SOUTHWEST RADIOLOGIST JOINT VTR
NPI 1316989973
Radiology - Diagnostic Radiology in Oak Lawn, IL

NPI Status: Active since June 11, 2006

Contact Information

5550 W 111TH ST
OAK LAWN, IL
ZIP 60453
Phone: (708) 636-0633
Fax: (708) 636-0689

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  • Organization
  • Radiology
  • Diagnostic Radiology

About SOUTHWEST RADIOLOGIST JOINT VTR

This page provides the complete NPI Profile along with additional information for Southwest Radiologist Joint Vtr, a provider established in Oak Lawn, Illinois operating as a Radiology, focusing in diagnostic radiology . The healthcare provider is registered in the NPI registry with number 1316989973 assigned on June 2006. The practitioner's primary taxonomy code is 2085R0202X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Mrs. Patty Mancuso (Office Manager)

NPI
1316989973
Provider Name
SOUTHWEST RADIOLOGIST JOINT VTR
Entity Type
Organization
Location Address
5550 W 111TH ST OAK LAWN, IL 60453
Location Phone
(708) 636-0633
Location Fax
(708) 636-0689
Mailing Address
3300 127TH ST 2ND FLOOR BLUE ISLAND, IL 60406
Mailing Phone
(708) 388-0423
Mailing Fax
(708) 636-0689
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-11-2006
Last Update Date
07-21-2022
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Radiology Diagnostic Radiology

Taxonomy Code
2085R0202X
Type
Allopathic & Osteopathic Physicians
License State
IL
Taxonomy Description
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MRS. PATTY MANCUSO

Authorized Official Title
OFFICE MANAGER
Authorized Official Phone
(708) 388-0423

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
CB4562OTHER (01)ILTRAVELERS MEDICARE GRP
01617844OTHER (01)ILBCBS GROUP

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1316989973, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 77. The final step is to find the difference between that total and the next multiple of ten (80 - 77 = 3).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
3
Unchanged
Pos 3
1
Doubled → 2
Pos 4
6
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
8
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
9
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
3
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 1 → 2 9 → 18 → 9 9 → 18 → 9 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 3 + 2 + 6 + 1 + 8 + 8 + 1 + 8 + 9 + 1 + 4 + 24 = 77

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 77 is 80. The difference is the calculated check digit.

80 - 77 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1316989973.

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Clinic/Center (Magnetic Resonance Imaging (MRI))
5550 W 111TH ST
OAK LAWN, IL 60453
Nurse Practitioner (Family)
5550 W 111TH ST
OAK LAWN, IL 60453

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1316989973, enumerated as an "organization" on June 11, 2006.

The provider is located at 5550 W 111TH ST OAK LAWN, IL 60453 and the phone number is (708) 636-0633.

Radiology with taxonomy code 2085R0202X and a focus in Diagnostic Radiology.

The provider might be accepting Accepts: Medicare, Medicaid and Blue Cross Blue Shield. Please consult your insurance carrier or call the provider to verify.