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STEFAN RYAN ERICKSON
NPI 1104445915
Radiology - Diagnostic Radiology in Evanston, IL

Active since April 11, 2020PECOS EnrolledAccepts Medicare Assignment
355 RIDGE AVE, EVANSTON, IL 60202(847) 316-4000 Get Directions Write a Review

NPPES record last updated: October 15, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Stefan Ryan Erickson NPPES

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

STEFAN RYAN ERICKSON (NPI 1104445915) is an individual diagnostic radiology provider in Evanston, Illinois, licensed in California (A188524) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS, maintains a secondary practice location in San Francisco, and is a graduate of University Of Chicago, Pritzker School Of Medicine (2020).

NPPES Registry Identity

NPI1104445915
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameSTEFAN RYAN ERICKSON
Location Address355 RIDGE AVEEvanston, IL 60202-3328
Mailing Address1130 S Michigan Ave Apt 2709Chicago, IL 60605-2321 · (510) 710-3555
Phone(847) 316-4000
Sole ProprietorNo
Medical School CMSUniversity Of Chicago, Pritzker School Of MedicineGraduated 2020
Enumeration DateApril 11, 2020
Last NPPES UpdateOctober 15, 2025
NPPES CertifiedOctober 15, 2025
✔ NPI 1104445915 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License✔ Licensed in CA · A188524
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
355 RIDGE AVE, Evanston, IL 60202
Open in Google Maps ↗

Secondary Practice Location 1

Location 11100 Van Ness AveSan Francisco, CA 94109-6978 · Phone (415) 600-3223

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

Stefan Ryan Erickson 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 ID7315472701
PECOS Enrollment IDI20241121003440
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60202 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$74.80 typical visit price
range $18.97 – $148.12
Typical copayment $18.70 (range $4.74 – $37.03)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

VIRAJA ALLURI MD
Internal Medicine
355 RIDGE AVE
EVANSTON, IL 60202
Cook County (847) 316-4000
CONSULTANT RADIOLOGISTS OF EVANSTON, S.C.
Radiology (Diagnostic Radiology)
355 RIDGE AVE
EVANSTON, IL 60202
Cook County (847) 316-6101
JONGGI CHOI
Student in an Organized Health Care Education/Training Program
355 RIDGE AVE, DEPARTMENT OF MEDICINE
EVANSTON, IL 60202
Cook County (847) 316-4000
CELINA CHIODO
Student in an Organized Health Care Education/Training Program
355 RIDGE AVE
EVANSTON, IL 60202
Cook County (847) 316-4000
HIBA MAGBOUL MD
Student in an Organized Health Care Education/Training Program
355 RIDGE AVE
EVANSTON, IL 60202
Cook County (847) 316-4000
DUNCAN F MACINTYRE
Student in an Organized Health Care Education/Training Program
355 RIDGE AVE
EVANSTON, IL 60202
Cook County (773) 942-3921
SUJIT KUMAR DARNAL
Student in an Organized Health Care Education/Training Program
355 RIDGE AVE
EVANSTON, IL 60202
Cook County (847) 316-4000
PRESENCE CHICAGO HOSPITALS NETWORK
General Acute Care Hospital
355 RIDGE AVE
EVANSTON, IL 60202
Cook County (847) 316-2329

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 Stefan Erickson's NPI number?

The NPI number for Stefan Erickson is 1104445915. It was assigned to this individual provider in the NPPES registry on April 11, 2020.

Where is Stefan Erickson located?

Stefan Erickson practices at 355 Ridge Ave, Evanston, IL 60202. The listed phone number is (847) 316-4000.

What is Stefan Erickson's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Stefan Erickson enrolled in Medicare?

Yes. Stefan Erickson 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.

When was this NPI record last updated?

The NPPES record for Stefan Erickson was last updated on October 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.