Active NPI
Medical Imaging Specialist in Inc
- Multi-Specialty Clinic/Center
- Gary, IN
National Provider Identifier
1275408577
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Multi-Specialty Clinic/Center
- Legal business name
- MEDICAL IMAGING SPECIALIST IN INC
- Practice address
- 2075 Clark Rd
Gary, IN 46404-2576 - Phone
- (708) 634-2929
- NPI assigned
- Oct 7, 2025
- Last updated
- Oct 7, 2025
- 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
- Mr. Ahmad Hussein
- Title
- President
- Phone
- (708) 634-2929
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Multi-Specialty Clinic/Center | 261QM1300X | NU | Primary |
Addresses
Primary practice location
2075 Clark Rd
Gary, IN 46404-2576
Mailing address
2075 Clark Rd
Gary, IN 46404-2576
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
National Provider Directory
National Provider Directory- Tax ID family
- Medical Imaging Specialist in Inc
Other organizations with this tax ID 3
Organizations that report the same tax identification number in the National Provider Directory.
-
- Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
- Gary, IN
- NPI 1295652451
-
- Diagnostic Ultrasound Physician
- Gary, IN
- NPI 1588539985
-
- Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
- Gary, IN
- NPI 1629943022
Practitioners & affiliated clinicians
Practitioners 17
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.
-
- Diagnostic Radiology Physician
- Lafayette, IN
- NPI 1780690222
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1759795200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1759795200000",
"number": "1275408577",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2075 CLARK RD",
"city": "GARY",
"state": "IN",
"postal_code": "464042576"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2075 CLARK RD",
"city": "GARY",
"state": "IN",
"postal_code": "464042576",
"telephone_number": "708-634-2929"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEDICAL IMAGING SPECIALIST IN INC",
"organizational_subpart": "NO",
"enumeration_date": "2025-10-07",
"last_updated": "2025-10-07",
"certification_date": "2025-10-07",
"status": "A",
"authorized_official_last_name": "HUSSEIN",
"authorized_official_first_name": "AHMAD",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "708-634-2929",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gary, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2025; 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.