Individual provider Active NPI

Lingyun Xiong

  • Diagnostic Radiology Physician
  • Munster, IN
National Provider Identifier
1215248588
Registry record updated Mar 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
036137397 Issued in IL
Practice address
10010 Calumet Ave
Munster, IN 46321-4055
Phone
(219) 924-3450
NPI assigned
Jul 1, 2010
Last updated
Mar 8, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 036137397 IL Primary

Addresses

Primary practice location

10010 Calumet Ave
Munster, IN 46321-4055

Mailing address

10010 Calumet Ave
Munster, IN 46321-4055

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, IL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160624000978 IN Practitioner - Diagnostic Radiology 8820391139 Reassigns benefits to 2 organizations
I20171103001953 IL Practitioner - Diagnostic Radiology 8820391139 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Michigan Homeopathic Medical School, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Munster Radiology Group PCGroup PAC ID 1951299940, 26 clinicians
Powers Health Diagnostic Group LLCGroup PAC ID 8820573280, 25 clinicians

Practice addresses (Care Compare)

1602 Butterfield Rd
Flossmoor, IL 60422-1835
Phone (219) 924-3450

1819 S Michigan Ave
Unit 704
Chicago, IL 60616-4642
Phone (219) 924-3450

901 Macarthur Blvd
Munster, IN 46321-2901
Phone (219) 836-1600

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036137397ILMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Munster Radiology Group PC Diagnostic Radiology CurrentSince Jul 1, 2016 Accepting new patients
Nephrology Specialists, PC. Past Accepting new patients

Locations

4321 Fir St
East Chicago, IN 46312
Phone (219) 392-1700

901 MacArthur Blvd
Munster, IN 46321
Phone (219) 703-1443

10010 Calumet Ave
Munster, IN 46321

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1277942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457395200000",
    "number": "1215248588",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10010 CALUMET AVE",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463214055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10010 CALUMET AVE",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463214055",
            "telephone_number": "219-924-3450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "XIONG",
        "first_name": "LINGYUN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-01",
        "last_updated": "2016-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IL",
            "license": "036137397",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Munster, IN

Sources for this page

Verify at the official NPI Registry.