Fort Wayne Radiology Associates LLC
NPI 1063475861 · Diagnostic Radiology Physician · Fort Wayne, IN
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Fort Wayne Radiology Associates LLC is a Diagnostic Radiology Physician organization in Fort Wayne, IN (NPI 1063475861).
Provider details
- NPI number
- 1063475861
- Entity type
- Organization
- Primary specialty
- Diagnostic Radiology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Michael Kinzer, President(260) 471-9466
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Dexa Diagnostics
- Doing business as
- Dexa Diagnostics
Additional practice locations (1)
- 2200 Randallia DrFort Wayne, IN 46805-4638Phone: (260) 373-4731Fax: (260) 484-5919
Registry dates
- Enumerated
- 2006-04-11
- Last updated
- 2018-07-10
Frequently asked questions
- What is Fort Wayne Radiology Associates LLC's NPI number?
- Fort Wayne Radiology Associates LLC's National Provider Identifier (NPI) is 1063475861, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Fort Wayne Radiology Associates LLC?
- Fort Wayne Radiology Associates LLC is classified in the NPPES registry as Diagnostic Radiology Physician (Allopathic & Osteopathic Physicians).
- Where is Fort Wayne Radiology Associates LLC located?
- Fort Wayne Radiology Associates LLC's practice location on file with NPPES is 3707 New Vision Dr, Fort Wayne, IN 46845.
- What is Fort Wayne Radiology Associates LLC's phone number?
- The practice phone number listed in the NPPES registry for Fort Wayne Radiology Associates LLC is (260) 471-9466.
- Does Fort Wayne Radiology Associates LLC accept Medicare?
- Fort Wayne Radiology Associates LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Fort Wayne Radiology Associates LLC?
- The authorized official listed on Fort Wayne Radiology Associates LLC's NPPES record is Michael Kinzer, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Fort Wayne Radiology Associates LLC's NPI active?
- Yes — Fort Wayne Radiology Associates LLC's NPI (1063475861) is active in the NPPES registry as of the last update on 2018-07-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.