Advanced Imaging Services

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

Legal business name

ADVANCED IMAGING SERVICES

Practice address

45 W 111TH St
Chicago, IL 60628-4200

Phone

(630) 929-3034

NPI assigned

Mar 20, 2015

Last updated

Dec 2, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sudheer Paruchuri, MDNPI 1245221837

Title

Owner

Phone

(312) 622-7622

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Advanced Imaging Services

  dba Advanced Imaging Services South Shore Hospital

  • Diagnostic Radiology Physician
  • Chicago, IL
  • NPI 1174006217

  O20150602002632

  Same enrollment

Tax ID family

Advanced Imaging Services2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Advanced Imaging Services

  dba Advanced Imaging Services South Shore Hospital

  • Diagnostic Radiology Physician
  • Chicago, IL
  • NPI 1174006217
  NPD tax ID

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Advanced Imaging Services

  dba Advanced Imaging Services South Shore Hospital

  • Diagnostic Radiology Physician
  • Chicago, IL
  • NPI 1174006217
  NPPES parent name

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sudheer Paruchuri, MD

  • Vascular & Interventional Radiology Physician
  • Oak Park, IL
  • NPI 1245221837

  Diagnostic Radiology

  Medicare reassignment NPD Authorized official
• Malwinder S Singha, MD

  • Vascular & Interventional Radiology Physician
  • Rancho Cucamonga, CA
  • NPI 1972558203

  IL

  Medicare reassignment

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

{
    "created_epoch": "1426809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606867200000",
    "number": "1922492628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 OAKMONT LN",
            "address_2": "400",
            "city": "WESTMONT",
            "state": "IL",
            "postal_code": "605595530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 W 111TH ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606284200",
            "telephone_number": "630-929-3034"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED IMAGING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-20",
        "last_updated": "2020-12-02",
        "certification_date": "2020-12-02",
        "status": "A",
        "authorized_official_last_name": "PARUCHURI",
        "authorized_official_first_name": "SUDHEER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "312-622-7622",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Diagnostic Radiology Physician in Chicago, IL
• Providers in Chicago, IL by specialty
• Diagnostic Radiology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2020; 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.