Dr Agboola Awomolo, MD - Medicare Diagnostic Radiology in Chicago, IL

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Dr Agboola Awomolo, MD is a medicare enrolled "Radiology - Diagnostic Radiology" physician in Chicago, Illinois. He graduated from medical school in 2012 and has 12 years of diverse experience with area of expertise as Diagnostic Radiology. He is a member of the group practice Kingman Healthcare Inc, Radiology Specialists Of The Northwest Pc, Yuma Regional Medical Center and his current practice location is 4646 N Marine Dr, Chicago, Illinois. You can reach out to his office (for appointments etc.) via phone at (773) 878-8700.

Dr Agboola Awomolo is licensed to practice in Illinois (license number 3694807) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1073877262.

Contact Information

Dr Agboola Awomolo, MD
4646 N Marine Dr,
Chicago, IL 60640-5759
(773) 878-8700
Not Available

Map and Direction




Physician's Profile

Full NameDr Agboola Awomolo
GenderMale
SpecialityDiagnostic Radiology
Experience12 Years
Location4646 N Marine Dr, Chicago, Illinois
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Agboola Awomolo graduated from medical school in 2012
  NPI Data:
  • NPI Number: 1073877262
  • Provider Enumeration Date: 07/02/2012
  • Last Update Date: 07/02/2012
  Medicare PECOS Information:
  • PECOS PAC ID: 7416227129
  • Enrollment ID: I20170727002503

Medical Identifiers

Medical identifiers for Dr Agboola Awomolo such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1073877262NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2085R0202XRadiology - Diagnostic Radiology 3694807 (Illinois)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Yuma Regional Medical CenterYuma, AZHospital
Kingman Regional Medical CenterKingman, AZHospital
Providence Portland Medical CenterPortland, ORHospital
Providence Willamette Falls Medical CenterOregon city, ORHospital
Providence Milwaukie HospitalMilwaukie, ORHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Kingman Healthcare Inc6901791367181
Radiology Specialists Of The Northwest Pc620482996324
Yuma Regional Medical Center2062314826288

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Agboola Awomolo allows following entities to bill medicare on his behalf.
Entity NameCigna Healthcare Of Arizona Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043471873
PECOS PAC ID: 1456263573
Enrollment ID: O20031105000515
Entity NameBenson Hospital Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1336118322
PECOS PAC ID: 3274443056
Enrollment ID: O20040109000537
Entity NameYuma Regional Medical Center
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1194706655
PECOS PAC ID: 2062314826
Enrollment ID: O20040122000526
Entity NameKingman Healthcare Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1265423917
PECOS PAC ID: 6901791367
Enrollment ID: O20040216001173
Entity NameSanta Cruz Radiology L L C
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1346291044
PECOS PAC ID: 7012996952
Enrollment ID: O20040715000380
Entity NameSouthern Arizona Rad Associates, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1518344639
PECOS PAC ID: 9133440753
Enrollment ID: O20150609000098
Entity NameMdig Of Arizona, Llc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1477056661
PECOS PAC ID: 5294080891
Enrollment ID: O20180622001741
Entity NameSteward Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1972073716
PECOS PAC ID: 2860688728
Enrollment ID: O20190625002616
Entity NameTennessee Interventional And Imaging Associates Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1043632433
PECOS PAC ID: 4688897473
Enrollment ID: O20200324000907
Entity NameLucidsolutions Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1518594480
PECOS PAC ID: 0749603462
Enrollment ID: O20200722000536
Entity NameReston Radiology Consultants, Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1235307034
PECOS PAC ID: 1557436730
Enrollment ID: O20210810000048
Entity NameAdvanced Radiology And Interventional Associates Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1669123626
PECOS PAC ID: 2163816448
Enrollment ID: O20220808003437
Entity NameRadiologica Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1073000105
PECOS PAC ID: 8820337769
Enrollment ID: O20220815001238
Entity NameRadiology Specialists Of The Northwest Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1699759498
PECOS PAC ID: 6204829963
Enrollment ID: O20221107001372

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Agboola Awomolo is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Agboola Awomolo, MD
15537 Ingleside Ave,
Dolton, IL 60419-2759

Ph: (773) 430-1254		Dr Agboola Awomolo, MD
4646 N Marine Dr,
Chicago, IL 60640-5759

Ph: (773) 878-8700

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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