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DR. MICHAEL LOUIS RADZIENDA M.D.
NPI 1457342610
Internal Medicine in Glenwood, IL

Active since November 04, 2005PECOS Enrolled
19310 S HALSTED ST, GLENWOOD, IL 60425(708) 300-3132(773) 790-4034 Get Directions Write a Review

NPPES record last updated: November 26, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 28, 2021, Oct 9, 2018 (2 updates tracked since 2018).

About Dr. Michael Louis Radzienda M.d. NPPES

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

DR. MICHAEL LOUIS RADZIENDA M.D. (NPI 1457342610) is an individual internal medicine provider in Glenwood, Illinois, licensed in Illinois (036095779) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1457342610
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. MICHAEL LOUIS RADZIENDACredential: M.D.
Location Address19310 S HALSTED STGlenwood, IL 60425-1562
Mailing Address19310 S Halsted StGlenwood, IL 60425-1562 · (708) 300-3132 · Fax (773) 790-4034
Phone(708) 300-3132
Fax(773) 790-4034
Sole ProprietorNo
Enumeration DateNovember 4, 2005
Last NPPES UpdateNovember 26, 20242 updates tracked since enumeration
NPPES CertifiedNovember 26, 2024
✔ NPI 1457342610 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in IL · 036095779✔ Licensed in WI · 50075
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedFamily MedicineTaxonomy 207Q00000X · License 01060676A (IN)
19310 S HALSTED ST, Glenwood, IL 60425
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Other Identifiers 1

Medicaid34752800WI

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Michael Louis Radzienda M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Michael Radzienda reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Pmr Illinois Holding, LLC
1,156 mi
Specialist
1395 NW 167TH ST
Miami Gardens, FL 33169
  • Reassigned Medicare billing, Illinois enrollment
  • 75 clinicians in this Medicare group
NPI 1770038671 (305) 831-4760

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60425 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
$138.86 typical visit price
range $60.08 – $183.39
Typical copayment $34.71 (range $15.02 – $45.84)
Most-billed visit code 99204
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
Most-billed visit code 99214
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 8

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

YVONNE ANNETTE ALLEN
Nurse Practitioner (Family)
19310 S HALSTED ST
GLENWOOD, IL 60425
Cook County (708) 300-3132
CARLOS CRUDUP M.D.
Family Medicine
19310 S HALSTED ST
GLENWOOD, IL 60425
Cook County (708) 300-3132
JENCARE NEIGHBORHOOD MEDICAL CENTER GLENWOOD, LLC
Specialist
19310 S HALSTED ST
GLENWOOD, IL 60425
Cook County (305) 628-6117
DR. GREGORY M BROWN DPM
Podiatrist (Foot & Ankle Surgery)
19310 S HALSTED ST
GLENWOOD, IL 60425
Cook County (708) 300-3132
MOHAMMED ADNAN KHALEELUDDIN D.O.
Family Medicine
19310 S HALSTED ST
GLENWOOD, IL 60425
Cook County (708) 300-3132
RICHARD PHILLIPS MD
Family Medicine
19310 S HALSTED ST
GLENWOOD, IL 60425
Cook County (708) 300-3132
KATRICE MARIE BROOKS M.D.
Family Medicine
19310 S HALSTED ST
GLENWOOD, IL 60425
Cook County (708) 300-3132
DR. MICHELLE MEEKS MD
Family Medicine
19310 S HALSTED ST
GLENWOOD, IL 60425
Cook County (708) 300-3132

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 Michael Radzienda's NPI number?

The NPI number for Michael Radzienda is 1457342610. It was assigned to this individual provider in the NPPES registry on November 4, 2005.

Where is Michael Radzienda located?

Michael Radzienda practices at 19310 S Halsted St, Glenwood, IL 60425. The listed phone number is (708) 300-3132.

What is Michael Radzienda's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Michael Radzienda enrolled in Medicare?

Yes. Michael Radzienda is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Michael Radzienda's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Radzienda reassigns Medicare benefits to Pmr Illinois Holding, LLC (Miami Gardens, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Michael Radzienda's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Michael Radzienda was last updated on November 26, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.