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PREMIER MEDICAL IMAGING LLC
NPI 1386384360
Radiology - Diagnostic Radiology in Plymouth, IN

Active since March 29, 2022
2855 MILLER DR STE 113B, PLYMOUTH, IN 46563(574) 941-1090(574) 941-1095 Get Directions Write a Review

NPPES record last updated: January 8, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Premier Medical Imaging Llc NPPES

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

PREMIER MEDICAL IMAGING LLC (NPI 1386384360) is a healthcare organization registered as a diagnostic radiology in Plymouth, Indiana and active in the NPI registry since March 2022. The organization lists Gardner Bartrom, President, as its authorized official.

NPPES Registry Identity

NPI1386384360
Entity TypeOrganization
Primary Taxonomy2085R0202X
Legal Business NamePREMIER MEDICAL IMAGING LLC
Location Address2855 MILLER DR STE 113BPlymouth, IN 46563-8091
Mailing AddressPo Box 338La Fontaine, IN 46940-0338 · (765) 228-4660 · Fax (765) 847-4343
Phone(574) 941-1090
Fax(574) 941-1095
Organization SubpartNo
Authorized OfficialGardner BartromPresident · (765) 228-4660
Enumeration DateMarch 29, 2022
Last NPPES UpdateJanuary 8, 2024
NPPES CertifiedApril 26, 2022
✔ NPI 1386384360 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ 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.
Also ListedClinic/Center · Multi-SpecialtyTaxonomy 261QM1300X
Also ListedClinic/Center · RadiologyTaxonomy 261QR0200X
2855 MILLER DR STE 113B, Plymouth, IN 46563
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Premier Medical Imaging Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to Premier Medical Imaging LLC, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (2)

V Durga Madhusudana Rao, DO
Orthopedic Surgery
NPI 1487682167
615 FULMER RD
Mishawaka, IN 46544
(574) 252-2663
✔ PECOS✔ Accepts Medicare21 mi
Orlando Landrum, MD
Anesthesiology
NPI 1932159910
242 WATERFALL DR SUITE B
Elkhart, IN 46516
(574) 404-7246
✔ PECOS30 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 Premier Medical Imaging LLC's NPI number?

The NPI number for Premier Medical Imaging LLC is 1386384360. It was assigned to this organization in the NPPES registry on March 29, 2022.

Where is Premier Medical Imaging LLC located?

Premier Medical Imaging LLC is located at 2855 Miller Dr Ste 113B, Plymouth, IN 46563. The listed phone number is (574) 941-1090.

What is Premier Medical Imaging LLC's specialty?

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

Is Premier Medical Imaging LLC enrolled in Medicare?

Yes. Premier Medical Imaging LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Premier Medical Imaging LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Premier Medical Imaging LLC, in Anesthesiology and Orthopedic Surgery. 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.

When was this NPI record last updated?

The NPPES record for Premier Medical Imaging 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.