MIDDLE VILLAGE DIAGNOSTIC IMAGING PC
NPI 1497771687
Radiology - Diagnostic Radiology in Rego Park, NY
About Middle Village Diagnostic Imaging Pc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MIDDLE VILLAGE DIAGNOSTIC IMAGING PC (NPI 1497771687) is a healthcare organization registered as a diagnostic radiology in Rego Park, New York and active in the NPI registry since July 2006. The organization lists Kimberly Chemo, Credentialing Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Middle Village Diagnostic Imaging Pc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
15Medicare enrollment records show 15 clinicians reassign Medicare billing to Middle Village Diagnostic Imaging PC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 5 within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 2
Clinicians, nearest first (15)
Stony Brook, NY 11794
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 Middle Village Diagnostic Imaging PC's NPI number?
The NPI number for Middle Village Diagnostic Imaging PC is 1497771687. It was assigned to this organization in the NPPES registry on July 14, 2006.
Where is Middle Village Diagnostic Imaging PC located?
Middle Village Diagnostic Imaging PC is located at 6243 Woodhaven Blvd, Rego Park, NY 11374. The listed phone number is (718) 507-4700.
What is Middle Village Diagnostic Imaging PC's specialty?
The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.
Is Middle Village Diagnostic Imaging PC enrolled in Medicare?
Yes. Middle Village Diagnostic Imaging PC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Middle Village Diagnostic Imaging PC?
According to the CMS Revalidation Reassignment List (October 2026 release), 15 clinicians in 2 Medicare specialties reassign their Medicare billing to Middle Village Diagnostic Imaging PC. 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. The largest specialties are Diagnostic Radiology (14) and Cardiovascular Disease (Cardiology) (1). Of these, 2 practice at this address and 5 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Middle Village Diagnostic Imaging PC was last updated on July 7, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.
# Middle Village Diagnostic Imaging Pc · NPI 1497771687
Diagnostic Radiology organization in Rego Park, New York. Organization record, active in the CMS NPPES registry since July 14, 2006.
## Identity
- **NPI:** 1497771687 (Entity type: Organization)
- **Enumerated:** July 14, 2006
- **Primary specialty:** Radiology - Diagnostic Radiology · taxonomy 2085R0202X
- **Organization subpart:** No
- **Authorized official:** Kimberly Chemo, CREDENTIALING MANAGER
## Practice location
- **Address:** 6243 WOODHAVEN BLVD, Rego Park, NY 11374-3731
- **Phone:** (718) 507-4700
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 15 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Diagnostic Radiology (14), Cardiovascular Disease (Cardiology) (1); 2 practice at this address and 5 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 7, 2008
- **Other identifiers:** Medicaid 02705411 (NY); Medicare PIN 07100 (NY)
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Source: [NPI Profile](https://npiprofile.com/npi/1497771687) · Data from the CMS NPPES public registry.