NPIMap

Organization Active NPI

Img Associates LLC

  • Specialist
  • Merrillville, IN
National Provider Identifier
1134424351
Registry record updated Jan 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
IMG ASSOCIATES LLC
Practice address
99 E 86TH Ave
Suite D
Merrillville, IN 46410-6381
Phone
(888) 339-7339
Fax
(312) 254-1421
NPI assigned
Jan 19, 2011
Last updated
Jan 19, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2011

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

Authorized official

Name
Dr. Kirnjot Singh, M.D., P.C.NPI 1376541979
Title
Owner
Phone
(888) 339-7339

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X NU Primary

Addresses

Primary practice location

99 E 86TH Ave
Suite D
Merrillville, IN 46410-6381

Mailing address

10996 Four Seasons PL
Suite 100 a
Crown Point, IN 46307-8684
Phone (888) 339-7339

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, MD, DE3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20110310000726 IN Part B Supplier - Clinic/Group Practice 2466634563 Receives reassigned benefits from 2 practitioners
Practice locations: Merrillville, IN
O20170119000983 MD Part B Supplier - Clinic/Group Practice 2466634563 Receives reassigned benefits from 1 practitioner
Practice locations: Baltimore, MD; Dundalk, MD
O20170315001893 DE Part B Supplier - Clinic/Group Practice 2466634563 Receives reassigned benefits from 1 practitioner
Practice locations: Wilmington, DE

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

8691 Connecticut St
Ste B
Merrillville, IN 46410
Phone (219) 793-1900

1147 S Hanover St
Ste A
Baltimore, MD 21230

Practitioners & affiliated clinicians

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1295395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1295395200000",
    "number": "1134424351",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10996 FOUR SEASONS PL",
            "address_2": "SUITE 100 A",
            "city": "CROWN POINT",
            "state": "IN",
            "postal_code": "463078684",
            "telephone_number": "888-339-7339",
            "fax_number": "312-254-1421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "99 E 86TH AVE",
            "address_2": "SUITE D",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464106381",
            "telephone_number": "888-339-7339",
            "fax_number": "312-254-1421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IMG ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-01-19",
        "last_updated": "2011-01-19",
        "status": "A",
        "authorized_official_last_name": "SINGH",
        "authorized_official_first_name": "KIRNJOT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "888-339-7339",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D., P.C."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Merrillville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.