IDEAL MRI, LLC – Radiology Clinic/Center, NPI 1932692548
Radiology Clinic/Center
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for IDEAL MRI, LLC
3206 4TH ST
LONGVIEW, TX 756055143
Phone: (903) 663-4800
Fax: (903) 663-9960
Type: Mailing
Marketplace Drive, Central Texas MarketPlace, Waco, McLennan County, Texas, 76711, United States
WACO, TX 767112487
Phone: (833) 433-2567
Fax: (903) 663-9960
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2023-09-13
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-09-30 (983 days ago).
Enrollment records
14
Earliest due date
2023-09-30
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| O20180906002024 | O | Clinic/Group Practice | TX | 2023-09-30 |
| O20190909000118 | O | Clinic/Group Practice | WA | 2026-03-31 |
| O20190920000851 | O | Clinic/Group Practice | RI | 2026-04-30 |
| O20190920001401 | O | Clinic/Group Practice | MD | 2026-05-31 |
| O20190920001830 | O | Clinic/Group Practice | DC | 2026-06-30 |
| O20190922000003 | O | Clinic/Group Practice | CA | TBD |
| O20190924003575 | O | Clinic/Group Practice | CO | 2026-07-31 |
| O20191001002108 | O | Clinic/Group Practice | OR | TBD |
| O20191014001905 | O | Clinic/Group Practice | MI | 2026-08-31 |
| O20200812003201 | O | Clinic/Group Practice | GA | 2026-09-30 |
| O20210707000166 | O | Clinic/Group Practice | MA | 2026-10-31 |
| O20210914002395 | O | Clinic/Group Practice | NC | TBD |
| O20230525000332 | O | Clinic/Group Practice | WI | TBD |
| O20230913004070 | O | Clinic/Group Practice | FL | TBD |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 75605)
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