Decatur Open MRI, Inc.

Primary specialty

Magnetic Resonance Imaging (MRI) Clinic/CenterTaxonomy code 261QM1200X

Legal business name

DECATUR OPEN MRI, INC.

Practice address

2905 N Main St
Suite F
Decatur, IL 62526-4276

Phone

(217) 330-6930

Fax

(217) 791-6906

NPI assigned

Sep 26, 2016

Organization subpart

No

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

Authorized official

Name

Mr. William Chris Kefalas

Title

Administrator

Phone

(217) 520-2262

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• John C. Kefalas, M.D.,S.C.

  dba Central Illinois Bone and Joint Center

  • Orthopaedic Surgery Physician
  • Decatur, IL
  • NPI 1811993405

  Member Of

  NPD member

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John Chris Kefalas, M.D.

  • Orthopaedic Surgery Physician
  • Decatur, IL
  • NPI 1386832855
  NPD

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

{
    "created_epoch": "1474848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486944000000",
    "number": "1508315086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2905 N MAIN ST",
            "address_2": "SUITE F",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625264276",
            "telephone_number": "217-330-6930",
            "fax_number": "217-791-6906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2905 N MAIN ST",
            "address_2": "SUITE F",
            "city": "DECATUR",
            "state": "IL",
            "postal_code": "625264276",
            "telephone_number": "217-330-6930",
            "fax_number": "217-791-6906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DECATUR OPEN MRI, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-26",
        "last_updated": "2017-02-13",
        "status": "A",
        "authorized_official_last_name": "KEFALAS",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "CHRIS",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "217-520-2262",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Decatur Memorial Hospital (DMH Home Health Services - Hospice)
• Decatur Memorial Hospital
• Decatur Memorial Hospital
• Decatur Neurological Associates LTD.
• Decatur OBGYN Associates, LLC
• Decatur Pediatric Clinic
• Decatur Pharmacyxpress LLC
• Decatur Psychiatry LTD
• Decatur Psychological Associates PC
• Decatur Public School Dist. #61

• Magnetic Resonance Imaging (MRI) Clinic/Center in Decatur, IL
• Providers in Decatur, IL by specialty
• Magnetic Resonance Imaging (MRI) Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2017; 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.