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ADVANCED IMAGING AND OPEN MRI
NPI 1255430054
Radiology - Diagnostic Radiology in Monticello, KY

Active since September 21, 2006
75 WALMART PLAZA DR UNIT 4, MONTICELLO, KY 42633(606) 340-0009(606) 340-0113 Get Directions Write a Review

NPPES record last updated: August 2, 2013. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Advanced Imaging And Open Mri NPPES

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

ADVANCED IMAGING AND OPEN MRI (NPI 1255430054) is a healthcare organization registered as a diagnostic radiology in Monticello, Kentucky and active in the NPI registry since September 2006. The organization lists Mary Jo Shrum, Facility Director, as its authorized official.

NPPES Registry Identity

NPI1255430054
Entity TypeOrganization
Primary Taxonomy2085R0202X
Legal Business NameDIAGNOSTIC RADIOLOGY OF LONDON PSC
Location Address75 WALMART PLAZA DR UNIT 4Monticello, KY 42633-7907
Mailing Address75 Walmart Plaza Dr Unit 4Monticello, KY 42633-7907 · (606) 340-0009 · Fax (606) 340-0113
Phone(606) 340-0009
Fax(606) 340-0113
Organization SubpartNo
Authorized OfficialMary Jo ShrumFacility Director · (606) 340-0009
Enumeration DateSeptember 21, 2006
Last NPPES UpdateAugust 2, 2013
✔ NPI 1255430054 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
License✔ Licensed in KY · 33556
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Also ListedClinic/Center · RadiologyTaxonomy 261QR0200X
75 WALMART PLAZA DR UNIT 4, Monticello, KY 42633
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Other Names 1

Doing Business AsAdvanced Imaging And Open Mri

Other Identifiers 4

OtherDQ4251KY · Railroad Medicare
Medicaid64353568KY
Medicare PIN01172KY
Medicare UPINF70030KY

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource.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)

Advanced Imaging And Open Mri is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Advanced Imaging And Open Mri, which bills Medicare for the services this clinician delivers.

Clinician (1)

Eric Johnson, M.D.
Diagnostic Radiology
NPI 1972785715
75 WAL-MART PLAZA RD UNIT #4
Monticello, KY 42633
(606) 340-0009
✔ PECOS✔ Accepts Medicare

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 Diagnostic Radiology Of London Psc's NPI number?

The NPI number for Diagnostic Radiology Of London Psc is 1255430054. It was assigned to this organization in the NPPES registry on September 21, 2006. The provider is doing business as Advanced Imaging And Open Mri.

Where is Diagnostic Radiology Of London Psc located?

Diagnostic Radiology Of London Psc is located at 75 Walmart Plaza Dr Unit 4, Monticello, KY 42633. The listed phone number is (606) 340-0009.

What is Diagnostic Radiology Of London Psc's specialty?

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

Is Diagnostic Radiology Of London Psc enrolled in Medicare?

Yes. Diagnostic Radiology Of London Psc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Diagnostic Radiology Of London Psc?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Diagnostic Radiology) reassigns their Medicare billing to Diagnostic Radiology Of London Psc. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Diagnostic Radiology Of London Psc accept?

Health plans from Anthem Blue Cross and Blue Shield and CareSource list Diagnostic Radiology Of London Psc 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 Diagnostic Radiology Of London Psc was last updated on August 2, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years 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.