IMAGING ASSOCIATES OF INDIANA, PC – Diagnostic Radiology Physician, NPI 1699072611
Diagnostic Radiology Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for IMAGING ASSOCIATES OF INDIANA, PC
71 W 156TH ST
SUITE 110
HARVEY, IL 604264260
Phone: (708) 915-5671
Fax: (708) 915-4021
Type: Mailing
PO BOX 208807
DALLAS, TX 753208807
Phone:
Type: Mailing
2001 W 86TH ST
INDIANAPOLIS, IN 462601902
Phone: (219) 767-6320
Type: Location
1201 S MAIN ST
ATTN: RADIOLOGY DEPARTMENT
CROWN POINT, IN 463078481
Phone: (219) 767-6320
Fax: (219) 738-6714
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2025-04-02
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-09-30 (983 days ago).
Enrollment records
42
Earliest due date
2023-09-30
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20111014000250 | O | Clinic/Group Practice | IN | TBD |
| O20150106000375 | O | Clinic/Group Practice | IL | TBD |
| O20161005000585 | O | Clinic/Group Practice | PA | 2023-10-31 |
| O20161010001163 | O | Clinic/Group Practice | MO | TBD |
| O20170809000101 | O | Clinic/Group Practice | CA | 2024-05-31 |
| O20170922002737 | O | Clinic/Group Practice | OH | 2023-09-30 |
| O20170926002452 | O | Clinic/Group Practice | GA | 2023-09-30 |
| O20171020001613 | O | Clinic/Group Practice | TX | 2023-10-31 |
| O20190208000489 | O | Clinic/Group Practice | MI | 2024-06-30 |
| O20190523001165 | O | Clinic/Group Practice | AZ | 2026-02-28 |
| O20190815003458 | O | Clinic/Group Practice | WI | 2025-11-30 |
| O20190819002328 | O | Clinic/Group Practice | FL | TBD |
| O20190904001603 | O | Clinic/Group Practice | AL | 2026-03-31 |
| O20190905000926 | O | Clinic/Group Practice | NC | 2026-04-30 |
| O20190920000210 | O | Clinic/Group Practice | CO | 2026-04-30 |
| O20191015002487 | O | Clinic/Group Practice | HI | 2026-05-31 |
| O20191101001296 | O | Clinic/Group Practice | DC | 2026-05-31 |
| O20191104003218 | O | Clinic/Group Practice | NV | 2026-06-30 |
| O20201015000485 | O | Clinic/Group Practice | IA | 2026-06-30 |
| O20201103002292 | O | Clinic/Group Practice | MD | 2026-07-31 |
| O20201106000010 | O | Clinic/Group Practice | SC | 2026-08-31 |
| O20201117002538 | O | Clinic/Group Practice | OR | 2026-09-30 |
| O20201124001270 | O | Clinic/Group Practice | RI | 2026-10-31 |
| O20201130001132 | O | Clinic/Group Practice | KY | TBD |
| O20201210001933 | O | Clinic/Group Practice | TN | TBD |
| O20201228001140 | O | Clinic/Group Practice | MN | TBD |
| O20210126003356 | O | Clinic/Group Practice | KS | TBD |
| O20210201000930 | O | Clinic/Group Practice | ID | TBD |
| O20210921000397 | O | Clinic/Group Practice | WA | TBD |
| O20221115000096 | O | Clinic/Group Practice | CT | TBD |
| O20230308000170 | O | Clinic/Group Practice | MA | TBD |
| O20230330002744 | O | Clinic/Group Practice | WV | TBD |
| O20230517002252 | O | Clinic/Group Practice | NY | TBD |
| O20230522002603 | O | Clinic/Group Practice | VA | TBD |
| O20230626000627 | O | Clinic/Group Practice | NH | TBD |
| O20230626000748 | O | Clinic/Group Practice | AR | TBD |
| O20241001004010 | O | Clinic/Group Practice | OK | TBD |
| O20241105003748 | O | Clinic/Group Practice | UT | TBD |
| O20241107003402 | O | Clinic/Group Practice | ME | TBD |
| O20250212001926 | O | Clinic/Group Practice | MS | TBD |
| O20250401001894 | O | Clinic/Group Practice | DE | TBD |
| O20250402003589 | O | Clinic/Group Practice | NJ | TBD |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 60426)
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