Chicago Northside Hospital MRI
NPI 1902956923ActiveOrganization· Physiological Laboratory· Chicago, IL
Physiological Laboratory in Chicago, Illinois, registered in NPPES in January 2007. The authorized official on file is Kara Richardson, Vp Managed Health. Medicare paid $69,505 for services to 393 patients in 2024.
Overview
| NPI | 1902956923 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 11, 2007 |
| Last updated in NPPES | Jun 1, 2026 |
| Certified by provider | Jun 1, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physiological Laboratory Primary | 293D00000X | — | — |
| Specialist | 174400000X | — | IL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Independent Diagnostic Testing Facility (Idtf) (IL) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 393 |
|---|---|
| Services billed | 11,575 across 83 procedure codes |
| Paid by Medicare | $69,505 |
Other Physiological Laboratory providers in Chicago
- 1295416931
- 1780826230
- 1871212449
- 1679522643
- 1336399583