Active NPI
Hobart Medical Solutions Inc
- Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
- Highland, IN
National Provider Identifier
1821334863
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | |||
| Radiologic Technologist | 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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.
-
- Diagnostic Ultrasound Physician
- Highland, IN
- NPI 1285956748
O20120525000360
National Provider Directory
National Provider DirectoryNPI 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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.