Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. ALEXANDER GORODETSKY MD
NPI 1073541108
Radiology - Body Imaging in Chicago, IL

Active since June 29, 2006PECOS Enrolled
550 W WEBSTER AVE, CHICAGO, IL 60614(773) 883-3659 Get Directions Write a Review

NPPES record last updated: July 30, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Alexander Gorodetsky Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ALEXANDER GORODETSKY MD (NPI 1073541108) is an individual body imaging provider in Chicago, Illinois, licensed in Illinois (036-096374) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Southern Ohio Medical Center, and maintains a secondary practice location in Orlando.

NPPES Registry Identity

NPI1073541108
Entity TypeIndividualMale
Primary Taxonomy2085B0100X
Provider Legal NameDR. ALEXANDER GORODETSKYCredential: MD
Location Address550 W WEBSTER AVEChicago, IL 60614-3965
Mailing Address67 Beach RdGlencoe, IL 60022-1313 · (847) 835-7465
Sole ProprietorNo
Medical School CMSOtherGraduated 1995
Enumeration DateJune 29, 2006
Last NPPES UpdateJuly 30, 2026
NPPES CertifiedJuly 30, 2026
NPI 1073541108 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRadiology · Body ImagingAllopathic & Osteopathic Physicians
Taxonomy Code2085B0100X
License Licensed in IL · 036-096374
Definition
A Radiology doctor of Osteopathy that specializes in Body Imaging.
550 W WEBSTER AVE, Chicago, IL 60614

Secondary Practice Location 1

Location 152 Underwood StOrlando, FL 32806-1110 · Phone (407) 649-6823

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Alexander Gorodetsky Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID941281182
PECOS Enrollment IDI20040525001079, I20251013000096
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Ultrasound study of arm or leg veins with compression and maneuvers 93970
An ultrasound study of arm or leg veins with compression and maneuvers is a non-invasive procedure that uses sound waves to create images of your veins. This helps identify blood clots or other vein problems. During the procedure, pressure is applied to the veins and certain movements are performed to assess blood flow.
38 services28 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
31 services25 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Southern Ohio Medical Center

Acute Care Hospitals · Portsmouth, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number360008
Location1805 27th StreetPortsmouth, OH 45662 · Scioto County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 18

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Emergency Medicine
550 W WEBSTER AVE
CHICAGO, IL 60614
Anesthesiology
550 W WEBSTER AVE
CHICAGO, IL 60614
Anesthesiology
550 W WEBSTER AVE
CHICAGO, IL 60614
Anesthesiology
550 W WEBSTER AVE
CHICAGO, IL 60614
Occupational Therapist
550 W WEBSTER AVE, DEPARTMENT OF REHABILITATION
CHICAGO, IL 60614
Pathology (Anatomic Pathology & Clinical Pathology)
550 W WEBSTER AVE
CHICAGO, IL 60614
Anesthesiology
550 W WEBSTER AVE
CHICAGO, IL 60614
Emergency Medicine
550 W WEBSTER AVE
CHICAGO, IL 60614

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Alexander Gorodetsky's NPI number?

The NPI number for Alexander Gorodetsky is 1073541108. It was assigned to this individual provider in the NPPES registry on June 29, 2006.

Where is Alexander Gorodetsky located?

Alexander Gorodetsky practices at 550 W Webster Ave, Chicago, IL 60614. The listed phone number is (773) 883-3659.

What is Alexander Gorodetsky's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Body Imaging, with taxonomy code 2085B0100X.

Is Alexander Gorodetsky enrolled in Medicare?

Yes. Alexander Gorodetsky is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Alexander Gorodetsky accept?

Health plans from Blue Cross and Blue Shield of Texas, Oscar Insurance Company and Sendero Health Plans, Local Nonprofit list Alexander Gorodetsky as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Alexander Gorodetsky affiliated with any hospitals?

According to CMS data, Alexander Gorodetsky is affiliated with Southern Ohio Medical Center.

When was this NPI record last updated?

The NPPES record for Alexander Gorodetsky was last updated on July 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.