Organization Active NPI

CT Imaging Inc

  • Diagnostic Radiology Physician
  • Hialeah, FL
National Provider Identifier
1528071438
Registry record updated Oct 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
5610 Issued in FL
Legal business name
CT IMAGING INC
Practice address
395 W 10TH St
Suite 2
Hialeah, FL 33010-3810
Phone
(305) 887-7562
Fax
(786) 260-0974
NPI assigned
Aug 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2012

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

Authorized official

Name
Hector M Pena
Title
President
Phone
(305) 887-7562

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X 5610 FL Primary

Addresses

Primary practice location

395 W 10TH St
Suite 2
Hialeah, FL 33010-3810

Mailing address

395 W 10TH St
Suite 2
Hialeah, FL 33010-3810
Phone (305) 887-7562

Other identifiers 1

IdentifierTypeStateIssuer
371319900MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050411000756 FL Part B Supplier - Clinic/Group Practice 6002853116 Receives reassigned benefits from 2 practitioners
1 other NPI on this enrollment
Practice locations: Miami, FL

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

Networks

  • HealthSun Health Plans Network

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350950400000",
    "number": "1528071438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "395 W 10TH ST",
            "address_2": "SUITE 2",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330103810",
            "telephone_number": "305-887-7562",
            "fax_number": "786-260-0974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "395 W 10TH ST",
            "address_2": "SUITE 2",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330103810",
            "telephone_number": "305-887-7562",
            "fax_number": "786-260-0974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CT IMAGING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-14",
        "last_updated": "2012-10-23",
        "status": "A",
        "authorized_official_last_name": "PENA",
        "authorized_official_first_name": "HECTOR",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "305-887-7562"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "FL",
            "license": "5610",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "371319900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2012; 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.

Verify at the official NPI Registry.