Active NPI
Advanced Imaging Services
Doing business as Advanced Imaging Services South Shore Hospital
- Diagnostic Radiology Physician
- Chicago, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- Legal business name
- ADVANCED IMAGING SERVICES
- Doing business as
- Advanced Imaging Services South Shore Hospital
- Practice address
- 8012 S Crandon Ave
Chicago, IL 60617-1124 - Phone
- (773) 356-5000
- NPI assigned
- Sep 14, 2018
- Last updated
- Jul 18, 2024
- Organization subpart
- Yes
- Parent organization
- ADVANCED IMAGING SERVICES
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sudheer Paruchuri
- Title
- Owner
- Phone
- (312) 622-7622
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | NU | Primary | |
| Vascular & Interventional Radiology Physician | 2085R0204X | NU |
Addresses
Primary practice location
8012 S Crandon Ave
Chicago, IL 60617-1124
Mailing address
PO Box 7230
Westchester, IL 60154-7230
Phone (773) 356-5000
Other names 1
- Advanced Imaging Services South Shore Hospital
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
Enrollment records 1
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider Directory- Tax ID family
- Advanced Imaging Services
- Part of
- Advanced Imaging Services
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Diagnostic Radiology Physician
- Chicago, IL
- NPI 1922492628
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Diagnostic Radiology Physician
- Chicago, IL
- NPI 1922492628
Practitioners & affiliated clinicians
Practitioners 1
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
- Oak Park, IL
- NPI 1245221837
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1536883200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1721260800000",
"number": "1174006217",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7230",
"city": "WESTCHESTER",
"state": "IL",
"postal_code": "601547230",
"telephone_number": "773-356-5000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8012 S CRANDON AVE",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606171124",
"telephone_number": "773-356-5000"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ADVANCED IMAGING SERVICES",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "ADVANCED IMAGING SERVICES",
"enumeration_date": "2018-09-14",
"last_updated": "2024-07-18",
"certification_date": "2024-07-18",
"status": "A",
"authorized_official_last_name": "PARUCHURI",
"authorized_official_first_name": "SUDHEER",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "312-622-7622"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Advanced Imaging Services South Shore Hospital",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Advanced Imaging Services South Shore Hospital",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Chicago, IL
- Advanced Health Medical Group, LTD
- Advanced Health Medical LTD
- Advanced Health Medical SC
- Advanced Health Services, Inc.
- Advanced Hearing Services, LTD
- Advanced Imaging Services
- Advanced Imaging Specialists, Inc. (Advanced Center for Sleep Disorders)
- Advanced Imaging Studio, Inc. (Ais)
- Advanced Institute for Infertility, SC
- Advanced Integrated Medical Therapy Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2024; 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.