FT. JESSE IMAGING CENTER LLC
FT. JESSE IMAGING CENTER LLC is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1245287143, based in Normal, IL. The organization lists 3 taxonomy classifications, with Radiology Clinic/Center recorded as primary.
Getting there
The practice address on file is 2200 FORT JESSE RD SUITE 130, Normal, IL 61761. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| 9256804 | IL | Radiology Clinic/Center primary |
| 9256804 | IL | Mammography Clinic/Center |
This provider holds licence 9256804 issued in IL. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
- Status
- Approved
- Provider type
- Part B Supplier - Clinic/group Practice
- PAC ID
- 1951379106
Enrolled in Medicare 10 times, across 10 states:
| State | Enrollment ID | Provider type |
|---|---|---|
| Illinois | O20070117000072 | Part B Supplier - Clinic/group Practice |
| Ohio | O20230719000409 | Part B Supplier - Clinic/group Practice |
| New York | O20230731002871 | Part B Supplier - Clinic/group Practice |
| Virginia | O20230815004131 | Part B Supplier - Clinic/group Practice |
| Florida | O20230824003635 | Part B Supplier - Clinic/group Practice |
| Alabama | O20240312000624 | Part B Supplier - Clinic/group Practice |
| Colorado | O20241205003157 | Part B Supplier - Clinic/group Practice |
| California | O20250116003654 | Part B Supplier - Clinic/group Practice |
| Missouri | O20250210001070 | Part B Supplier - Clinic/group Practice |
| Wisconsin | O20250401000866 | Part B Supplier - Clinic/group Practice |
Medicare enrolment is recorded as approved under the provider type Part B Supplier - Clinic/group Practice. There are 10 separate enrolment records across 10 states (IL, OH, NY, VA, FL, AL, CO, CA, MO, WI). Multiple enrolments usually mean the provider bills Medicare from more than one practice location, or has kept an earlier enrolment after moving. Each record carries its own enrolment ID, listed above. Being enrolled means the provider can bill Medicare; it does not tell you whether they are currently accepting new Medicare patients. Call the office to confirm.
What Radiology covers
Definition to come... NUCC Health Care Provider Taxonomy, code 261QR0200X
All registered taxonomy codes
This provider registers 3 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 261QR0200X | Radiology Clinic/Center Radiology | 9256804 | IL | primary |
| 261QR0206X | Mammography Clinic/Center Radiology, Mammography | 9256804 | IL | |
| 2085R0202X | Diagnostic Radiology Physician Diagnostic Radiology | — | — |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1245287143 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | May 27, 2006 |
| Last updated | Dec 16, 2025 |
| Status | Active |
| Practice address |
2200 FORT JESSE RD SUITE 130 Normal, IL 61761 (309) 454-5552 Fax (309) 454-5452 |
| Other identifiers |
46015604001
· Medicaid (IL) |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 2 | 4 | 5 | 2 | 8 | 7 | 1 | 4 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 2 | 8 | 5 | 4 | 8 | 5 | 1 | 8 |
Sum = 67 · next multiple of 10 = 70 · check digit = 3 · actual last digit = 3
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.