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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

BREAST DIAGNOSTIC CENTER, LLC
NPI 1790748499
Radiology - Diagnostic Radiology in Fort Wayne, IN

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

NPPES record last updated: October 17, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 17, 2026, Sep 24, 2024, Jul 10, 2018 (3 updates tracked since 2018).

About Breast Diagnostic Center, Llc NPPES

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

BREAST DIAGNOSTIC CENTER, LLC (NPI 1790748499), doing business as Breast Diagnostic Screening Center, Llc, 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 Adam M Gregory, President, as its authorized official.

NPPES Registry Identity

NPI1790748499
Entity TypeOrganization
Primary Taxonomy2085R0202X
Legal Business NameBREAST DIAGNOSTIC CENTER, LLC
Location Address3707 NEW VISION DRFort Wayne, IN 46845-1702
Mailing Address3707 New Vision DrFort Wayne, IN 46845-1702 · (260) 471-9466 · Fax (260) 484-5919
Phone(260) 471-9466
Organization SubpartNo
Authorized OfficialAdam M GregoryPresident · (260) 471-9466
Enumeration DateApril 11, 2006
Last NPPES UpdateOctober 17, 20263 updates tracked since enumeration
NPPES CertifiedOctober 17, 2026
✔ NPI 1790748499 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
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Other Names 1

Doing Business AsBreast Diagnostic Screening Center, Llc

Secondary Practice Location 1

Location 11818 Carew StFort Wayne, IN 46805-4788 · Phone (260) 483-1847 · Fax (260) 484-5919

Other Identifiers 1

Medicaid100080340AIN

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)

Breast Diagnostic Center, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

26

Medicare enrollment records show 26 clinicians reassign Medicare billing to Breast Diagnostic Center, LLC, which bills Medicare for the services they deliver. Of these, 9 practice at this address and 14 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 3

Diagnostic Radiology24
Internal Medicine1
Nurse Practitioner1

Nearest to this location (20)

See all 26
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
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 Birn, M.D.
Diagnostic Radiology
NPI 1588828909
3707 NEW VISION DR
Fort Wayne, IN 46845
(270) 471-9466
✔ PECOS✔ Accepts MedicareSame address
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
Shawn Johnson, MD
Diagnostic Radiology
NPI 1811908445
5001 US HIGHWAY 30 W STE D
Fort Wayne, IN 46818
(260) 432-1568
✔ PECOS✔ Accepts Medicare7.3 mi
Andrew Norton, M.D.
Diagnostic Radiology
NPI 1518131077
5001 US HIGHWAY 30 W STE D
Fort Wayne, IN 46818
(260) 432-1568
✔ PECOS✔ Accepts Medicare7.3 mi
Adam Schmitz, MD
Internal Medicine
NPI 1528644911
550 UNIVERSITY BLVD
Indianapolis, IN 46202
(317) 217-4416
✔ PECOS✔ Accepts Medicare113 mi
David Collins, M.D.
Diagnostic Radiology
NPI 1518316082
1120 W MICHIGAN ST GATCH HALL, CL 630
Indianapolis, IN 46202
(317) 278-2694
✔ PECOS✔ Accepts Medicare113 mi
Scott Cressman, M.D.
Diagnostic Radiology
NPI 1730507005
3264 N EVERGREEN DR NE
Grand Rapids, MI 49525
(616) 363-7272
✔ PECOS✔ Accepts Medicare129 mi
Ajwad Bajwa, M.D.
Diagnostic Radiology
NPI 1023378767
3601 W 13 MILE RD
Royal Oak, MI 48073
(248) 551-0424
✔ PECOS✔ Accepts Medicare134 mi
Darshan Patel, M.D.
Diagnostic Radiology
NPI 1568737617
1740 W TAYLOR ST
Chicago, IL 60612
(866) 600-2273
✔ PECOS✔ Accepts Medicare141 mi
Richard Nichols, M.D.
Diagnostic Radiology
NPI 1780849562
1501 S CALIFORNIA AVE
Chicago, IL 60608
(773) 257-6498
✔ PECOS✔ Accepts Medicare143 mi
See all 26 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 Breast Diagnostic Center, LLC's NPI number?

The NPI number for Breast Diagnostic Center, LLC is 1790748499. It was assigned to this organization in the NPPES registry on April 11, 2006. The provider is doing business as Breast Diagnostic Screening Center, LLC.

Where is Breast Diagnostic Center, LLC located?

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

What is Breast Diagnostic Center, LLC's specialty?

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

Is Breast Diagnostic Center, LLC enrolled in Medicare?

Yes. Breast Diagnostic Center, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Breast Diagnostic Center, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 26 clinicians in 3 Medicare specialties reassign their Medicare billing to Breast Diagnostic 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. The largest specialties are Diagnostic Radiology (24), Internal Medicine (1) and Nurse Practitioner (1). Of these, 9 practice at this address and 14 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Breast Diagnostic Center, LLC accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 1 other insurer list Breast Diagnostic Center, 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 Breast Diagnostic Center, 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 13 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.