DR. JOHN E CONNOLLY M.D. NPI 1215987508

Radiology (Diagnostic Radiology) in Chicago, IL

NPI 1215987508 Individual Male Years of Experience 30 Radiology Diagnostic Radiology PECOS Enrolled Accepts Medicare Approved Payment Medicare Quality Reporting

About JOHN CONNOLLY

John Connolly is a provider established in Chicago, Illinois and his medical specialization is radiology (diagnostic radiology) with more than 30 years of experience. He graduated from Medical College Of Wisconsin in 1992. The NPI number of John Connolly is 1215987508 and was assigned on May 2006. The practitioner's primary taxonomy code is 2085R0202X. The provider is registered as an individual and his NPI record was last updated 14 years ago.

John Connolly is enrolled in PECOS and is eligible to order or refer healthcare services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices

John Connolly is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data he has hospital affiliations with Amita Health Resurrection Medical Center, Presence Saint Francis Hospital, Presence Saints Mary And Elizabeth Medical Center and Presence Saint Joseph Hospital - Chicago.

The provider participated in Medicare's Quality Payment Program and the following quality measures were reported: radiation consideration for adult ct: utilization of dose lowering techniques and radiology: stenosis measurement in carotid imaging reports. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries.

NPI

1215987508

Provider NameDR. JOHN E CONNOLLY M.D.
Provider Location Address2233 W DIVISION ST CHICAGO, IL 60622
Provider Mailing Address2233 W DIVISION ST CHICAGO, IL 60622
GenderMale
NPI Entity TypeIndividual
Medical School NameMEDICAL COLLEGE OF WISCONSIN
Graduation Year1992
Is Sole Proprietor?Yes
Is Organization Subpart?N/A
Enumeration Date05-10-2006
Last Update Date07-25-2007


Primary Taxonomy

Taxonomy Code2085R0202X
ClassificationRadiology
TypeAllopathic & Osteopathic Physicians
SpecializationDiagnostic Radiology
License StateIL
Taxonomy DescriptionA radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Business Address

DR. JOHN E CONNOLLY M.D.
2233 W DIVISION ST
CHICAGO, IL
ZIP 60622
Phone: (312) 770-3990
Fax: (312) 770-2161

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Mailing Address

DR. JOHN E CONNOLLY M.D.
2233 W DIVISION ST
CHICAGO, IL
ZIP 60622
Phone: (312) 770-3990
Fax: (312) 770-2161



Medicare Participation

Registered in PECOS? Yes What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
PECOS PAC ID3476516303
PECOS Enrollment IDI20041110001207
Accepts Medicare Assignment? Yes "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Clinician Utilization

The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.

  • 1236X-ray of chest, 1 view, front (HCPCS:71010)
  • 755X-ray of chest, 2 views, front and side (HCPCS:71020)
  • 176X-ray of abdomen, single view (HCPCS:74000)
  • 160CT scan of abdomen and pelvis with contrast (HCPCS:74177)
  • 137X-ray of knee, 4 or more views (HCPCS:73564)
  • 122CT scan of abdomen and pelvis (HCPCS:74176)
  • 111Ultrasound scanning of blood flow (outside the brain) on both sides of head and neck (HCPCS:93880)
  • 100X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • 85X-ray of ribs of one side of body, minimum of 2 views (HCPCS:73510)
  • 70X-ray of foot, minimum of 3 views (HCPCS:73630)
  • 61X-ray of hand, minimum of 3 views (HCPCS:73130)
  • 40X-ray of wrist, minimum of 3 views (HCPCS:73110)
  • 33Nuclear medicine study with CT imaging skull base to mid-thigh (HCPCS:78815)
  • 28Nuclear medicine study of lung ventilation and blood circulation in the lungs (HCPCS:78582)
  • 22Ultrasound pelvis through vagina (HCPCS:76830)
  • 19Ultrasound of head and neck (HCPCS:76536)
  • 16X-ray of knee, 3 views (HCPCS:73562)
  • 15Bone and/or joint imaging, whole body (HCPCS:78306)
  • 11Radiological supervision and interpretation of CT guidance for needle insertion (HCPCS:77012)

Quality Reporting

The following quality measures meets Medicare's statistical reporting standards for the year 2018. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.

Quality Measure Performance Rate Number of Patients
Radiation Consideration for Adult CT: Utilization of Dose Lowering Techniques 98% 1280
Percentage of final reports for patients aged 18 years and older undergoing CT with documentation that one or more of the following dose reduction techniques were used: - Automated exposure control - Adjustment of the mA and/or kV according to patient size - Use of iterative reconstruction technique
Radiology: Stenosis Measurement in Carotid Imaging Reports 98% 124
Percentage of final reports for carotid imaging studies (neck magnetic resonance angiography [MRA], neck computed tomography angiography [CTA], neck duplex ultrasound, carotid angiogram) performed that include direct or indirect reference to measurements of distal internal carotid diameter as the denominator for stenosis measurement

