FT. JESSE IMAGING CENTER LLC
NPI 1245287143
Clinic/Center - Radiology in Normal, IL

Q: What is Ft. Jesse Imaging Center LLC's NPI number?

The NPI number for Ft. Jesse Imaging Center LLC is 1245287143. It was assigned to this organization in the NPPES registry on May 27, 2006.

Q: What is Ft. Jesse Imaging Center LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Radiology, with taxonomy code 261QR0200X.

Active since May 27, 2006

2200 FORT JESSE RD, SUITE 130, NORMAL, IL 61761(309) 454-5552(309) 454-5452 Get Directions Write a Review

NPPES record last updated: December 16, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Dec 16, 2025, Mar 16, 2021 (2 updates tracked since 2021).

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About Ft. Jesse Imaging Center Llc NPPES

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

FT. JESSE IMAGING CENTER LLC (NPI 1245287143) is a healthcare organization registered as a radiology in Normal, Illinois and active in the NPI registry since May 2006. The organization lists Amy Stout, President/ceo, as its authorized official.

NPPES Registry Identity

NPI1245287143

Entity TypeOrganization

Primary Taxonomy261QR0200X

Legal Business NameFT. JESSE IMAGING CENTER LLC

Location Address2200 FORT JESSE RD, SUITE 130Normal, IL 61761-6286

Mailing Address2200 Fort Jesse Rd, Suite 130Normal, IL 61761-6286 · (309) 454-5552 · Fax (309) 454-5452

Phone(309) 454-5552

Fax(309) 454-5452

Organization SubpartNo

Authorized OfficialAmy StoutPresident/ceo · (615) 261-2306

Enumeration DateMay 27, 2006

Last NPPES UpdateDecember 16, 20252 updates tracked since enumeration

NPPES CertifiedDecember 16, 2025

✔ NPI 1245287143 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · RadiologyAmbulatory Health Care Facilities

Taxonomy Code261QR0200X

License✔ Licensed in IL · 9256804

Also ListedRadiology · Diagnostic RadiologyTaxonomy 2085R0202X

Also ListedClinic/Center · Radiology, MammographyTaxonomy 261QR0206X · License 9256804 (IL)

2200 FORT JESSE RD, Normal, IL 61761

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Other Identifiers 1

Medicaid46015604001IL

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ft. Jesse Imaging Center Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 16 clinicians reassign Medicare billing to Ft. Jesse Imaging Center LLC, which bills Medicare for the services they deliver. Of these, 3 practice at this address. They are listed nearest first.

Clinicians, nearest first (16)

Jason Davis, M.D.

Diagnostic Radiology

NPI 1982639621

2200 FORT JESSE RD
Normal, IL 61761

(309) 664-3491

✔ PECOS✔ Accepts MedicareSame address

Jonathan Foss, M.D.

Diagnostic Radiology

NPI 1265471486

2200 FORT JESSE RD
Normal, IL 61761

(309) 452-1788

✔ PECOS✔ Accepts MedicareSame address

Naveed Yousuf, M.D.

Diagnostic Radiology

NPI 1487609822

2200 FORT JESSE RD SUITE 280
Normal, IL 61761

(309) 452-1788

✔ PECOS✔ Accepts MedicareSame address

Mickey Chabak, M.D.

Diagnostic Radiology

NPI 1831359512

1025 S 6TH ST
Springfield, IL 62703

(217) 528-7541

✔ PECOS✔ Accepts Medicare63 mi

Michael Friedman, MD

Diagnostic Radiology

NPI 1871742924

4500 MEMORIAL DR DEPT RADIOLOGY
Belleville, IL 62226

(618) 257-5613

✔ PECOS✔ Accepts Medicare148 mi

Jonathan Kraas, MD

Diagnostic Radiology

NPI 1104904812

211 N EDDY ST DEPARTMENT OF RADIOLOGY
South Bend, IN 46617

(574) 204-6209

✔ PECOS✔ Accepts Medicare162 mi

Neil Kennedy, MD

Diagnostic Radiology

NPI 1841366770

700 S PARK ST ATTN: MADISON RADIOLOGISTS, S.C.
Madison, WI 53715

(608) 251-6100

✔ PECOS✔ Accepts Medicare177 mi

James Stensby, M.D.

Diagnostic Radiology

NPI 1942461074

1 HOSPITAL DR
Columbia, MO 65212

(573) 882-1026

✔ PECOS✔ Accepts Medicare211 mi

Hilary Orlowski, MD

Diagnostic Radiology

NPI 1346537404

750 OLD HICKORY BLVD STE 1-260
Brentwood, TN 37027

(615) 376-7502

✔ PECOS✔ Accepts Medicare330 mi

Camilo Borrero

Diagnostic Radiology

NPI 1861697237

200 LOTHROP ST SUITE 3950
Pittsburgh, PA 15213

(412) 647-2345

✔ PECOS✔ Accepts Medicare473 mi

Naiyer Imam, MD

Diagnostic Radiology

NPI 1992768147

6185 STEEPLECHASE DR
Roanoke, VA 24018

(540) 492-4023

✔ PECOS✔ Accepts Medicare531 mi

Bryan Kaufman, M.D.

Diagnostic Radiology

NPI 1881691764

4136 STOWE RUN LN
Jacksonville, FL 32225

(828) 389-9740

✔ PECOS✔ Accepts Medicare815 mi

Elizabeth Carpenter, M.D.

Diagnostic Radiology

NPI 1528229366

1746 COLE BLVD STE 150
Lakewood, CO 80401

(303) 914-8800

✔ PECOS✔ Accepts Medicare859 mi

Animesh Shah, MD

Diagnostic Radiology

NPI 1265457485

65 E INDIA ROW APT 33C
Boston, MA 02110

(952) 595-1100

✔ PECOS936 mi

Elliott Wagner, M.D.

Diagnostic Radiology

NPI 1558312579

8750 WILSHIRE BLVD STE 100
Beverly Hills, CA 90211

(310) 689-3100

✔ PECOS✔ Accepts Medicare1,673 mi

Jacob Batson, M.D.

Diagnostic Radiology

NPI 1952693996

1304 FAWCETT AVE STE 100
Tacoma, WA 98402

(253) 761-4200

✔ PECOS✔ Accepts Medicare1,722 mi

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 Ft. Jesse Imaging Center LLC's NPI number?

The NPI number for Ft. Jesse Imaging Center LLC is 1245287143. It was assigned to this organization in the NPPES registry on May 27, 2006.

Where is Ft. Jesse Imaging Center LLC located?

Ft. Jesse Imaging Center LLC is located at 2200 Fort Jesse Rd Suite 130, Normal, IL 61761. The listed phone number is (309) 454-5552.

What is Ft. Jesse Imaging Center LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Radiology, with taxonomy code 261QR0200X.

Is Ft. Jesse Imaging Center LLC enrolled in Medicare?

Yes. Ft. Jesse Imaging Center LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Ft. Jesse Imaging Center LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 16 clinicians, all in Diagnostic Radiology, reassign their Medicare billing to Ft. Jesse Imaging Center 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. Of these, 3 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Ft. Jesse Imaging Center LLC was last updated on December 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.