ADVANCED IMAGING SERVICES SOUTH SHORE HOSPITAL
NPI 1174006217
Radiology - Diagnostic Radiology in Chicago, IL

Active since September 14, 2018
8012 S CRANDON AVE, CHICAGO, IL 60617(773) 356-5000 Get Directions Write a Review

NPPES record last updated: July 18, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 18, 2024, Sep 18, 2018, Sep 14, 2018 (3 updates tracked since 2018).

About Advanced Imaging Services South Shore Hospital NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ADVANCED IMAGING SERVICES SOUTH SHORE HOSPITAL (NPI 1174006217) is a healthcare organization registered as a diagnostic radiology in Chicago, Illinois and active in the NPI registry since September 2018. The organization lists Sudheer Paruchuri, Owner, as its authorized official.

NPPES Registry Identity

NPI1174006217
Entity TypeOrganization
Primary Taxonomy2085R0202X
Legal Business NameADVANCED IMAGING SERVICES
Location Address8012 S CRANDON AVEChicago, IL 60617-1124
Mailing AddressPo Box 7230Westchester, IL 60154-7230 · (773) 356-5000
Organization SubpartYes
Authorized OfficialSudheer ParuchuriOwner · (312) 622-7622
Enumeration DateSeptember 14, 2018
Last NPPES UpdateJuly 18, 20243 updates tracked since enumeration
NPPES CertifiedJuly 18, 2024
✔ NPI 1174006217 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
8012 S CRANDON AVE, Chicago, IL 60617

Other Names 1

Doing Business AsAdvanced Imaging Services South Shore Hospital

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Advanced Imaging Services South Shore Hospital is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Advanced Imaging Services South Shore Hospital, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (2)

Interventional Radiology
NPI 1245221837
1515 N HARLEM AVE STE 100
Oak Park, IL 60302
(312) 473-4748
✔ PECOS✔ Accepts Medicare16 mi
Diagnostic Radiology
NPI 1972558203
8283 GROVE AVE STE 207A
Rancho Cucamonga, CA 91730
(401) 575-0308
✔ PECOS✔ Accepts Medicare1,715 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Advanced Imaging Services's NPI number?

The NPI number for Advanced Imaging Services is 1174006217. It was assigned to this organization in the NPPES registry on September 14, 2018. The provider is doing business as Advanced Imaging Services South Shore Hospital.

Where is Advanced Imaging Services located?

Advanced Imaging Services is located at 8012 S Crandon Ave, Chicago, IL 60617. The listed phone number is (773) 356-5000.

What is Advanced Imaging Services's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Advanced Imaging Services enrolled in Medicare?

Yes. Advanced Imaging Services is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Advanced Imaging Services?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Advanced Imaging Services, in Diagnostic Radiology and Interventional Radiology. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Advanced Imaging Services was last updated on July 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.