Minimally Invasive Therapy Specialists SC

Primary specialty

Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X

Legal business name

MINIMALLY INVASIVE THERAPY SPECIALISTS SC

Doing business as

Mits

Practice address

5011 N Lincoln Ave
Chicago, IL 60625-6351

Phone

(844) 646-8763

Fax

(855) 497-2932

NPI assigned

Feb 1, 2013

Last updated

Oct 18, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Iftikhar Ahmad, MD

Title

President and Ceo

Phone

(844) 646-8763

Specialties & licenses 4

Addresses

Other identifiers 5

Other names 1

• MITS Doing business as

Locations

Practitioners 3

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.

• Brian S Boe, M.D.

  • Surgery Physician
  • Chicago, IL
  • NPI 1124049473
  NPD (past)
• William Enrique Otero, M.D.

  • Family Medicine Physician
  • Chicago, IL
  • NPI 1588776884
  NPD (past)
• Anne M Fritcher, PA

  • Medical Physician Assistant
  • Martin, TN
  • NPI 1982932711
  NPD (past)

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

{
    "created_epoch": "1359676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539820800000",
    "number": "1558600106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5011 N LINCOLN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606256351",
            "telephone_number": "844-646-8763",
            "fax_number": "855-497-2932"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5011 N LINCOLN AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606256351",
            "telephone_number": "844-646-8763",
            "fax_number": "855-497-2932"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINIMALLY INVASIVE THERAPY SPECIALISTS SC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-01",
        "last_updated": "2018-10-18",
        "status": "A",
        "authorized_official_last_name": "AHMAD",
        "authorized_official_first_name": "IFTIKHAR",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "844-646-8763",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL MEDICAID PROVIDER",
            "identifier": "068824647",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1558600106",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1922070457",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP PTAN",
            "identifier": "IL8727",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL MEDICARE PTAN",
            "identifier": "027928G89",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MITS",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MITS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mark D Minier, MD
• Minimally Invasive Therapy Partners S.C. (Mobile Intervention and Diagnostic)
• Minimally Invasive Therapy Partners SC
• Minimally Invasive Therapy Partners SC (Mobile Intervention and Diagnostic)
• Minimally Invasive Therapy Partners SC (Mobile Intervention and Diagnostic)
• Kimberly B Miniscalco, PT, MHS
• Julia Minkevitch
• Oleg Minkevitch, M.D.
• Deanna L Minkler, DC
• Anna Minkov, LCSW

• Vascular & Interventional Radiology Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Vascular & Interventional Radiology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.