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

Individual provider Diagnostic Radiology Physician · NPI 1386834299

Jeremy Hogg, MD is a Diagnostic Radiology in Urbana, Illinois. Graduated from Wayne State University School of Medicine in 2007, 19 years ago. Practices with Carle West Physician Group Inc, a 285-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Illinois, Michigan and Minnesota.

Years since qualifying
19
Trained at
Wayne State University School of Medicine
Licensed in
IL, MI, MN
In the registry since
2007
Specialties on file
4
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

611 W Park St Ir
Urbana, IL 61801-2500
Phone: (217) 904-7000
Fax: (217) 904-7742
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Vascular & Interventional Radiology Physician (primary) Taxonomy 2085R0204X · Licence 036129966 (IL)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 103833 (MN)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 4301090815 (MI)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 036129966 (IL)

Record details

NPI number1386834299
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 26, 2007
Last updated in NPPESAugust 23, 2016

Medicare enrollment

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

Medicare specialtyDIAGNOSTIC RADIOLOGY
Also practisesINTERVENTIONAL RADIOLOGY
Medical schoolWAYNE STATE UNIVERSITY SCHOOL OF MEDICINE
Graduated 2007 (19 years in practice)
Group practice Carle West Physician Group Inc — 285 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations5 on file with Medicare

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