NPIMap

Individual provider Active NPI

Anastasia Karabatsos Siatras, D.O.

  • Diagnostic Radiology Physician
  • Merrillville, IN
National Provider Identifier
1912163577
Registry record updated Jun 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
125-050874 Issued in IL
Practice address
8701 Broadway
Merrillville, IN 46410-7035
Phone
(219) 738-5565
Fax
(219) 738-6714
NPI assigned
Aug 4, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 125-050874 IL Primary

Addresses

Primary practice location

8701 Broadway
Merrillville, IN 46410-7035

Mailing address

55 E 86TH Ave
Merrillville, IN 46410-6382
Phone (219) 769-1670

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120627000323 IN Practitioner - Diagnostic Radiology 6800065848 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
N W Indiana Radiology Services, PCGroup PAC ID 9537065180, 15 clinicians
Advanced Imaging Center LLCGroup PAC ID 5496714305, 12 clinicians

Practice addresses (Care Compare)

600 Grant St
Gary, IN 46402-6001
Phone (219) 886-4000

7860 Burr St
Schererville, IN 46375-3402
Phone (219) 864-2900

8701 Broadway
Merrillville, IN 46410-7035
Phone (219) 738-5500

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
36.37 of 100Reported as individual
Quality
56.67
Improvement activities
0

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
125-050874ILMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
N W Indiana Radiology Services, PC CurrentSince Jul 1, 2012 Accepting new patients
Advanced Imaging Center LLC CurrentSince Jun 9, 2019 Accepting new patients
Osu Radiology LLC Diagnostic Radiology PastSince Oct 1, 2005 Accepting new patients
Multicare Physician Center PC PastSince Mar 4, 2019 Accepting new patients

Locations

29806 Network Pl
Chicago, IL 60673

55 E 86th Ave
Merrillville, IN 46410
Phone 2197691670207

8701 Broadway
Merrillville, IN 46410
Phone (219) 738-4926

7860 Burr St
Schererville, IN 46375
Phone (219) 738-5930

Organizations & group practices 4

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

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1217808000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339027200000",
    "number": "1912163577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 E 86TH AVE",
            "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": "8701 BROADWAY",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464107035",
            "telephone_number": "219-738-5565",
            "fax_number": "219-738-6714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIATRAS",
        "first_name": "ANASTASIA",
        "middle_name": "KARABATSOS",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-04",
        "last_updated": "2012-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IL",
            "license": "125-050874",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Merrillville, IN

Sources for this page

Verify at the official NPI Registry.