Cedar Lake Open Mri LLC
NPI 1992078950 · Diagnostic Radiology Physician · Biloxi, MS
Enrolled with Medicare as Part B Supplier - Independent Diagnostic Testing Facility (idtf) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Cedar Lake Open Mri LLC is a Diagnostic Radiology Physician organization in Biloxi, MS (NPI 1992078950).
Provider details
- NPI number
- 1992078950
- Entity type
- Organization
- Primary specialty
- Diagnostic Radiology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Chrystal Gary, Director of Imaging(228) 447-4674
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
14 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
2 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
2,146 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. 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.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Mri Scan of Lower Spinal Canal Without Contrast72148 | 649 | $170 |
| Mri Scan of Leg Joint Without Contrast73721 | 459 | $178 |
| Mri Scan of Arm Joint Without Contrast73221 | 408 | $179 |
| Mri Scan of Upper Spinal Canal Without Contrast72141 | 270 | $169 |
| Mri Scan of Leg Without Contrast73718 | 98 | $191 |
| Mri Scan of Middle Spinal Canal Without Contrast72146 | 76 | $167 |
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Cedar Lake Mri
- Doing business as
- Cedar Lake Mri
Additional practice locations (1)
- 6300b E Lake BlvdVancleave, MS 39565-6769Phone: (228) 447-4674
Registry dates
- Enumerated
- 2012-02-21
- Last updated
- 2026-01-21
- Certified
- 2026-01-21
Frequently asked questions
- What is Cedar Lake Open Mri LLC's NPI number?
- Cedar Lake Open Mri LLC's National Provider Identifier (NPI) is 1992078950, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Cedar Lake Open Mri LLC?
- Cedar Lake Open Mri LLC is classified in the NPPES registry as Diagnostic Radiology Physician (Allopathic & Osteopathic Physicians).
- Where is Cedar Lake Open Mri LLC located?
- Cedar Lake Open Mri LLC's practice location on file with NPPES is 1720c Medical Park Dr, Biloxi, MS 39532-2131.
- What is Cedar Lake Open Mri LLC's phone number?
- The practice phone number listed in the NPPES registry for Cedar Lake Open Mri LLC is (228) 354-0251.
- Does Cedar Lake Open Mri LLC accept Medicare?
- Cedar Lake Open Mri 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 Cedar Lake Open Mri LLC?
- The authorized official listed on Cedar Lake Open Mri LLC's NPPES record is Chrystal Gary, Director of Imaging. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Cedar Lake Open Mri LLC's NPI active?
- Yes — Cedar Lake Open Mri LLC's NPI (1992078950) is active in the NPPES registry as of the last update on 2026-01-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.