| Scott Evan Grossberg, MD | |
|
250 E Pearson St, Chicago, IL 60611-7225 | |
| (312) 540-3881 | |
| Not Available |
| Full Name | Scott Evan Grossberg |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 25 Years |
| Location | 250 E Pearson St, Chicago, Illinois |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801831078 | NPI | - | NPPES |
| 00A954320 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | A95432 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| The Carle Foundation Hospital | Urbana, IL | Hospital |
| Carle Richland Memorial Hospital | Olney, IL | Hospital |
| Graham Hospital Association | Canton, IL | Hospital |
| Graham Hospital Association | Canton, IL | Hospital |
| Hoopeston Community Memorial Hospital | Hoopeston, IL | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Kirby Medical Center | 6901791144 | 80 |
| Carle Health Care Incorporated | 3577515774 | 1592 |
| Graham Hospital Association | 2769375021 | 124 |
| Carle West Physician Group Inc | 8921420308 | 282 |
| Hoopeston Community Memorial Hospital | 3577456037 | 142 |
| Richland Memorial Hospital Inc | 3870565732 | 107 |
| Entity Name | Christie Clinic, PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1871523829 PECOS PAC ID: 7719899319 Enrollment ID: O20031103000332 |
| Entity Name | Hoopeston Community Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043683014 PECOS PAC ID: 3577456037 Enrollment ID: O20040210000011 |
| Entity Name | Graham Hospital Association |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780692087 PECOS PAC ID: 2769375021 Enrollment ID: O20040510000873 |
| Entity Name | Richland Memorial Hospital Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467492124 PECOS PAC ID: 3870565732 Enrollment ID: O20040811000131 |
| Entity Name | Kirby Medical Center |
|---|---|
| Entity Type | Part A Provider - Critical Access Hospital |
| Entity Identifiers | NPI Number: 1730179847 PECOS PAC ID: 6901791144 Enrollment ID: O20050419000531 |
| Entity Name | Kirby Medical Center |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1386635373 PECOS PAC ID: 6901791144 Enrollment ID: O20050801000320 |
| Entity Name | Carle Health Care Incorporated |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154653947 PECOS PAC ID: 3577515774 Enrollment ID: O20100513000829 |
| Entity Name | Louisville Radiology Imaging Consultants PLLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1639115447 PECOS PAC ID: 2264436120 Enrollment ID: O20130517000055 |
| Entity Name | Imaging Associates of Indiana PC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1699072611 PECOS PAC ID: 1254503345 Enrollment ID: O20150106000375 |
| Entity Name | Specialists in Medical Imaging, SC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1841687951 PECOS PAC ID: 2163733544 Enrollment ID: O20150626000251 |
| Entity Name | Carle West Physician Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467074138 PECOS PAC ID: 8921420308 Enrollment ID: O20200613000147 |
| Mailing Address | Practice Location Address |
|---|---|
| Scott Evan Grossberg, MD 250 E Pearson St, Chicago, IL 60611-7225 Ph: Not Available | Scott Evan Grossberg, MD 250 E Pearson St, Chicago, IL 60611-7225 Ph: (312) 540-3881 |
Kabeer Rajan Masih, MD Radiology Medicare: Medicare Enrolled Practice Location: 1620 W Harrison St, Chicago, IL 60612 Phone: 312-942-5000 |
Lauren Elizabeth Arsenault, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 1653 W Congress Pkwy, Chicago, IL 60612 Phone: 312-942-5781 Fax: 312-942-7244 |
Dr. Mohan Phatak, M.D. Radiology Medicare: Not Enrolled in Medicare Practice Location: 7435 W Talcott Ave, Chicago, IL 60631 Phone: 773-792-5138 Fax: 773-792-5124 |
Janice Dieschbourg, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 1725 W Harrison St, Suite 155, Chicago, IL 60612 Phone: 312-563-3269 |
Amir K Sepahdari, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 5145 N California Avenue, Swedish Covenant Hospital, Chicago, IL 60625 Phone: 773-989-3814 Fax: 773-989-6230 |
Dr. Amar Pravin Shah, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 1725 W Harrison St Ste 461, Chicago, IL 60612 Phone: 312-942-5781 |
Dr. Naveen Prabhakar, M.D. Radiology Medicare: Accepting Medicare Assignments Practice Location: 836 W Wellington Ave, Chicago, IL 60657 Phone: 773-296-7820 Fax: 773-296-7821 |