Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Omid Kohannim, MD

Individual provider Diagnostic Radiology Physician · NPI 1861802316

Dr. Omid Kohannim, MD is a Diagnostic Radiology in Springfield, Illinois. Qualified in 2014, 12 years ago. Practices with Central Illinois Radiological Associates Ltd, a 204-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Illinois and Texas.

Years since qualifying
12
Licensed in
IL, TX
In the registry since
2014
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

800 E Carpenter St
Springfield, IL 62769-1201
Phone: (217) 544-6464
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 111 Dallas St, San Antonio, TX 78205-1201 — (877) 406-2916

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence 036-164889 (IL)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence S5680 (TX)

Record details

NPI number1861802316
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 6, 2014
Last updated in NPPESJanuary 30, 2024
Certification dateJanuary 30, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Central Illinois Radiological Associates Ltd — 204 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Springfield