DR. RONALD BYRON PORT M. D.
NPI 1720115637
Radiology - Pediatric Radiology in Winnetka, IL

Q: What is Ronald Port's NPI number?

The NPI number for Ronald Port is 1720115637. It was assigned to this individual provider in the NPPES registry on February 27, 2007.

Q: What is Ronald Port's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Pediatric Radiology, with taxonomy code 2085P0229X.

Q: Is Ronald Port enrolled in Medicare?

No. Ronald Port has opted out of Medicare through April 22, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

Q: When was this NPI record last updated?

The NPPES record for Ronald Port was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since February 27, 2007Opted out of Medicare · through Apr 22, 2028

1220 WHITEBRIDGE HILL RD, WINNETKA, IL 60093(847) 441-9087 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Ronald Byron Port M. D. NPPES

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

DR. RONALD BYRON PORT M. D. (NPI 1720115637) is an individual pediatric radiology provider in Winnetka, Illinois and active in the NPI registry since February 2007. He has opted out of Medicare through April 22, 2028 and remains eligible to order and refer.

NPPES Registry Identity

NPI1720115637

Entity TypeIndividualMale

Primary Taxonomy2085P0229X

Provider Legal NameDR. RONALD BYRON PORTCredential: M. D.

Location Address1220 WHITEBRIDGE HILL RDWinnetka, IL 60093-1550

Mailing Address1220 Whitebridge Hill RdWinnetka, IL 60093-1550

Phone(847) 441-9087

Sole ProprietorYes

Enumeration DateFebruary 27, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1720115637 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Pediatric RadiologyAllopathic & Osteopathic Physicians

Taxonomy Code2085P0229X

Definition

A radiologist who is proficient in all forms of diagnostic imaging as it pertains to the treatment of diseases in the newborn, infant, child and adolescent. This specialist has knowledge of both imaging and interventional procedures related to the care and management of diseases of children. A pediatric radiologist must be highly knowledgeable of all organ systems as they relate to growth and development, congenital malformations, diseases peculiar to infants and children and diseases that begin in childhood but cause substantial residual impairment in adulthood.

1220 WHITEBRIDGE HILL RD, Winnetka, IL 60093

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

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Opted out of Medicare

Dr. Ronald Byron Port M. D. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 22, 2016 through April 22, 2028.

Opt-Out Effective DateApril 22, 2016

Opt-Out In Effect ThroughApril 22, 2028Opt-out affidavits renew automatically every two years unless cancelled

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

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 Ronald Port's NPI number?

The NPI number for Ronald Port is 1720115637. It was assigned to this individual provider in the NPPES registry on February 27, 2007.

Where is Ronald Port located?

Ronald Port practices at 1220 Whitebridge Hill Rd, Winnetka, IL 60093. The listed phone number is (847) 441-9087.

What is Ronald Port's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Pediatric Radiology, with taxonomy code 2085P0229X.

Is Ronald Port enrolled in Medicare?

No. Ronald Port has opted out of Medicare through April 22, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Ronald Port was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.