Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

APOLLO MEDICAL DIAGNOSTIC SERVICES PLLC
NPI 1376814863
Clinic/Center - Radiology in Elmhurst, NY

Active since January 16, 2012
4036 74TH ST, ELMHURST, NY 11373(718) 426-6600(718) 374-5348 Get Directions Write a Review

NPPES record last updated: October 6, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 6, 2026, Sep 24, 2026, Nov 2, 2016 (3 updates tracked since 2016).

About Apollo Medical Diagnostic Services Pllc NPPES

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

APOLLO MEDICAL DIAGNOSTIC SERVICES PLLC (NPI 1376814863) is a healthcare organization registered as a radiology in Elmhurst, New York and active in the NPI registry since January 2012. The organization lists Naiyer Imam, Owner President, as its authorized official.

NPPES Registry Identity

NPI1376814863
Entity TypeOrganization
Primary Taxonomy261QR0200X
Legal Business NameAPOLLO MEDICAL DIAGNOSTIC SERVICES PLLC
Location Address4036 74TH STElmhurst, NY 11373-5630
Mailing Address4036 74th StElmhurst, NY 11373-5630 · (516) 712-5542 · Fax (848) 289-0805
Fax(718) 374-5348
Organization SubpartNo
Authorized OfficialNaiyer ImamOwner President · (540) 529-5472
Enumeration DateJanuary 16, 2012
Last NPPES UpdateOctober 6, 20263 updates tracked since enumeration
NPPES CertifiedOctober 6, 2026
✔ NPI 1376814863 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · RadiologyAmbulatory Health Care Facilities
Taxonomy Code261QR0200X
4036 74TH ST, Elmhurst, NY 11373

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Apollo Medical Diagnostic Services Pllc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Apollo Medical Diagnostic Services PLLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Diagnostic Radiology
NPI 1992768147
6185 STEEPLECHASE DR
Roanoke, VA 24018
(540) 492-4023
✔ PECOS✔ Accepts Medicare411 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 Apollo Medical Diagnostic Services PLLC's NPI number?

The NPI number for Apollo Medical Diagnostic Services PLLC is 1376814863. It was assigned to this organization in the NPPES registry on January 16, 2012.

Where is Apollo Medical Diagnostic Services PLLC located?

Apollo Medical Diagnostic Services PLLC is located at 4036 74th St, Elmhurst, NY 11373. The listed phone number is (718) 426-6600.

What is Apollo Medical Diagnostic Services PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Radiology, with taxonomy code 261QR0200X.

Is Apollo Medical Diagnostic Services PLLC enrolled in Medicare?

Yes. Apollo Medical Diagnostic Services PLLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Apollo Medical Diagnostic Services PLLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Diagnostic Radiology) reassigns their Medicare billing to Apollo Medical Diagnostic Services PLLC. 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 Apollo Medical Diagnostic Services PLLC was last updated on October 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 days 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.