NPIMap

Organization Active NPI

Proscan Imaging of Jeffersonville, LLC

Doing business as ProScan Imaging Jeffersonville

  • Radiology Clinic/Center
  • Jeffersonville, IN
National Provider Identifier
1861273815
Registry record updated Sep 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiology Clinic/CenterTaxonomy code 261QR0200X
Legal business name
PROSCAN IMAGING OF JEFFERSONVILLE, LLC
Doing business as
ProScan Imaging Jeffersonville
Practice address
2027 Jeffersonville Commons Dr
Jeffersonville, IN 47130-8996
Phone
(513) 924-5489
NPI assigned
Oct 6, 2023
Last updated
Sep 30, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2025

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

Authorized official

Name
Mr. Daniel Barber
Title
Director, Revenue Cycle
Phone
(513) 316-9385

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Radiology Clinic/Center 261QR0200X NU Primary
Diagnostic Radiology Physician 2085R0202X NU

Addresses

Primary practice location

2027 Jeffersonville Commons Dr
Jeffersonville, IN 47130-8996

Mailing address

5400 Kennedy Ave Ste 1
Cincinnati, OH 45213-2668

Other identifiers 1

IdentifierTypeStateIssuer
300089066MedicaidIN

Other names 1

  • ProScan Imaging Jeffersonville Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240112003920 IN Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 9638520729 Practice locations: Jeffersonville, IN

National Provider Directory

National Provider Directory

Locations

5400 Kennedy Ave
Ste 1
Cincinnati, OH 45213
Phone (513) 281-3400

Practitioners & affiliated clinicians

Practitioners 37

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 37

NPI Registry JSON

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

{
    "created_epoch": "1696550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759190400000",
    "number": "1861273815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5400 KENNEDY AVE STE 1",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452132668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2027 JEFFERSONVILLE COMMONS DR",
            "city": "JEFFERSONVILLE",
            "state": "IN",
            "postal_code": "471308996",
            "telephone_number": "513-924-5489"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROSCAN IMAGING OF JEFFERSONVILLE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-06",
        "last_updated": "2025-09-30",
        "certification_date": "2025-09-30",
        "status": "A",
        "authorized_official_last_name": "BARBER",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_title_or_position": "DIRECTOR, REVENUE CYCLE",
        "authorized_official_telephone_number": "513-316-9385",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "300089066",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ProScan Imaging Jeffersonville",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "ProScan Imaging Jeffersonville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Jeffersonville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 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.