1. Home
  2. Directory
  3. Indiana
  4. Fort Wayne
  5. Radiology
  6. NPI Profile
Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

FORT WAYNE RADIOLOGY ASSOCIATES LLC
NPI 1063475861
Radiology - Diagnostic Radiology in Fort Wayne, IN

Active since April 11, 2006
3707 NEW VISION DR, FORT WAYNE, IN 46845(260) 471-9466(260) 484-5919 Get Directions Write a Review

NPPES record last updated: October 17, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 17, 2026, Jul 10, 2018 (2 updates tracked since 2018).

About Fort Wayne Radiology Associates Llc NPPES

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

FORT WAYNE RADIOLOGY ASSOCIATES LLC (NPI 1063475861), doing business as Dexa Diagnostics, is a healthcare organization registered as a diagnostic radiology in Fort Wayne, Indiana and active in the NPI registry since April 2006. The organization maintains a secondary practice location in Fort Wayne and lists Michael A Kinzer, President, as its authorized official.

NPPES Registry Identity

NPI1063475861
Entity TypeOrganization
Primary Taxonomy2085R0202X
Legal Business NameFORT WAYNE RADIOLOGY ASSOCIATES LLC
Location Address3707 NEW VISION DRFort Wayne, IN 46845
Mailing Address3707 New Vision DrFort Wayne, IN 46845-1702 · (260) 471-9466 · Fax (260) 484-5919
Phone(260) 471-9466
Fax(260) 484-5919
Organization SubpartNo
Authorized OfficialMichael A KinzerPresident · (260) 471-9466
Enumeration DateApril 11, 2006
Last NPPES UpdateOctober 17, 20262 updates tracked since enumeration
NPPES CertifiedOctober 17, 2026
✔ NPI 1063475861 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
3707 NEW VISION DR, Fort Wayne, IN 46845
Open in Google Maps ↗

Other Names 1

Doing Business AsDexa Diagnostics

Secondary Practice Location 1

Location 12200 Randallia DrFort Wayne, IN 46805-4638 · Phone (260) 373-4731 · Fax (260) 484-5919

Other Identifiers 1

Medicaid200176030AIN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Fort Wayne Radiology Associates Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

45

Medicare enrollment records show 45 clinicians reassign Medicare billing to Fort Wayne Radiology Associates LLC, which bills Medicare for the services they deliver. Of these, 16 practice at this address and 23 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 3

Diagnostic Radiology43
Internal Medicine1
Nurse Practitioner1

Nearest to this location (20)

