MICHAEL DOMBROWSKI
NPI 1629423595
Radiology - Diagnostic Radiology in Evanston, IL

Active since April 28, 2016PECOS EnrolledAccepts Medicare Assignment
93.08/100
CMS Quality Rating
2650 RIDGE AVE., DEPT. OF RADIOLOGY, EVANSTON, IL 60201(847) 570-2477 Get Directions Write a Review

NPPES record last updated: May 26, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 26, 2022, Aug 15, 2019 (2 updates tracked since 2019).

About Michael Dombrowski NPPES

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

MICHAEL DOMBROWSKI (NPI 1629423595) is an individual diagnostic radiology provider in Evanston, Illinois, licensed in Illinois (036152782) and active in the NPI registry since April 2016. He is enrolled in Medicare PECOS, is affiliated with Northshore University Healthsystem - Evanston Hospital, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1629423595
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameMICHAEL DOMBROWSKI
Location Address2650 RIDGE AVE., DEPT. OF RADIOLOGYEvanston, IL 60201
Mailing Address2650 Ridge Ave., Dept. Of RadiologyEvanston, IL 60201 · (847) 570-2477
Sole ProprietorNo
Medical School CMSLoyola University Of Chicago, Stritch School Of MedicineGraduated 2016
Enumeration DateApril 28, 2016
Last NPPES UpdateMay 26, 20222 updates tracked since enumeration
NPPES CertifiedMay 12, 2022
NPI 1629423595 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License Licensed in IL · 036152782
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Also ListedRadiology · Vascular & Interventional RadiologyTaxonomy 2085R0204X · License 125068415 (IL)
2650 RIDGE AVE., Evanston, IL 60201

Secondary Practice Locations 2

Location 12900 N Lake Shore Dr, Presence Saint Joseph Hospital ChicagoChicago, IL 60657-5640 · Phone (773) 665-6730 · Fax (773) 665-3401
Location 2600 S Paulina St, Rush University HospitalChicago, IL 60612 · Phone (312) 942-5000

Other Identifiers 1

Other363366652IL · Presence Saint Joseph Hospital Chicago

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

Michael Dombrowski 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 ID5698046324
PECOS Enrollment IDI20220621000536
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 54

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.

Screening mammography 77067
Screening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.
467 services467 patients
Screening 3d breast mammography 77063
Screening 3D breast mammography is a procedure that uses low-dose X-rays to create detailed images of the breast. This allows for early detection of any unusual changes or growths. It's a non-invasive, outpatient procedure that typically takes about 30 minutes.
466 services466 patients
X-ray of chest, 1 view 71045
A chest X-ray, 1 view, is a quick, painless test that produces images of the structures within your chest, such as your heart, lungs, and blood vessels. It helps in diagnosing conditions like pneumonia, heart problems, or lung cancer. You'll stand in front of a machine that emits X-rays, which pass through your body to create the image.
359 services292 patients
X-ray of chest, 2 views 71046
A chest X-ray, 2 views, is a quick, painless test that creates pictures of the structures inside your chest, such as your heart, lungs, and blood vessels. Two different angles are used to get a comprehensive view. This helps in diagnosing conditions like pneumonia, heart problems, or lung cancer.
143 services137 patients
Ct scan head or brain without contrast 70450
A CT scan of the head or brain without contrast is a non-invasive imaging procedure. It uses X-rays to create detailed pictures of your brain, skull, and other structures inside your head. It helps to detect conditions like strokes, tumors, or injuries. No dye (contrast) is used in this test.
120 services113 patients
Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes 99152
This procedure involves a doctor administering a medication to reduce your consciousness during a procedure. This helps in managing discomfort and anxiety. The initial application lasts for 15 minutes and is for individuals aged 5 years or older.
120 services116 patients

Hospital Affiliations CMS Care Compare 5

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

Northshore University Healthsystem - Evanston Hospital

Acute Care Hospitals · Evanston, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number140010
Location2650 Ridge AveEvanston, IL 60201 · Cook County
Emergency services Birthing friendly

Riverside Medical Center

Acute Care Hospitals · Kankakee, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140186
Location350 N Wall StKankakee, IL 60901 · Kankakee County
Emergency services Birthing friendly

Mclaren Bay Region

Acute Care Hospitals · Bay City, MI
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230041
Location1900 Columbus AveBay City, MI 48708 · Bay County
Emergency services Birthing friendly

Mclaren Central Michigan

Acute Care Hospitals · Mount Pleasant, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number230080
Location1221 South DriveMount Pleasant, MI 48858 · Isabella County
Emergency services Birthing friendly

Mclaren Northern Michigan

Acute Care Hospitals · Petoskey, MI
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number230105
Location416 Connable AvePetoskey, MI 49770 · Emmet County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60201 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

93.08/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.79
Promoting Interoperability100
Improvement Activities40

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.

Hospitalist
2650 RIDGE AVE., IM HOSPITALISTS STE 4206
EVANSTON, IL 60201
Obstetrics & Gynecology (Gynecologic Oncology)
2650 RIDGE AVE., KELLOGG CANCER CENTER
EVANSTON, IL 60201
Obstetrics & Gynecology (Maternal & Fetal Medicine)
2650 RIDGE AVE., SUITE 1420
EVANSTON, IL 60201
Radiology (Diagnostic Radiology)
2650 RIDGE AVE., DEPT. OF RADIOLOGY
EVANSTON, IL 60201
Physician Assistant (Surgical)
2650 RIDGE AVE., DEPT. OF SURGERY WALGREEN 2507
EVANSTON, IL 60201
Hospitalist
2650 RIDGE AVE., IM HOSPITALISTS STE 4206
EVANSTON, IL 60201
Nurse Anesthetist, Certified Registered
2650 RIDGE AVE., DEPARTMENT OF ANESTHESIA
EVANSTON, IL 60201
Anesthesiology
2650 RIDGE AVE., DEPT. OF ANESTHESIA
EVANSTON, IL 60201

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 Dombrowski's NPI number?

The NPI number for Michael Dombrowski is 1629423595. It was assigned to this individual provider in the NPPES registry on April 28, 2016.

Where is Michael Dombrowski located?

Michael Dombrowski practices at 2650 Ridge Ave. Dept. Of Radiology, Evanston, IL 60201. The listed phone number is (847) 570-2477.

What is Michael Dombrowski's specialty?

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

Is Michael Dombrowski enrolled in Medicare?

Yes. Michael Dombrowski 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.

Is Michael Dombrowski affiliated with any hospitals?

According to CMS data, Michael Dombrowski is affiliated with Northshore University Healthsystem - Evanston Hospital, Riverside Medical Center, Mclaren Bay Region, Mclaren Central Michigan and Mclaren Northern Michigan.

When was this NPI record last updated?

The NPPES record for Michael Dombrowski was last updated on May 26, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.