Ultrasonic Medical Specialists LLC

Primary specialty

Physiological LaboratoryTaxonomy code 293D00000X

Legal business name

ULTRASONIC MEDICAL SPECIALISTS LLC

Practice address

365 Conestoga Dr
Chesterton, IN 46304-1559

Phone

(219) 617-8218

Fax

(502) 775-8345

NPI assigned

Aug 13, 2020

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Candice M Miles, RDMS, RVT, RDCSNPI 1740815885

Title

Owner

Phone

(219) 617-8218

Specialties & licenses 8

Addresses

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Candice Marie Miles, RVT, RDCS, ARDMS, RT

  • Diagnostic Ultrasound Physician
  • Bourbonnais, IL
  • NPI 1740815885

  Single Specialty

  NPD Authorized official
• Camela Rosenthal

  • Prosthetics Case Management
  • Bourbonnais, IL
  • NPI 1548148786

  Single Specialty

  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1597276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1667433600000",
    "number": "1053922849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "365 CONESTOGA DR",
            "city": "CHESTERTON",
            "state": "IN",
            "postal_code": "463041559",
            "telephone_number": "219-617-8218",
            "fax_number": "502-775-8345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "365 CONESTOGA DR",
            "city": "CHESTERTON",
            "state": "IN",
            "postal_code": "463041559",
            "telephone_number": "219-617-8218",
            "fax_number": "502-775-8345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ULTRASONIC MEDICAL SPECIALISTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-13",
        "last_updated": "2022-11-03",
        "certification_date": "2022-11-03",
        "status": "A",
        "authorized_official_last_name": "MILES",
        "authorized_official_first_name": "CANDICE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "219-617-8218",
        "authorized_official_credential": "RDMS, RVT, RDCS"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085U0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0208X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mobile",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "335V00000X",
            "taxonomy_group": "",
            "desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Prasanthi Tummuru, M.D.
• Kirk William Turner, OT
• Martine Turner, OTR
• Lauren Tvaroha, M.A. CCC-SLP
• Sandra J Twedt, PT
• Hassan Usmani, DPM
• Sydney D Utterback, OTR/L
• Ella Vale, RBT
• Matthew Valois
• Sarah Vance, COTA

• Physiological Laboratory in Chesterton, IN
• Providers in Chesterton, IN by specialty
• Physiological Laboratory in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.