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JACOB SETH ECANOW MD NPI 1104866805


NPI Information

NPI: 1104866805
Provider Name: JACOB SETH ECANOW, MD
Classification: Radiology - 2085R0202X
Entity Type: Individual

Specialization: Diagnostic Radiology

PECOS Registration: Yes

Address:
2650 RIDGE AVE.
DEPARTMENT OF RADIOLOGY
EVANSTON, IL
ZIP 60201
Phone: (847) 570-2475
Get Directions

Jacob Seth Ecanow, MD is a diagnostic radiology radiology in Evanston, IL with 32 years of experience. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. Jacob Seth Ecanow, MD NPI is 1104866805. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Graduation Year:1992

The provider's business location address is:

2650 RIDGE AVE.
DEPARTMENT OF RADIOLOGY
EVANSTON, IL
ZIP 60201-718
Phone: (847) 570-2475
Fax: (847) 570-2942

The NPI 1104866805 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Mammography of both breasts (HCPCS:77067)
  • Bone density measurement using dedicated x-ray machine (HCPCS:77080)
  • X-ray of chest, 1 view (HCPCS:71045)
  • X-ray of chest, 2 views (HCPCS:71046)
  • X-ray of hip with pelvis, 2-3 views (HCPCS:73502)
  • X-ray of shoulder, minimum of 2 views (HCPCS:73030)
  • X-ray of knee, 4 or more views (HCPCS:73564)
  • X-ray of foot, minimum of 3 views (HCPCS:73630)
  • X-ray of wrist, minimum of 3 views (HCPCS:73110)
  • Nuclear medicine study with ct imaging skull base to mid-thigh (HCPCS:78815)
  • X-ray of hand, minimum of 3 views (HCPCS:73130)
  • Bone and/or joint imaging, whole body (HCPCS:78306)
  • X-ray of knee, 3 views (HCPCS:73562)
  • X-ray of fingers, minimum of 2 views (HCPCS:73140)

The enumeration date for this NPI number is 6/8/2006 and was last updated on 12/4/2018.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12085R0202XRadiologyDiagnostic Radiology036095636ILLINOISYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1036095636MEDICAIDILLINOIS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.