Provider Type Icon

MUNSTER RADIOLOGY GROUP PC NPI 1144207101


NPI Information

NPI: 1144207101
Provider Name: MUNSTER RADIOLOGY GROUP PC
Classification: Radiology - 2085R0202X
Entity Type: Organization

Specialization: Diagnostic Radiology

Address:
901 MACARTHUR BLVD
RADIOLOGY DEPARTMENT
MUNSTER, IN
ZIP 46321
Phone: (219) 836-4569
Get Directions

MUNSTER RADIOLOGY GROUP PC is a diagnostic radiology radiology in Munster, IN. The provider is a radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. MUNSTER RADIOLOGY GROUP PC NPI is 1144207101. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

901 MACARTHUR BLVD
RADIOLOGY DEPARTMENT
MUNSTER, IN
ZIP 46321-901
Phone: (219) 836-4569

The provider's authorized official is John Gustaitis .
The authorized official title is President and has the following contact phone number (219) 836-2022.

The enumeration date for this NPI number is 12/29/2005 and was last updated on 12/12/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12085B0100XRadiologyBody ImagingINDIANANo
22085N0700XRadiologyNeuroradiologyINDIANANo
32085N0904XRadiologyNuclear RadiologyINDIANANo
42085R0204XRadiologyVascular & Interventional RadiologyINDIANANo
52085R0205XRadiologyRadiological PhysicsNo
62085U0001XRadiologyDiagnostic UltrasoundNo
72085R0202XRadiologyDiagnostic RadiologyINDIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1457260MEDICARE PININDIANA
2100158170MEDICAIDINDIANA
3191880MEDICARE PININDIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.