Broadway Imaging Medical Center
NPI 1497708002ActiveOrganization· Radiology, Diagnostic Radiology· Glendale, CA
Radiology, Diagnostic Radiology in Glendale, California, registered in NPPES in May 2006. The authorized official on file is Hosam M. Moustafa, MD, President. Medicare paid $1,083,441 for services to 4,687 patients in 2024.
Overview
| NPI | 1497708002 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 18, 2006 |
| Last updated in NPPES | Aug 12, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Radiology, Diagnostic Radiology Primary | 2085R0202X | A71010 | CA |
| Internal Medicine, Magnetic Resonance Imaging (MRI) | 207RM1200X | A71010 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Independent Diagnostic Testing Facility (Idtf) (CA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 4,687 |
|---|---|
| Services billed | 11,127 across 132 procedure codes |
| Paid by Medicare | $1,083,441 |
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