Hospital Affiliations

Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. John Connolly is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
AMITA HEALTH RESURRECTION MEDICAL CENTER7435 W TALCOTT AVENUE
CHICAGO, IL 60631
(773) 774-8000Acute Care Hospitals140117
PRESENCE SAINT FRANCIS HOSPITAL355 RIDGE AVE
EVANSTON, IL 60202
(847) 316-4000Acute Care Hospitals140080
PRESENCE SAINTS MARY AND ELIZABETH MEDICAL CENTER2233 W DIVISION ST
CHICAGO, IL 60622
(312) 770-2000Acute Care Hospitals140180
PRESENCE SAINT JOSEPH HOSPITAL - CHICAGO2900 NORTH LAKE SHORE DRIVE
CHICAGO, IL 60657
(773) 665-3000Acute Care Hospitals140224

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State
K27321MEDICARE PIN (08)IL
G58586MEDICARE UPIN (02)IL

Other Providers at the same location


The following 19 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1801895263MARUTI BHORADE, M.D.
Organization
Internal Medicine (Nephrology)2233 W DIVISION ST
CHICAGO, IL 60622
(630) 770-2172
1083616650 HONG CHAN AN M.D.
Individual
Anesthesiology2233 W DIVISION ST ST. MARY OF NAZARETH HOSPITAL / ANESTHESIA DEPARTMENT
CHICAGO, IL 60622
(312) 770-2000
1437151057DIVISION ANESTHESIA GROUP PC
Organization
Anesthesiology2233 W DIVISION ST ST. MARY OF NAZARETH HOSPITAL / ANESTHESIA DEPARTMENT
CHICAGO, IL 60622
(312) 770-2000
1477555910 MICHAEL L. TAM M.D.
Individual
Anesthesiology2233 W DIVISION ST ST MARY OF NAZARETH HOSPITAL / ANESTHESIA DEPARTMENT
CHICAGO, IL 60622
(312) 770-2000
1417959909 SESHADRI SADAGOPAN M.D.
Individual
Anesthesiology2233 W DIVISION ST ST MARY OF NAZARETH HOSPITAL / ANESTHESIA DEPARTMENT
CHICAGO, IL 60622
(312) 770-2000
1073515581 KEVIN Y. LAU M.D.
Individual
Anesthesiology2233 W DIVISION ST
CHICAGO, IL 60622
(312) 770-2000
1962404442 DANIEL W. BORVAN CRNA
Individual
Nurse Anesthetist, Certified Registered2233 W DIVISION ST
CHICAGO, IL 60622
(312) 770-2000
1992707483 EUN KYUNG KIM M.D.
Individual
Anesthesiology2233 W DIVISION ST ST MARY OF NAZARETH HOSPITAL / ANESTHESIA DEPARTMENT
CHICAGO, IL 60622
(312) 770-2000
1710989207 PHAIBUL KOSAPHANDHU M.D.
Individual
Anesthesiology2233 W DIVISION ST ST MARY OF NAZARETH HOSPITAL / ANESTHESIA DEPARTMENT
CHICAGO, IL 60622
(312) 770-2000
1760484257 LONG K. HAN M.D.
Individual
Anesthesiology2233 W DIVISION ST
CHICAGO, IL 60622
(312) 770-2000
1669422630DR. TODD R BRACK D.O.
Individual
Radiology (Diagnostic Radiology)2233 W DIVISION ST
CHICAGO, IL 60622
(312) 770-2181
1861447542TUMOR TREATMENT LTD.
Organization
Radiology (Therapeutic Radiology)2233 W DIVISION ST
CHICAGO, IL 60622
(312) 770-2068
1992741896 AURORITA ESTUR LARIOSA MD
Individual
Pediatrics2233 W DIVISION ST
CHICAGO, IL 60622
(312) 770-2000
1174555916 LEON JAY FRAZIN M.D.
Individual
Internal Medicine (Cardiovascular Disease)2233 W DIVISION ST
CHICAGO, IL 60622
(312) 770-2438
1942224068 MYUNG H. LEE CRNA
Individual
Nurse Anesthetist, Certified Registered2233 W DIVISION ST ST. MARY OF NAZARETH HOSPITAL / ANESTHESIA DEPT.
CHICAGO, IL 60622
(312) 770-2000
1205844180 EDWARD COHEN MD
Individual
Internal Medicine (Nephrology)2233 W DIVISION ST
CHICAGO, IL 60622
(312) 770-2000
1790898518 MARUTI S. BHORADE M.D.
Individual
Internal Medicine (Nephrology)2233 W DIVISION ST ST. MARY OF NAZARETH HOSPITAL
CHICAGO, IL 60622
(312) 770-2172
1427156009DR. SATYAVATHI ANNE M.D.
Individual
Radiology (Body Imaging)2233 W DIVISION ST
CHICAGO, IL 60622
(312) 770-3990
1083712434VILLAGE IMAGAING PROFESSIONAL LLC
Organization
Radiology (Body Imaging)2233 W DIVISION ST
CHICAGO, IL 60622
(312) 770-3990

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.