Ethan Austhof, MD
NPI 1710628730 · Diagnostic Radiology Physician · Chicago, IL
Enrolled with Medicare as Order and Referring Only - Diagnostic Radiology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Ethan Austhof, MD is a Diagnostic Radiology Physician provider in Chicago, IL (NPI 1710628730).
Provider details
- NPI number
- 1710628730
- Entity type
- Individual
- Primary specialty
- Diagnostic Radiology PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- 4351049341 (MI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
4 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2022-04-05
- Last updated
- 2023-06-27
- Certified
- 2023-06-27
Frequently asked questions
- What is Ethan Austhof's NPI number?
- Ethan Austhof's National Provider Identifier (NPI) is 1710628730, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Ethan Austhof's specialty?
- Ethan Austhof is listed in the NPPES registry with a primary specialty of Diagnostic Radiology Physician (Allopathic & Osteopathic Physicians).
- Where is Ethan Austhof located?
- Ethan Austhof's practice location on file with NPPES is 5841 S. Maryland Ave, Chicago, IL 60637-4502.
- What is Ethan Austhof's phone number?
- The practice phone number listed in the NPPES registry for Ethan Austhof is (773) 702-3550.
- Does Ethan Austhof accept Medicare?
- Ethan Austhof is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Ethan Austhof's NPI active?
- Yes — Ethan Austhof's NPI (1710628730) is active in the NPPES registry as of the last update on 2023-06-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.