Active NPI
Hobart Medical Solutions Inc
- Diagnostic Ultrasound Physician
- Highland, IN
National Provider Identifier
1285956748
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Ultrasound Physician
- Legal business name
- HOBART MEDICAL SOLUTIONS INC
- Practice address
- 2646 Highway Ave Ste 114
Highland, IN 46322-1662 - Phone
- (219) 301-5210
- Fax
- (773) 774-8101
- NPI assigned
- Feb 24, 2010
- 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. Zafer Ali Khan
- Title
- President
- Phone
- (224) 636-3637
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | |||
| Diagnostic Radiology Physician | 2085R0202X | |||
| Diagnostic Ultrasound Physician | 2085U0001X | IN | Primary | |
| Radiologic Technologist | 247100000X | |||
| Physiological Laboratory | 293D00000X |
Addresses
Primary practice location
2646 Highway Ave Ste 114
Highland, IN 46322-1662
Mailing address
6124 N Milwaukee Ave Ste 2
Chicago, IL 60646-3820
Phone (224) 636-3637
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20120525000360 | IN | Part B Supplier - Portable X-Ray Supplier | 6800066762 |
1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Highland, IN |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
- Highland, IN
- NPI 1821334863
O20120525000360
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1266969600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1514332800000",
"number": "1285956748",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6124 N MILWAUKEE AVE STE 2",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606463820",
"telephone_number": "224-636-3637",
"fax_number": "773-774-8101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2646 HIGHWAY AVE STE 114",
"city": "HIGHLAND",
"state": "IN",
"postal_code": "463221662",
"telephone_number": "219-301-5210",
"fax_number": "773-774-8101"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HOBART MEDICAL SOLUTIONS INC",
"organizational_subpart": "NO",
"enumeration_date": "2010-02-24",
"last_updated": "2017-12-27",
"status": "A",
"authorized_official_last_name": "KHAN",
"authorized_official_first_name": "ZAFER",
"authorized_official_middle_name": "ALI",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "224-636-3637",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": null,
"license": null,
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Radiology",
"state": null,
"license": null,
"primary": false
},
{
"code": "2085U0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Ultrasound",
"state": "IN",
"license": null,
"primary": true
},
{
"code": "247100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Radiologic Technologist",
"state": null,
"license": null,
"primary": false
},
{
"code": "293D00000X",
"taxonomy_group": "",
"desc": "Physiological Laboratory",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Highland, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2017; 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.