NPIMap

Organization Active NPI

Art of Radiology Imaging Associates, PLLC

  • Diagnostic Radiology Physician
  • Grand Blanc, MI
National Provider Identifier
1003571076
Registry record updated Jan 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
ART OF RADIOLOGY IMAGING ASSOCIATES, PLLC
Practice address
1 Genesys Pkwy
Grand Blanc, MI 48439-8065
Phone
(248) 308-2745
Fax
(248) 308-2747
NPI assigned
Nov 4, 2021
Last updated
Jan 31, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
SOUTHFIELD RADIOLOGY ASSOCIATES, PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 31, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Roger Gonda, MDNPI 1821032277
Title
President
Phone
(248) 308-2745

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X NU Primary

Addresses

Primary practice location

1 Genesys Pkwy
Grand Blanc, MI 48439-8065

Mailing address

26850 Providence Pkwy Ste 140
Novi, MI 48374-1253
Phone (248) 308-2745

Other practice location 1

200 Hemlock St
Tawas City, MI 48763-9237
Phone (248) 308-2745

Other practice location 2

800 S Washington Ave
Saginaw, MI 48601-2551
Phone (248) 308-2745

Other practice location 3

805 W Cedar St
Standish, MI 48658-9526
Phone (248) 308-2745

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, CA, AL3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20220301000129 MI Part B Supplier - Clinic/Group Practice 1951795319 Receives reassigned benefits from 48 practitioners
Practice locations: Bay City, MI; Tawas City, MI; Standish, MI; Saginaw, MI; Grand Blanc, MI; Birch Run, MI; Chesaning, MI
O20220926003216 CA Part B Supplier - Clinic/Group Practice 1951795319 Receives reassigned benefits from 2 practitioners
Practice locations: Tustin, CA
O20221121000389 AL Part B Supplier - Clinic/Group Practice 1951795319 Receives reassigned benefits from 2 practitioners
Practice locations: Mountain BRK, AL; Birmingham, AL

National Provider Directory

National Provider Directory
Part of
Southfield Rad Assoc PC

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

26850 Providence Pkwy
Ste 140
Novi, MI 48374
Phone (248) 308-2745

900 W South Boundary St
Bldg 91
Perrysburg, OH 43551

Practitioners & affiliated clinicians

Practitioners 54

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 54

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1635984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643587200000",
    "number": "1003571076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26850 PROVIDENCE PKWY STE 140",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483741253",
            "telephone_number": "248-308-2745",
            "fax_number": "248-308-2747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 GENESYS PKWY",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484398065",
            "telephone_number": "248-308-2745",
            "fax_number": "248-308-2747"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Hemlock St",
            "address_purpose": "LOCATION",
            "city": "Tawas City",
            "state": "MI",
            "postal_code": "487639237",
            "country_code": "US",
            "telephone_number": "248-308-2745",
            "fax_number": "248-308-2747",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "800 S Washington Ave",
            "address_purpose": "LOCATION",
            "city": "Saginaw",
            "state": "MI",
            "postal_code": "486012551",
            "country_code": "US",
            "telephone_number": "248-308-2745",
            "fax_number": "248-308-2747",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "805 W Cedar St",
            "address_purpose": "LOCATION",
            "city": "Standish",
            "state": "MI",
            "postal_code": "486589526",
            "country_code": "US",
            "telephone_number": "248-308-2745",
            "fax_number": "248-308-2747",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ART OF RADIOLOGY IMAGING ASSOCIATES, PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SOUTHFIELD RADIOLOGY ASSOCIATES, PLLC",
        "enumeration_date": "2021-11-04",
        "last_updated": "2022-01-31",
        "certification_date": "2022-01-31",
        "status": "A",
        "authorized_official_last_name": "GONDA",
        "authorized_official_first_name": "ROGER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-308-2745",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Blanc, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.