NPIMap

Organization Active NPI

Community Open MRI of Auburn, LLC

  • Radiology Clinic/Center
  • Fort Wayne, IN
National Provider Identifier
1760109243
Registry record updated Apr 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
Legal business name
COMMUNITY OPEN MRI OF AUBURN, LLC
Practice address
1850 E Dupont Rd
Fort Wayne, IN 46825-1581
Phone
(260) 422-1491
Fax
(260) 423-1421
NPI assigned
Oct 25, 2022
Organization subpart
Yes
Parent organization
COMMUNITY OPEN MRI OF AUBURN, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 7, 2025

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

Authorized official

Name
John Steven Platusic
Title
Chief Operations Officer
Phone
(804) 363-1007

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X Primary

Addresses

Primary practice location

1850 E Dupont Rd
Fort Wayne, IN 46825-1581

Mailing address

196 W Spotswood Ave
Elkton, VA 22827-1169
Phone (804) 217-7114

Other names 1

  • Choice Imaging Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241031003532 IN Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 9234100256 Practice locations: Fort Wayne, IN

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory
Tax ID family
Community Open MRI of Auburn LLC3 organizations share this tax ID, including this one
Part of
Community Open MRI of Auburn LLC

Other organizations with this tax ID 2

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

Locations

1401 N 13th St
Ste B
Decatur, IN 46733
Phone (260) 728-4674

196 W Spotswood Ave
Elkton, VA 22827

Practitioners & affiliated clinicians

Practitioners 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1666656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743984000000",
    "number": "1760109243",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "196 W SPOTSWOOD AVE",
            "city": "ELKTON",
            "state": "VA",
            "postal_code": "228271169",
            "telephone_number": "804-217-7114",
            "fax_number": "804-217-7120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 E DUPONT RD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468251581",
            "telephone_number": "260-422-1491",
            "fax_number": "260-423-1421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMMUNITY OPEN MRI OF AUBURN, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "COMMUNITY OPEN MRI OF AUBURN, LLC",
        "enumeration_date": "2022-10-25",
        "last_updated": "2025-04-07",
        "certification_date": "2025-04-07",
        "status": "A",
        "authorized_official_last_name": "PLATUSIC",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "STEVEN",
        "authorized_official_title_or_position": "CHIEF OPERATIONS OFFICER",
        "authorized_official_telephone_number": "804-363-1007"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Choice Imaging",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Choice Imaging",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Wayne, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2025; 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.