FT. JESSE IMAGING CENTER LLC
NPI 1245287143
Radiology - Diagnostic Radiology in Normal, IL
NPI Status: Active since May 27, 2006
Contact Information
2200 FORT JESSE RD
SUITE 130
NORMAL, IL
ZIP 61761
Phone: (309) 454-5552
Fax: (309) 454-5452
- Organization
- Radiology
- Diagnostic Radiology
- Accepts Insurance
About FT. JESSE IMAGING CENTER LLC
This page provides the complete NPI Profile along with additional information for Ft. Jesse Imaging Center Llc, a provider established in Normal, Illinois operating as a Radiology, focusing in diagnostic radiology . The healthcare provider is registered in the NPI registry with number 1245287143 assigned on May 2006. The practitioner's primary taxonomy code is 2085R0202X. The provider is registered as an organization and their NPI record was last updated one year ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Amy Stout (President/ceo)
- NPI
- 1245287143
- Provider Name
- FT. JESSE IMAGING CENTER LLC
- Entity Type
- Organization
- Location Address
- 2200 FORT JESSE RD SUITE 130 NORMAL, IL 61761
- Location Phone
- (309) 454-5552
- Location Fax
- (309) 454-5452
- Mailing Address
- 2200 FORT JESSE RD SUITE 130 NORMAL, IL 61761
- Mailing Phone
- (309) 454-5552
- Mailing Fax
- (309) 454-5452
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-27-2006
- Last Update Date
- 10-21-2024
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Radiology Diagnostic Radiology
- Taxonomy Code
- 2085R0202X
- Type
- Allopathic & Osteopathic Physicians
- Taxonomy Description
- A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 261QR0200X | Ambulatory Health Care Facilities | Clinic/Center | 9256804 (IL) |
| 2 | 261QR0206X | Ambulatory Health Care Facilities | Clinic/Center | 9256804 (IL) |
Group Taxonomy 193400000X MULTIPLE SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Connect Bronze 2000 Indiv Med Deductible - HMO
- Connect Bronze 5000 Indiv Med Deductible - Rx Copay - HMO
- Connect Bronze CMS Standard - HMO
- Connect Gold CMS Standard - Rx Copay - HMO
- Connect Silver 3000 Indiv Med Deductible - Rx Copay - HMO
- Connect Silver CMS Standard - HMO
- UHC Bronze Copay Focus (No Referrals) - HMO
- UHC Bronze Standard (No Referrals) - HMO
- UHC Bronze Value (Rx Copay, No Referrals) - HMO
- UHC Bronze Value+ (Rx Copay, Dental + Vision, No Referrals) - HMO
- UHC Gold Advantage (No Referrals) - HMO
- UHC Gold Advantage+ (Dental + Vision, No Referrals) - HMO
- UHC Gold Copay Focus (No Referrals) - HMO
- UHC Gold Standard (Rx Copay, No Referrals) - HMO
- UHC Silver Advantage (Rx Copay, No Referrals) - HMO
- UHC Silver Advantage+ (Rx Copay, Dental + Vision, No Referrals) - HMO
- UHC Silver Copay Focus (No Referrals) - HMO
- UHC Silver Standard (No Referrals) - HMO
- UHC Silver Standard+ (Dental + Vision, No Referrals) - HMO
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 46015604001 | MEDICAID (05) | IL |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 2 | 4 | 5 | 2 | 8 | 7 | 1 | 4 | 3 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 2 | 8 | 5 | 4 | 8 | 14 | 1 | 8 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 2 + 8 + 5 + 4 + 8 + 1 + 4 + 1 + 8 + 24 = 67 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 67 = 3 | 3 | ||||||||
The NPI number 1245287143 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1164419818 | DR. LAWRENCE K.C. LI M.D. Individual | Orthopaedic Surgery | 2200 FORT JESSE RD SUITE 250 NORMAL, IL 61761 (309) 454-1616 |
