Chicago Medical Specialists Chartered
NPI 1639479421ActiveOrganization· Physiological Laboratory· Lombard, IL
Physiological Laboratory in Lombard, Illinois, registered in NPPES in October 2010. The authorized official on file is Tian Xia, D.O., Owner. Medicare paid $138,784 for services to 62 patients in 2024.
Overview
| NPI | 1639479421 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 26, 2010 |
| Last updated in NPPES | May 15, 2023 |
| Certified by provider | May 15, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physiological Laboratory Primary | 293D00000X | — | — |
| Radiology, Diagnostic Ultrasound | 2085U0001X | — | — |
| Physical Therapist | 225100000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 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) (TX) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 62 |
|---|---|
| Services billed | 227 across 5 procedure codes |
| Paid by Medicare | $138,784 |