MUNSTER RADIOLOGY GROUP PC – Diagnostic Radiology Physician, NPI 1144207101
Diagnostic Radiology Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for MUNSTER RADIOLOGY GROUP PC
Community Hospital, 901, MacArthur Boulevard, Munster, Lake County, Indiana, 46321, United States
RADIOLOGY DEPARTMENT
MUNSTER, IN 463212901
Phone: (219) 836-4569
Type: Location
PO BOX 10907
MERRILLVILLE, IN 464110907
Phone: (800) 379-8731
Fax: (614) 771-2248
Type: Mailing
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: 2026-01-05
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2024-02-29 (834 days ago).
Enrollment records
5
Earliest due date
2024-02-29
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 |
|---|---|---|---|---|
| O20040310000553 | O | Clinic/Group Practice | IN | 2025-10-31 |
| O20140529001118 | O | Clinic/Group Practice | IL | 2024-02-29 |
| O20250109000893 | O | Clinic/Group Practice | SC | TBD |
| O20250911000963 | O | Clinic/Group Practice | MI | TBD |
| O20260105003413 | O | Clinic/Group Practice | FL | 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 46321)
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