Organization Active NPI

Munster Open MRI & Imaging Inc

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • Munster, IN
National Provider Identifier
1851794317
Registry record updated Sep 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Magnetic Resonance Imaging (MRI) Clinic/CenterTaxonomy code 261QM1200X
Legal business name
MUNSTER OPEN MRI & IMAGING INC
Practice address
8840 Calumet Ave
Suite 102
Munster, IN 46321-2545
Phone
(219) 237-2988
Fax
(219) 237-2193
NPI assigned
Sep 29, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2014

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

Authorized official

Name
Mr. Naseem Khalil
Title
President
Phone
(219) 237-2988

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Magnetic Resonance Imaging (MRI) Clinic/Center 261QM1200X Primary

Addresses

Primary practice location

8840 Calumet Ave
Suite 102
Munster, IN 46321-2545

Mailing address

22017 Emily LN
Frankfort, IL 60423-7817
Phone (815) 534-5420

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20141229000252 IN Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 9335462274 Practice locations: Munster, IN

National Provider Directory

National Provider Directory

Locations

8840 Calumet Ave
Ste 102
Munster, IN 46321
Phone (219) 237-2538

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1411948800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411948800000",
    "number": "1851794317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22017 EMILY LN",
            "city": "FRANKFORT",
            "state": "IL",
            "postal_code": "604237817",
            "telephone_number": "815-534-5420",
            "fax_number": "815-880-8234"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8840 CALUMET AVE",
            "address_2": "SUITE 102",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463212545",
            "telephone_number": "219-237-2988",
            "fax_number": "219-237-2193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUNSTER OPEN MRI & IMAGING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-29",
        "last_updated": "2014-09-29",
        "status": "A",
        "authorized_official_last_name": "KHALIL",
        "authorized_official_first_name": "NASEEM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "219-237-2988",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Munster, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2014; 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.