NPIMap

Organization Active NPI

Chesapeake Open MRI L L C

Doing business as Chesapeake Medical Imaging

  • Diagnostic Radiology Physician
  • Annapolis, MD
National Provider Identifier
1396076642
Registry record updated Sep 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
CHESAPEAKE OPEN MRI L L C
Doing business as
Chesapeake Medical Imaging
Practice address
122 Defense Hwy
Annapolis, MD 21401-7069
Phone
(410) 571-0350
NPI assigned
Jan 27, 2010
Last updated
Sep 9, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Mark D Baganz, MDNPI 1982768966
Title
President
Phone
(410) 571-0350

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X NU Primary

Addresses

Primary practice location

122 Defense Hwy
Annapolis, MD 21401-7069

Mailing address

122 Defense Hwy Ste 102
Annapolis, MD 21401-7044
Phone (410) 571-0350

Other names 1

  • CHESAPEAKE MEDICAL IMAGING Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC, SC, CA, FL, VA6 enrollments

Enrollment records 6

Enrollment IDStateProvider typePAC IDDetails
O20080422000350 MD Part B Supplier - Clinic/Group Practice 9931178373 Receives reassigned benefits from 24 practitioners
16 other NPIs on this enrollment
Practice locations: Easton, MD; Eldersburg, MD; Fulton, MD; Glen Burnie, MD; Lutherville, MD; Stevensville, MD; Chestertown, MD; Columbia, MD…
O20120716000091 DC Part B Supplier - Clinic/Group Practice 9931178373 Receives reassigned benefits from 20 practitioners
Practice locations: Bethesda, MD; Washington, DC; Bowie, MD; McLean, VA
O20200213000355 SC Part B Supplier - Clinic/Group Practice 9931178373 Receives reassigned benefits from 1 practitioner
Practice locations: Columbia, SC
O20240919001492 CA Part B Supplier - Clinic/Group Practice 9931178373 Receives reassigned benefits from 1 practitioner
Practice locations: Upland, CA
O20241007001719 FL Part B Supplier - Clinic/Group Practice 9931178373 Receives reassigned benefits from 1 practitioner
Practice locations: Englewood, FL
O20250321001306 VA Part B Supplier - Clinic/Group Practice 9931178373 Practice locations: Henrico, VA

Other NPIs on the same Medicare enrollment 16

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 16

National Provider Directory

National Provider Directory
Tax ID family
Radiologic Associates M3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

Locations

810 Bestgate Rd
Ste 100
Annapolis, MD 21401
Phone (443) 221-4293

4201 Northview Dr
Ste 105
Bowie, MD 20716
Phone (301) 262-8282

120 Speer Rd
Ste 2
Chestertown, MD 21620
Phone (410) 778-1311

10285 Little Patuxent Pkwy
Ste 450
Columbia, MD 21044
Phone (410) 343-4337

11810 W Market Pl
Ste 102
Fulton, MD 20759
Phone (240) 731-6716

1413 Madison Park Dr
Fl 2
Glen Burnie, MD 21061
Phone (410) 590-0015

325 Hospital Dr
Glen Burnie, MD 21061
Phone (410) 590-0015

1312 Bellona Ave
Ste 102
Lutherville, MD 21093
Phone (410) 921-3378

Practitioners & affiliated clinicians

Practitioners 27

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 27

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1264550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725840000000",
    "number": "1396076642",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 DEFENSE HWY STE 102",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214017044",
            "telephone_number": "410-571-0350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 DEFENSE HWY",
            "city": "ANNAPOLIS",
            "state": "MD",
            "postal_code": "214017069",
            "telephone_number": "410-571-0350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHESAPEAKE OPEN MRI L L C",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-27",
        "last_updated": "2024-09-09",
        "certification_date": "2024-09-09",
        "status": "A",
        "authorized_official_last_name": "BAGANZ",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "410-571-0350",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CHESAPEAKE MEDICAL IMAGING",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Annapolis, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.