SPECIALT MRI, LLC
NPI 1811740301
Clinic/Center - Magnetic Resonance Imaging (MRI) in Fenton, MO

Q: What is Specialt Mri, LLC's NPI number?

The NPI number for Specialt Mri, LLC is 1811740301. It was assigned to this organization in the NPPES registry on April 8, 2024.

Q: What is Specialt Mri, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Magnetic Resonance Imaging (MRI), with taxonomy code 261QM1200X.

Q: When was this NPI record last updated?

The NPPES record for Specialt Mri, LLC was last updated on July 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since April 08, 2024

1823 SMIZER STATION RD, FENTON, MO 63026(636) 333-1391(636) 333-1343 Get Directions Write a Review

NPPES record last updated: July 3, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 11, 2025, Mar 28, 2025, Apr 8, 2024 (3 updates tracked since 2024).

On this page

About Specialt Mri, Llc NPPES

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

SPECIALT MRI, LLC (NPI 1811740301) is a healthcare organization registered as a magnetic resonance imaging (mri) in Fenton, Missouri and active in the NPI registry since April 2024. The organization lists Jerry Ge, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1811740301

Entity TypeOrganization

Primary Taxonomy261QM1200X

Legal Business NameSPECIALT MRI, LLC

Location Address1823 SMIZER STATION RDFenton, MO 63026-2781

Mailing Address1823 Smizer Station RdFenton, MO 63026-2781 · (636) 764-5194 · Fax (636) 333-1343

Phone(636) 333-1391

Fax(636) 333-1343

Organization SubpartNo

Authorized OfficialJerry GeManaging Member · (636) 333-1391

Enumeration DateApril 8, 2024

Last NPPES UpdateJuly 3, 20263 updates tracked since enumeration

NPPES CertifiedJuly 3, 2026

✔ NPI 1811740301 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Magnetic Resonance Imaging (MRI)Ambulatory Health Care Facilities

Taxonomy Code261QM1200X

Also ListedRadiology · Diagnostic RadiologyTaxonomy 2085R0202X

Also ListedPortable X-ray and/or Other Portable Diagnostic Imaging SupplierTaxonomy 335V00000X

1823 SMIZER STATION RD, Fenton, MO 63026

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan, 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)

Specialt Mri, Llc 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 Specialt Mri, LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Noaman Siddiqi, MD

Diagnostic Radiology

NPI 1609823558

12303 DEPAUL DR DEPAUL HEALTH CENTER
Bridgeton, MO 63044

(314) 344-6350

✔ PECOS✔ Accepts Medicare16 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 Specialt Mri, LLC's NPI number?

The NPI number for Specialt Mri, LLC is 1811740301. It was assigned to this organization in the NPPES registry on April 8, 2024.

Where is Specialt Mri, LLC located?

Specialt Mri, LLC is located at 1823 Smizer Station Rd, Fenton, MO 63026. The listed phone number is (636) 333-1391.

What is Specialt Mri, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Magnetic Resonance Imaging (MRI), with taxonomy code 261QM1200X.

Is Specialt Mri, LLC enrolled in Medicare?

Yes. Specialt Mri, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Specialt Mri, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Diagnostic Radiology) reassigns their Medicare billing to Specialt 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 Specialt Mri, LLC accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Arkansas Health & Wellness, Ambetter from Sunflower Health Plan and Ambetter of Oklahoma and 2 other insurers list Specialt 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 Specialt Mri, LLC was last updated on July 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.