NPIMap

Organization Active NPI

Medical Imaging Specialist Inc

  • Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
  • Palos Hills, IL
National Provider Identifier
1699282145
Registry record updated Aug 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Portable X-ray and/or Other Portable Diagnostic Imaging SupplierTaxonomy code 335V00000X
Legal business name
MEDICAL IMAGING SPECIALIST INC
Practice address
9944 S Roberts Rd Ste 106
Palos Hills, IL 60465-1555
Phone
(708) 634-2929
Fax
(708) 634-2945
NPI assigned
Jan 5, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 21, 2024

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

Authorized official

Name
Ahmad N Hussein
Title
President
Phone
(708) 634-2929

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier 335V00000X Primary

Addresses

Primary practice location

9944 S Roberts Rd Ste 106
Palos Hills, IL 60465-1555

Mailing address

9944 S Roberts Rd Ste 106
Palos Hills, IL 60465-1555
Phone (708) 634-2929

Other identifiers 1

IdentifierTypeStateIssuer
500514902OtherILIEMA DIVISION OF NUCLEAR SAFETY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180329000778 IL Part B Supplier - Portable X-Ray Supplier 7315209442 Receives reassigned benefits from 13 practitioners
Practice locations: Palos Hills, IL

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Medical Imaging Specialist Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1515110400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724198400000",
    "number": "1699282145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9944 S ROBERTS RD STE 106",
            "city": "PALOS HILLS",
            "state": "IL",
            "postal_code": "604651555",
            "telephone_number": "708-634-2929",
            "fax_number": "708-634-2945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9944 S ROBERTS RD STE 106",
            "city": "PALOS HILLS",
            "state": "IL",
            "postal_code": "604651555",
            "telephone_number": "708-634-2929",
            "fax_number": "708-634-2945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL IMAGING SPECIALIST INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-05",
        "last_updated": "2024-08-21",
        "certification_date": "2024-08-21",
        "status": "A",
        "authorized_official_last_name": "HUSSEIN",
        "authorized_official_first_name": "AHMAD",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-634-2929"
    },
    "taxonomies": [
        {
            "code": "335V00000X",
            "taxonomy_group": "",
            "desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IEMA DIVISION OF NUCLEAR SAFETY",
            "identifier": "500514902",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palos Hills, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2024; 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.