DO Ji Paik, MD

Primary specialty

Body Imaging PhysicianTaxonomy code 2085B0100X

License

01027462 Issued in IN

Practice address

5454 Hohman Ave
Hammond, IN 46320-1931

Phone

(219) 933-2006

Fax

(219) 738-6714

NPI assigned

Oct 19, 2005

Last updated

Jan 25, 2012By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Methodist Hospitals Cardiographics, LLC

  • Cardiovascular Disease Physician
  • Merrillville, IN
  • NPI 1609825686
  NPD (past)

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

{
    "created_epoch": "1129680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327449600000",
    "number": "1871582122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 E 86TH AVE",
            "address_2": "PO BOX 10645",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464106382",
            "telephone_number": "219-769-1670",
            "fax_number": "219-738-6714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5454 HOHMAN AVE",
            "city": "HAMMOND",
            "state": "IN",
            "postal_code": "463201931",
            "telephone_number": "219-933-2006",
            "fax_number": "219-738-6714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAIK",
        "first_name": "DO",
        "middle_name": "JI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-19",
        "last_updated": "2012-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085B0100X",
            "taxonomy_group": "",
            "desc": "Radiology, Body Imaging",
            "state": "IN",
            "license": "01027462",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100361380",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• One to One Health (The Center for Healthy Living at PNW)
• Optimum Primary Care LLC
• Maryam Othman, DMD
• Pacific Healthcare, Inc.
• Krishna Pahuja, M.D.
• Cortney Sloan Palencia, D.O.
• Lauren Michelle Palmer, PHARMD
• Anthony A. Panozzo, MS, LMHC
• Ayan Patel
• Neel Patel

• Body Imaging Physician in Hammond, IN
• Providers in Hammond, IN by specialty
• Body Imaging Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.