Active NPI
Munster Radiology Group PC
- Diagnostic Radiology Physician
- Munster, IN
National Provider Identifier
1144207101
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- Legal business name
- MUNSTER RADIOLOGY GROUP PC
- Practice address
- 901 Macarthur Blvd
Radiology Department
Munster, IN 46321-2901 - Phone
- (219) 836-4569
- NPI assigned
- Dec 29, 2005
- Last updated
- Dec 12, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- John Gustaitis, M.D.
- Title
- President
- Phone
- (219) 836-2022
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Body Imaging Physician | 2085B0100X | IN | ||
| Neuroradiology Physician | 2085N0700X | IN | ||
| Nuclear Radiology Physician | 2085N0904X | IN | ||
| Diagnostic Radiology Physician | 2085R0202X | IN | Primary | |
| Vascular & Interventional Radiology Physician | 2085R0204X | IN | ||
| Radiological Physics Physician | 2085R0205X | NU | ||
| Diagnostic Ultrasound Physician | 2085U0001X | NU |
Addresses
Primary practice location
901 Macarthur Blvd
Radiology Department
Munster, IN 46321-2901
Mailing address
PO Box 10907
Merrillville, IN 46411-0907
Phone (800) 379-8731
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100158170 | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN, IL, SC, MI, FL
Enrollment records 5
National Provider Directory
National Provider DirectoryLocations
550 N Saint Clair St
Unit 180
Chicago, IL 60611
Phone (312) 523-8681
10191 Broadway
Crown Point, IN 46307
Phone (219) 661-6100
10010 Calumet Ave
Munster, IN 46321
1545 W US Highway 30
Schererville, IN 46375
Phone (219) 703-2440
7651 Harvest Dr
Schererville, IN 46375
Phone (219) 322-5723
Practitioners & affiliated clinicians
Practitioners 128
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.
-
- Vascular & Interventional Radiology Physician
- Munster, IN
- NPI 1598119539
Diagnostic Radiology, IL
-
- Family Nurse Practitioner
- Munster, IN
- NPI 1972323996
-
- Diagnostic Radiology Physician
- Munster, IN
- NPI 1619960788
IL, Neuroradiology
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135814400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1355270400000",
"number": "1144207101",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 10907",
"city": "MERRILLVILLE",
"state": "IN",
"postal_code": "464110907",
"telephone_number": "800-379-8731",
"fax_number": "614-771-2248"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 MACARTHUR BLVD",
"address_2": "RADIOLOGY DEPARTMENT",
"city": "MUNSTER",
"state": "IN",
"postal_code": "463212901",
"telephone_number": "219-836-4569"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MUNSTER RADIOLOGY GROUP PC",
"organizational_subpart": "NO",
"enumeration_date": "2005-12-29",
"last_updated": "2012-12-12",
"status": "A",
"authorized_official_last_name": "GUSTAITIS",
"authorized_official_first_name": "JOHN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "219-836-2022",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "2085B0100X",
"taxonomy_group": "",
"desc": "Radiology, Body Imaging",
"state": "IN",
"license": null,
"primary": false
},
{
"code": "2085N0700X",
"taxonomy_group": "",
"desc": "Radiology, Neuroradiology",
"state": "IN",
"license": null,
"primary": false
},
{
"code": "2085N0904X",
"taxonomy_group": "",
"desc": "Radiology, Nuclear Radiology",
"state": "IN",
"license": null,
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "IN",
"license": null,
"primary": true
},
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "IN",
"license": null,
"primary": false
},
{
"code": "2085R0205X",
"taxonomy_group": "",
"desc": "Radiology, Radiological Physics",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "2085U0001X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Ultrasound",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100158170",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Munster, IN
- Munster Open MRI & Imaging Inc
- Munster Oral Surgery Inc
- Munster Orthopaedic Institute
- Munster Orthopaedic Institute, LLC
- Munster Orthopaedic Institute, LLC
- Munster Same Day Surgery
- Munster Specialty Surgery Center, LLC (Munster Specialty Surgery Center)
- Munster Surgery Center LLC
- Munster Urgent Care Inc
- Munster Urololgical Associates, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2012; 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.