OPEN AND WIDE MRI LLC
NPI 1306883616
Radiology - Diagnostic Radiology in Elkhart, IN
About Open And Wide Mri Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
OPEN AND WIDE MRI LLC (NPI 1306883616) is a healthcare organization registered as a diagnostic radiology in Elkhart, Indiana and active in the NPI registry since June 2006. The organization lists Gardner Bartrom, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Group Practice 1
Accepted 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)
Open And Wide Mri Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
3Medicare enrollment records show 3 clinicians reassign Medicare billing to Open And Wide Mri LLC, which bills Medicare for the services they deliver. They are listed nearest first.
Clinicians, nearest first (3)
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 Open And Wide Mri LLC's NPI number?
The NPI number for Open And Wide Mri LLC is 1306883616. It was assigned to this organization in the NPPES registry on June 2, 2006.
Where is Open And Wide Mri LLC located?
Open And Wide Mri LLC is located at 3050 Windsor Court, Elkhart, IN 46514. The listed phone number is (574) 266-9222.
What is Open And Wide Mri LLC's specialty?
The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.
Is Open And Wide Mri LLC enrolled in Medicare?
Yes. Open And Wide Mri LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Open And Wide Mri LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Diagnostic Radiology, reassign their Medicare billing to Open And Wide Mri 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Open And Wide Mri LLC accept?
Health plans from Anthem Blue Cross and Blue Shield, CareSource, Cigna Healthcare and UnitedHealthcare list Open And Wide Mri 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 Open And Wide Mri LLC was last updated on January 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Open And Wide Mri Llc · NPI 1306883616
Diagnostic Radiology organization in Elkhart, Indiana. Organization record, active in the CMS NPPES registry since June 2, 2006.
## Identity
- **NPI:** 1306883616 (Entity type: Organization)
- **Enumerated:** June 2, 2006
- **Primary specialty:** Radiology - Diagnostic Radiology · taxonomy 2085R0202X
- **Organization subpart:** No
- **Authorized official:** Gardner Bartrom, PRESIDENT
## Practice location
- **Address:** 3050 WINDSOR COURT, Elkhart, IN 46514-5555
- **Phone:** (574) 266-9222
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 3 clinicians (Diagnostic Radiology) reassign Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 8, 2024
- **Other identifiers:** Medicaid 200415560 (IN); Other CK6657 (IN)
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Source: [NPI Profile](https://npiprofile.com/npi/1306883616) · Data from the CMS NPPES public registry.