NPIMap

Organization Active NPI

X-Ray Consultants Inc

  • Diagnostic Radiology Physician
  • South Bend, IN
National Provider Identifier
1770536815
Registry record updated Apr 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
50001680A Issued in IN
Legal business name
X-RAY CONSULTANTS INC
Practice address
121 S Saint Louis Blvd
South Bend, IN 46617-2924
Phone
(574) 233-3123
Fax
(574) 233-3125
NPI assigned
May 18, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2025

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

Authorized official

Name
Dr. Edward L Yang, M.D.NPI 1477509156
Title
President
Phone
(574) 233-3123

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2085R0202X 50001680A IN Primary

Addresses

Primary practice location

121 S Saint Louis Blvd
South Bend, IN 46617-2924

Mailing address

121 S Saint Louis Blvd
South Bend, IN 46617-2924
Phone (574) 233-3123

Other identifiers 1

IdentifierTypeStateIssuer
100222430MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, MI, IL, TX4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
O20031118000632 IN Part B Supplier - Clinic/Group Practice 7315859832 Receives reassigned benefits from 20 practitioners
Practice locations: South Bend, IN; Plymouth, IN; Notre Dame, IN; Mishawaka, IN; Elkhart, IN; Granger, IN; Michigan City, IN; Carmel, IN
O20220203002443 MI Part B Supplier - Clinic/Group Practice 7315859832 Receives reassigned benefits from 71 practitioners
Practice locations: Farmington Hills, MI; Harrison TWP, MI; Howell, MI; Livonia, MI; Brighton, MI; Niles, MI; Northville, MI; Onsted, MI…
O20240129000324 IL Part B Supplier - Clinic/Group Practice 7315859832 Receives reassigned benefits from 2 practitioners
Practice locations: Chicago, IL; Northfield, IL
O20260525000465 TX Part B Supplier - Clinic/Group Practice 7315859832 Receives reassigned benefits from 1 practitioner
Practice locations: Allen, TX

National Provider Directory

National Provider Directory

Locations

24021 US Highway 33
#B
Elkhart, IN 46517
Phone (574) 875-8698

3421 Cassopolis St
Ste 200
Elkhart, IN 46514
Phone (574) 335-8180

4455 Edison Lakes Pkwy
Mishawaka, IN 46545
Phone (574) 231-6134

60101 Bodnar Blvd
Unit B
Mishawaka, IN 46544

270 E Day Rd
Ste 255
Mishawaka, IN 46545
Phone (574) 247-5657

3550 Park Pl W
Ste 100
Mishawaka, IN 46545
Phone (574) 272-5347

303 S Main St
Ste 208
Mishawaka, IN 46544
Phone (574) 288-9729

234 Chapin St
Ste 1
South Bend, IN 46601
Phone (574) 335-8250

53830 Generations Dr
Ste 110
South Bend, IN 46635
Phone (574) 234-2191

1608 Portage Ave
South Bend, IN 46616
Phone (574) 233-2966

53779 Generations Dr
Ste D
South Bend, IN 46635
Phone (574) 271-1030

17321 State Road 23
South Bend, IN 46635
Phone (574) 272-7676

6301 University Commons
Ste 210
South Bend, IN 46635
Phone (574) 234-4016

53830 Generations Dr
South Bend, IN 46635
Phone (574) 217-0174

19000 St Joes Pkwy
Livonia, MI 48152
Phone (734) 655-8250

44405 Woodward Ave
#202
Pontiac, MI 48341
Phone (248) 858-3000

5333 McAuley Dr
Rm 6016
Ypsilanti, MI 48197

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 161

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

View all 161

NPI Registry JSON

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

{
    "created_epoch": "1147910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745280000000",
    "number": "1770536815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 S SAINT LOUIS BLVD",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466172924",
            "telephone_number": "574-233-3123",
            "fax_number": "574-233-3125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 S SAINT LOUIS BLVD",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466172924",
            "telephone_number": "574-233-3123",
            "fax_number": "574-233-3125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "X-RAY CONSULTANTS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-18",
        "last_updated": "2025-04-22",
        "certification_date": "2025-04-22",
        "status": "A",
        "authorized_official_last_name": "YANG",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "574-233-3123",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IN",
            "license": "50001680A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100222430",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in South Bend, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2025; 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.