| 1730165747 | JILL HENRY CRNA Individual | Nurse Anesthetist, Certified Registered | 2200 FORT JESSE RD SUITE 240 NORMAL, IL 61761 (309) 268-9300 |
| 1730165762 | CATHERINE GLEASON-DINTAMAN CRNA Individual | Nurse Anesthetist, Certified Registered | 2200 FORT JESSE RD SUITE 240 NORMAL, IL 61761 (309) 268-9300 |
| 1104802966 | DR. SABITA REDDY MD Individual | Anesthesiology (Pain Medicine) | 2200 FORT JESSE RD STE 240 NORMAL, IL 61761 (309) 268-9300 |
| 1558348599 | JUANITA SMITH CRNA Individual | Nurse Anesthetist, Certified Registered | 2200 FORT JESSE RD STE 240 NORMAL, IL 61761 (309) 268-9300 |
| 1881672582 | LISA RUSSELL CRNA Individual | Nurse Anesthetist, Certified Registered | 2200 FORT JESSE RD SUITE 240 NORMAL, IL 61761 (309) 268-9300 |
| 1629043385 | MARGARET K STARR LPN Individual | Licensed Practical Nurse | 2200 FORT JESSE RD STE 240 NORMAL, IL 61761 (309) 268-9300 |
| 1881649267 | DR. ISHWAR JAGASIA M.D. Individual | Radiology (Diagnostic Radiology) | 2200 FORT JESSE RD SUITE 280 NORMAL, IL 61761 (309) 452-1788 |
| 1023063419 | DR. AJAY R MALPANI M.D. Individual | Radiology (Nuclear Radiology) | 2200 FORT JESSE RD SUITE 280 NORMAL, IL 61761 (309) 452-1788 |
| 1487609822 | DR. NAVEED YOUSUF M.D. Individual | Radiology (Neuroradiology) | 2200 FORT JESSE RD SUITE 280 NORMAL, IL 61761 (309) 452-1788 |
| 1972559912 | DR. WILLIAM E COOLEY M.D. Individual | Radiology (Diagnostic Radiology) | 2200 FORT JESSE RD SUITE 280 NORMAL, IL 61761 (309) 452-1788 |
| 1043266018 | DR. CARLOS P CAPATI M.D. Individual | Radiology (Diagnostic Radiology) | 2200 FORT JESSE RD SUITE 280 NORMAL, IL 61761 (309) 452-1788 |
| 1316986466 | DR. WILLIAM L RAY M.D. Individual | Radiology (Diagnostic Radiology) | 2200 FORT JESSE RD SUITE 280 NORMAL, IL 61761 (309) 452-1788 |
| 1023057254 | DR. DANIEL L HA M.D. Individual | Radiology (Body Imaging) | 2200 FORT JESSE RD SUITE 280 NORMAL, IL 61761 (309) 452-1788 |
| 1386683076 | DR. KENDALL L WONG M.D. Individual | Radiology (Diagnostic Radiology) | 2200 FORT JESSE RD SUITE 280 NORMAL, IL 61761 (309) 452-1788 |
| 1063451789 | DR. DAVID KOCH M.D. Individual | Radiology (Body Imaging) | 2200 FORT JESSE RD SUITE 280 NORMAL, IL 61761 (309) 452-1788 |
| 1770680951 | MRS. DIANA LEE MARIANI MSW, LCSW Individual | Social Worker (Clinical) | 2200 FORT JESSE RD NORMAL, IL 61761 (309) 452-9001 |
| 1922199587 | JOHANNAH ISAIA Individual | Physician Assistant | 2200 FORT JESSE RD NORMAL, IL 61761 (309) 661-6290 |
| 1669564738 | JOSEPH LIU Individual | Family Medicine | 2200 FORT JESSE RD SUITE 110 NORMAL, IL 61761 (309) 661-6290 |
| 1598857278 | SUSAN SHEPPARD Individual | Family Medicine | 2200 FORT JESSE RD SUITE 110 NORMAL, IL 61761 (309) 661-6290 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1245287143, enumerated in the NPI registry as an "organization" on May 27, 2006
The provider is located at 2200 Fort Jesse Rd Suite 130 Normal, Il 61761 and the phone number is (309) 454-5552
This medical organization specializes in Radiology with taxonomy code 2085R0202X with a focus in Diagnostic Radiology
The provider might be accepting Accepts: Cigna Healthcare, UnitedHealthcare, Medicare and. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on May 27, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.