Organization Active NPI

Hobart Medical Solutions Inc

  • Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
  • Highland, IN
National Provider Identifier
1821334863
Registry record updated Dec 5, 2017
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
HOBART MEDICAL SOLUTIONS INC
Practice address
2646 Highway Ave Ste 114
Highland, IN 46322-1662
Phone
(219) 301-5210
Fax
(773) 774-8101
NPI assigned
Dec 19, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2017

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

Authorized official

Name
Mr. Zafer Ali Khan
Title
President
Phone
(224) 636-3637

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2085R0202X
Radiologic TechnologistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 247100000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier 335V00000X Primary

Addresses

Primary practice location

2646 Highway Ave Ste 114
Highland, IN 46322-1662

Mailing address

6124 N Milwaukee Ave Ste 2
Chicago, IL 60646-3820
Phone (224) 636-3637

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120525000360 IN Part B Supplier - Portable X-Ray Supplier 6800066762 1 other NPI on this enrollment
Practice locations: Highland, IN

Portable X-ray supplier certification: CCN 15X0009834

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
HOBART MEDICAL SOLUTIONS INC
Certification status
Active
Provider type (POS)
Portable X-ray supplier
Participating since
Aug 20, 2012
Last certification
Jul 24, 2024
Ownership / control type
Corporation
Facility address
2646 Highway Ave, Ste 114
Highland, IN 46322

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

NPI Registry JSON

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

{
    "created_epoch": "1355875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1512432000000",
    "number": "1821334863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6124 N MILWAUKEE AVE STE 2",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606463820",
            "telephone_number": "224-636-3637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2646 HIGHWAY AVE STE 114",
            "city": "HIGHLAND",
            "state": "IN",
            "postal_code": "463221662",
            "telephone_number": "219-301-5210",
            "fax_number": "773-774-8101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOBART MEDICAL SOLUTIONS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-19",
        "last_updated": "2017-12-05",
        "status": "A",
        "authorized_official_last_name": "KHAN",
        "authorized_official_first_name": "ZAFER",
        "authorized_official_middle_name": "ALI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "224-636-3637",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "247100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Radiologic Technologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "335V00000X",
            "taxonomy_group": "",
            "desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Highland, IN

Sources for this page

Verify at the official NPI Registry.