Active NPI
Ishwar Jagasia, M.D.
- Diagnostic Radiology Physician
- Normal, IL
National Provider Identifier
1881649267
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- Practice address
- 2200 Fort Jesse Rd
Suite 280
Normal, IL 61761-6286 - Phone
- (309) 452-1788
- Fax
- (309) 862-1302
- NPI assigned
- May 23, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | IL | Primary |
Addresses
Primary practice location
2200 Fort Jesse Rd
Suite 280
Normal, IL 61761-6286
Mailing address
2200 Fort Jesse Rd
Suite 280
Normal, IL 61761-6286
Phone (309) 452-1788
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036054652*3 | Medicaid | IL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 336019330 | IL | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ft. Jesse Imaging Center LLC | Diagnostic Radiology | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1881649267",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2200 FORT JESSE RD",
"address_2": "SUITE 280",
"city": "NORMAL",
"state": "IL",
"postal_code": "617616286",
"telephone_number": "309-452-1788",
"fax_number": "309-862-1302"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2200 FORT JESSE RD",
"address_2": "SUITE 280",
"city": "NORMAL",
"state": "IL",
"postal_code": "617616286",
"telephone_number": "309-452-1788",
"fax_number": "309-862-1302"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAGASIA",
"first_name": "ISHWAR",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-23",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "IL",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036054652*3",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Normal, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.