Radrad Group of Il SC
NPI 1932803145ActiveOrganization· Radiology, Diagnostic Radiology· Elgin, IL
Radiology, Diagnostic Radiology in Elgin, Illinois, registered in NPPES in March 2023. The authorized official on file is Tennyson Maliro, MD, Owner/Provider/Authorized Rep. Enrolled in Medicare as part b supplier - independent diagnostic testing facility (idtf).
Overview
| NPI | 1932803145 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 30, 2023 |
| Last updated in NPPES | Jun 2, 2023 |
| Certified by provider | Jun 2, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Radiology, Diagnostic Radiology Primary | 2085R0202X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 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) |
|---|
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