 E Boulder St
Colorado Springs, CO 80909-5533
Phone (719) 365-5853
Other practice location 2
351 Delnor Dr Ste 200
Geneva, IL 60134-4226
Phone (630) 933-6930
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 21820058 | Medicaid | CO |
Other providers in Winfield, IL
- Mohammad Alghalith
- Stacey Algozino
- Amy Allnutt
- Nimra E Alvi
- Habeeb Sadaf Amatul
- Anaya Mind & Wellbeing Counseling, LLC
- Ana Anaya
- Jessica Margaret Andreoli
- Jim Andrikopoulos
- Lawrence Ariano
All providers in Winfield, IL · Vascular & Interventional Radiology Physician in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 20, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.