Active NPI
Heratch O Doumanian, MD
- Body Imaging Physician
- Crown Point, IN
National Provider Identifier
1457347205
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Body Imaging Physician
- License
- 01021772
- Practice address
- 1201 S Main St
Crown Point, IN 46307-8481 - Phone
- (219) 757-6320
- Fax
- (219) 738-6714
- NPI assigned
- Sep 26, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Body Imaging Physician | 2085B0100X | 01021772 | IN | Primary |
Addresses
Primary practice location
1201 S Main St
Crown Point, IN 46307-8481
Mailing address
55 E 86TH Ave
Merrillville, IN 46410-6382
Phone (219) 769-1670
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01021772 | IN | MD | Body Imaging Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Radiology Consultants SC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Diagnostic Radiology Physician
- Park Ridge, IL
- NPI 1750380119
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1457347205",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "55 E 86TH AVE",
"city": "MERRILLVILLE",
"state": "IN",
"postal_code": "464106382",
"telephone_number": "219-769-1670",
"fax_number": "219-738-6714"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1201 S MAIN ST",
"city": "CROWN POINT",
"state": "IN",
"postal_code": "463078481",
"telephone_number": "219-757-6320",
"fax_number": "219-738-6714"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOUMANIAN",
"first_name": "HERATCH",
"middle_name": "O",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-26",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "2085B0100X",
"taxonomy_group": "",
"desc": "Radiology, Body Imaging",
"state": "IN",
"license": "01021772",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Crown Point, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.