Pioneer Diagnostics and Research Corp

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

Legal business name

PIONEER DIAGNOSTICS AND RESEARCH CORP

Doing business as

APR Physical Therapy
Pioneer Diagnostic and Imaging
Pioneer Diagnostics & Imaging

Practice address

387 Shuman Blvd Ste 210E
Naperville, IL 60563-8146

Phone

(630) 329-8166

NPI assigned

Jan 12, 2007

Organization subpart

No

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

Authorized official

Name

Sameena Israr

Title

Owner

Phone

(630) 329-8161

Specialties & licenses 5

Addresses

Other identifiers 2

Other names 4

• APR Physical Therapy Doing business as
• Pioneer Diagnostic and Imaging Doing business as
• Pioneer Diagnostics & Imaging Doing business as
• The DigiBaby 3D4D Ultrasound Other name

Medicare fee-for-service enrollment

Enrolled in CA, IL, AZ4 enrollments

Enrollment records 4

Portable X-ray supplier certification: CCN 05X0010077

Legal name

PIONEER DIAGNOSTICS AND RESEARCH

Certification status

Active

Provider type (POS)

Portable X-ray supplier

Participating since

Dec 15, 2023

Last certification

Dec 15, 2023

Ownership / control type

Individual

Facility address

1050 Murrieta Blvd
Livermore, CA 94550

Locations

Practitioners 4

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

• Michael Thomas Flisak, DO

  • Interventional Cardiology Physician
  • Michigan City, IN
  • NPI 1548426943
  NPD
• Anil Khosla, M.D.

  • Diagnostic Radiology Physician
  • Seattle, WA
  • NPI 1679590319
  NPD
• Ross McArthur, MD

  • Diagnostic Radiology Physician
  • Phoenix, AZ
  • NPI 1144238379
  NPD
• Jack Nathaniel Newman Jr., M.D.

  • Cardiovascular Disease Physician
  • Phoenix, MD
  • NPI 1215915012
  NPD

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708646400000",
    "number": "1922159482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7530 WOODWARD AVE STE D",
            "city": "WOODRIDGE",
            "state": "IL",
            "postal_code": "605173100",
            "telephone_number": "877-470-7531",
            "fax_number": "888-706-4887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "387 SHUMAN BLVD STE 210E",
            "city": "NAPERVILLE",
            "state": "IL",
            "postal_code": "605638146",
            "telephone_number": "630-329-8166"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1050 Murrieta Blvd",
            "address_purpose": "LOCATION",
            "city": "Livermore",
            "state": "CA",
            "postal_code": "945504111",
            "country_code": "US",
            "telephone_number": "877-470-7531",
            "fax_number": "888-706-4887",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PIONEER DIAGNOSTICS AND RESEARCH CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-12",
        "last_updated": "2024-02-23",
        "certification_date": "2024-02-23",
        "status": "A",
        "authorized_official_last_name": "ISRAR",
        "authorized_official_first_name": "SAMEENA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "630-329-8161"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QR0208X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mobile",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "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": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1922159482",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1922159482",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "APR Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Pioneer Diagnostic and Imaging",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Pioneer Diagnostics & Imaging",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "The DigiBaby 3D4D Ultrasound",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Michael Thomas Pink, DDS, MD
• Pinky Promise Pediatric Dentistry
• Pins Family Chiropractic
• Bradley William Pins, D.C.
• Lisa A Pinto, PSYD
• Pioneer Telemetry Corporation
• Melissa Lynn Piorkowski, ATC
• Shannon Rae Piper
• Alyssa Pipkin Heimbach
• Elena Pirozhnik, D.O.

• Radiology Clinic/Center in Naperville, IL
• Providers in Naperville, IL by specialty
• Radiology Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2024; 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.

Verify at the official NPI Registry.