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ETHAN AUSTHOF MD
NPI 1710628730
Radiology - Diagnostic Radiology in Chicago, IL

Active since April 05, 2022PECOS Enrolled
5841 S. MARYLAND AVE, CHICAGO, IL 60637(773) 702-3550 Get Directions Write a Review

NPPES record last updated: June 27, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ethan Austhof Md NPPES

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

ETHAN AUSTHOF MD (NPI 1710628730) is an individual diagnostic radiology provider in Chicago, Illinois, licensed in Michigan (4351049341) and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1710628730
Entity TypeIndividualMale
Primary Taxonomy2085R0202X
Provider Legal NameETHAN AUSTHOFCredential: MD
Location Address5841 S. MARYLAND AVEChicago, IL 60637-4502
Mailing Address180 Harvester Dr Ste 110Burr Ridge, IL 60527-6686 · (773) 702-1150
Phone(773) 702-3550
Sole ProprietorNo
Enumeration DateApril 5, 2022
Last NPPES UpdateJune 27, 2023
NPPES CertifiedJune 27, 2023
✔ NPI 1710628730 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 MI · 4351049341
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
5841 S. MARYLAND AVE, Chicago, IL 60637
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ethan Austhof Md 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60637 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.

MR. JASON LONG M.D.
Surgery
5841 S. MARYLAND AVE, UNIVERSITY OF CHICAGO HOSPITALS
CHICAGO, IL 60637
Cook County (773) 702-1000
ANTHONY CARRERA MD
Internal Medicine
5841 S. MARYLAND AVE, 7082
CHICAGO, IL 60637
Cook County (773) 702-6840
HOK LEONG CHIN
Pediatrics
5841 S. MARYLAND AVE, M/C 8016
CHICAGO, IL 60637
Cook County (773) 702-6435
DR. MAEANNA MERRILL MD
Pediatrics
5841 S. MARYLAND AVE, M/C 8016
CHICAGO, IL 60637
Cook County (773) 702-1000
DR. MARTIN MICHAEL GRUCA MD
Internal Medicine (Cardiovascular Disease)
5841 S. MARYLAND AVE, M/C 6080
CHICAGO, IL 60637
Cook County (773) 702-5211
MARY ROSE LOFTUS DO
Pediatrics
5841 S. MARYLAND AVE, M/C 1145
CHICAGO, IL 60637
Cook County (773) 702-3020
TEKLA MOLLER MD
Pediatrics
5841 S. MARYLAND AVE, MC 6060
CHICAGO, IL 60637
Cook County (773) 702-3056
PRIYA NAIR
Student in an Organized Health Care Education/Training Program
5841 S. MARYLAND AVE, M/C 7082
CHICAGO, IL 60637
Cook County (773) 702-6840

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 Ethan Austhof's NPI number?

The NPI number for Ethan Austhof is 1710628730. It was assigned to this individual provider in the NPPES registry on April 5, 2022.

Where is Ethan Austhof located?

Ethan Austhof practices at 5841 S. Maryland Ave, Chicago, IL 60637. The listed phone number is (773) 702-3550.

What is Ethan Austhof's specialty?

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

Is Ethan Austhof enrolled in Medicare?

Yes. Ethan Austhof is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ethan Austhof was last updated on June 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.