See all 45
Christopher Carrel, MD
Diagnostic Radiology
NPI 1023041571
3707 NEW VISION DR
Fort Wayne, IN 46845
(604) 696-6022
✔ PECOS✔ Accepts MedicareSame address
Michael Gioia, DO
Diagnostic Radiology
NPI 1538423843
3707 NEW VISION DR
Fort Wayne, IN 46845
(260) 471-9466
✔ PECOS✔ Accepts MedicareSame address
Adam Gregory, M.D.
Diagnostic Radiology
NPI 1194926493
3707 NEW VISION DR
Fort Wayne, IN 46845
(260) 469-6602
✔ PECOS✔ Accepts MedicareSame address
Brad Johnston, M.D.
Diagnostic Radiology
NPI 1114971223
3707 NEW VISION DR
Fort Wayne, IN 46895
(260) 471-9466
✔ PECOS✔ Accepts MedicareSame address
Benjamin Moreno, MD, PHD
Diagnostic Radiology
NPI 1013163526
3707 NEW VISION DR STE 110
Fort Wayne, IN 46845
(260) 469-6602
✔ PECOS✔ Accepts MedicareSame address
Jessica Rinehart, NP-C
Nurse Practitioner
NPI 1427619212
3707 NEW VISION DR
Fort Wayne, IN 46845
(260) 484-0850
✔ PECOS✔ Accepts MedicareSame address
Tram Schroeder, M.D.
Diagnostic Radiology
NPI 1417394271
3707 NEW VISION DR
Fort Wayne, IN 46845
(260) 471-9466
✔ PECOS✔ Accepts MedicareSame address
Lokender Bommisetty, MD
Diagnostic Radiology
NPI 1225260342
3707 NEW VISION DR
Fort Wayne, IN 46845
(937) 829-8422
✔ PECOS✔ Accepts MedicareSame address
Melissa Bosma, MD
Diagnostic Radiology
NPI 1053549956
3707 NEW VISION DR
Fort Wayne, IN 46845
(260) 469-4763
✔ PECOS✔ Accepts MedicareSame address
Jay Jones, MD
Diagnostic Radiology
NPI 1902870033
3707 NEW VISION DR
Fort Wayne, IN 46845
(260) 469-4763
✔ PECOS✔ Accepts MedicareSame address
Mark Kelly, M.D
Diagnostic Radiology
NPI 1639300932
3707 NEW VISION DR
Fort Wayne, IN 46845
(248) 787-4905
✔ PECOS✔ Accepts MedicareSame address
Andrew Potter, M.D.
Diagnostic Radiology
NPI 1386811263
3707 NEW VISION DR
Fort Wayne, IN 46845
(260) 471-9466
✔ PECOS✔ Accepts MedicareSame address
Christopher Wing, M.D.
Diagnostic Radiology
NPI 1023063930
3707 NEW VISION DR
Fort Wayne, IN 46845
(260) 471-9466
✔ PECOS✔ Accepts MedicareSame address
Sai Yarram, MD
Diagnostic Radiology
NPI 1154446250
3707 NEW VISION DR
Fort Wayne, IN 46845
(260) 469-0551
✔ PECOS✔ Accepts MedicareSame address
Jeffrey Bessette, M.D.
Diagnostic Radiology
NPI 1871559302
3707 NEW VISION DR
Fort Wayne, IN 46845
(260) 471-9466
✔ PECOS✔ Accepts MedicareSame address
Jeffrey Birn, M.D.
Diagnostic Radiology
NPI 1588828909
3707 NEW VISION DR
Fort Wayne, IN 46845
(270) 471-9466
✔ PECOS✔ Accepts MedicareSame address
Peter Mehta, MD
Diagnostic Radiology
NPI 1861728214
11109 PARKVIEW PLAZA DR
Fort Wayne, IN 46845
(260) 373-4731
✔ PECOS✔ Accepts Medicare0.1 mi
Mitchell Travis, MD
Diagnostic Radiology
NPI 1336174598
10517 MAPLE SPRINGS CV
Fort Wayne, IN 46845
(952) 595-1100
✔ PECOS✔ Accepts Medicare2.6 mi
Kelly Ferrell, M.D.
Diagnostic Radiology
NPI 1538111018
2200 RANDALLIA DR
Fort Wayne, IN 46805
(260) 373-4731
✔ PECOS6.3 mi
Michael Kinzer, M.D.
Diagnostic Radiology
NPI 1609814458
2200 RANDALLIA DR
Fort Wayne, IN 46805
(260) 373-4731
✔ PECOS6.3 mi
See all 45 clinicians

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 Fort Wayne Radiology Associates LLC's NPI number?

The NPI number for Fort Wayne Radiology Associates LLC is 1063475861. It was assigned to this organization in the NPPES registry on April 11, 2006. The provider is doing business as Dexa Diagnostics.

Where is Fort Wayne Radiology Associates LLC located?

Fort Wayne Radiology Associates LLC is located at 3707 New Vision Dr, Fort Wayne, IN 46845. The listed phone number is (260) 471-9466.

What is Fort Wayne Radiology Associates LLC's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Fort Wayne Radiology Associates LLC enrolled in Medicare?

Yes. Fort Wayne Radiology Associates LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Fort Wayne Radiology Associates LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 45 clinicians in 3 Medicare specialties reassign their Medicare billing to Fort Wayne Radiology Associates LLC. 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 (43), Internal Medicine (1) and Nurse Practitioner (1). Of these, 16 practice at this address and 23 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Fort Wayne Radiology Associates LLC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource list Fort Wayne Radiology Associates LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Fort Wayne Radiology Associates LLC was last updated on October 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.