Organization Active NPI

Munster Medical Imaging Inc

  • Magnetic Resonance Imaging (MRI) Clinic/Center
  • Munster, IN
National Provider Identifier
1992262695
Registry record updated Feb 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Magnetic Resonance Imaging (MRI) Clinic/CenterTaxonomy code 261QM1200X
Legal business name
MUNSTER MEDICAL IMAGING INC
Practice address
625 Ridge Rd Ste a
Munster, IN 46321-1695
Phone
(219) 513-9269
NPI assigned
Feb 28, 2019
Last updated
Feb 28, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2019

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) 513-9269

Specialties & licenses 1

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

Addresses

Primary practice location

625 Ridge Rd Ste a
Munster, IN 46321-1695

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
O20190507002527 IN Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 2163764440 Practice locations: Munster, IN

National Provider Directory

National Provider Directory

Locations

625 Ridge Rd
Ste A
Munster, IN 46321
Phone (219) 513-9269

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1551312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551312000000",
    "number": "1992262695",
    "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": "625 RIDGE RD STE A",
            "city": "MUNSTER",
            "state": "IN",
            "postal_code": "463211695",
            "telephone_number": "219-513-9269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUNSTER MEDICAL IMAGING INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-28",
        "last_updated": "2019-02-28",
        "status": "A",
        "authorized_official_last_name": "KHALIL",
        "authorized_official_first_name": "NASEEM",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "219-513-9269",
        "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 Feb 28, 2019; 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.