MIDWEST OPEN MRI LLC NPI 1790796936

NPI Information

  • NPI: 1790796936
  • Provider Name: MIDWEST OPEN MRI, LLC
  • Classification: Clinic/Center - 261Q00000X
  • Entity Type: Organization
  • Address: 8309 GREENWAY BOULEVARD, SUITE 100
    MIDDLETON, WI
    ZIP 53562
  • Phone: (608) 836-7220

Map and Directions

Get Directions

NPI Details

MIDWEST OPEN MRI, LLC is a clinic center in Middleton, WI. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). MIDWEST OPEN MRI, LLC NPI is 1790796936. The provider is registered as an organization entity type.

The provider's business location address is:

8309 GREENWAY BOULEVARD, SUITE 100
MIDDLETON, WI
ZIP 53562
Phone: (608) 836-7220
Fax: (608) 836-7229

The provider's authorized official is Connie J. Kottwitz .
The authorized official title is Office Manager and has the following contact phone number (608) 836-7220.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Injection, gadobenate dimeglumine (multihance), per ml (HCPCS:A9577)
  • Mri scan of lower spinal canal without contrast (HCPCS:72148)
  • Mri scan of arm joint without contrast (HCPCS:73221)
  • Mri scan of upper spinal canal without contrast (HCPCS:72141)
  • Mri scan of brain before and after contrast (HCPCS:70553)

The enumeration date for this NPI number is 8/11/2006 and was last updated on 4/11/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261Q00000XClinic/CenterYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1000092085MEDICARE ID-TYPE UNSPECIFIEDWISCONSIN
232877200MEDICAIDWISCONSIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.