Individual provider Active NPI

Michael Robert Coan, MD

  • Diagnostic Radiology Physician
  • Greenville, NC
National Provider Identifier
1023091147
Registry record updated Apr 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
200501027 Issued in NC
Practice address
2101 W Arlington Blvd Ste 210
Greenville, NC 27834-5758
Phone
(252) 752-5000
Fax
(252) 931-7694
NPI assigned
Nov 22, 2005
Last updated
Apr 27, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 200501027 NC Primary

Addresses

Primary practice location

2101 W Arlington Blvd Ste 210
Greenville, NC 27834-5758

Mailing address

PO Box 30750
Greenville, NC 27833-0750
Phone (252) 752-5000

Other identifiers 2

IdentifierTypeStateIssuer
1393YOtherNCBLUE CROSS BLUE SHIELD NORTH CAROLINA
5901653MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050728000498 NC Practitioner - Diagnostic Radiology 6204888167 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Northwestern University Feinberg Medical School, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eastern Radiologists IncGroup PAC ID 2466355383, 92 clinicians
East Carolina UniversityGroup PAC ID 0244143246, shared by 3 NPIs, 499 clinicians

Practice addresses (Care Compare)

100 Airport Rd
Kinston, NC 28501-1604
Phone (252) 522-7000

101 Clinic Dr
Tarboro, NC 27886-1935
Phone (252) 823-8262

101 Heart Dr
Greenville, NC 27834-8982
Phone (252) 744-4611

111 Hospital Dr
Tarboro, NC 27886-2011
Phone (252) 641-7700

115 Heart Dr
Greenville, NC 27834-8982
Phone (252) 744-4400

1204 Brown St
Washington, NC 27889-4671
Phone (252) 946-6544

125 River Vine Pkwy
Wallace, NC 28466-2377
Phone (910) 285-2134

1380 Cowell Farm Rd
Washington, NC 27889-3431
Phone (252) 946-2101

1403 S King St
Windsor, NC 27983-9666
Phone (252) 794-6600

1850 W Arlington Blvd
Greenville, NC 27834-5704
Phone (252) 413-6202

210 Smith Church Rd
Roanoke Rapids, NC 27870-4942
Phone (252) 535-8463

2100 Stantonsburg Rd
Greenville, NC 27834-2818
Phone (252) 752-5000

2101 W Arlington Blvd
Greenville, NC 27834-5758
Phone (252) 752-5000

211 Virginia Rd
Edenton, NC 27932-9668
Phone (252) 482-8451

220 Smith Church Rd
Roanoke Rapids, NC 27870-4914
Phone (252) 537-9268

2210 Hemby LN
Greenville, NC 27834-3789
Phone (252) 551-3000

250 Smith Church Rd
Roanoke Rapids, NC 27870-4914
Phone (252) 535-8011

275 Bethesda Dr
Greenville, NC 27834-7217
Phone (252) 752-5077

3050 Halstead Blvd Ext
Elizabeth City, NC 27909-4994
Phone (252) 690-4000

3102 N Croatan Hwy
Kill Devil Hills, NC 27948-9200
Phone (252) 261-9940

3500 Arendell St
Morehead City, NC 28557-2901
Phone (252) 499-6000

3700 Symi Cir
Morehead City, NC 28557-4309
Phone (252) 222-5888

3724 Raleigh Rd Pkwy W
Wilson, NC 27896-9742
Phone (252) 246-8840

401 N Main St
Kenansville, NC 28349-8801
Phone (910) 296-0941

402 Bowman Gray Dr
Greenville, NC 27834-7209
Phone (252) 752-9000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.95 of 100Reported as apm
Quality
82.44
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
200501027NCMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
East Carolina University CurrentSince Sep 20, 2022 Accepting new patients
Eastern Radiologists Inc Diagnostic Radiology CurrentSince Jul 1, 2005 Accepting new patients
Sentara Advanced Imaging Solutions, LLC Diagnostic Radiology CurrentSince Jan 1, 2024 Accepting new patients
Eastern Radiologists, Inc Diagnostic Radiology CurrentSince Jul 1, 2005 Accepting new patients
East Carolina University Diagnostic Radiology CurrentSince Dec 1, 2025 Accepting new patients
East Carolina University Current Accepting new patients
Trustees of the University of Pennsylvania Past Accepting new patients
Eastern Radiologists, Inc Diagnostic Radiology Past Accepting new patients
Eastern Radiologists, Inc Past Accepting new patients
Univ of Penn Community Radiology Diagnostic Radiology Past Accepting new patients

Locations

2100 Stantonsburg Rd
Greenville, NC 27834
Phone (252) 744-3229

2101 W Arlington Blvd
Greenville, NC 27834
Phone (252) 931-7638

2101 W Arlington Blvd
#210
Greenville, NC 27834

2101 W Arlington Blvd
Ste 210
Greenville, NC 27834
Phone (252) 931-7638

402 Bowman Gray Dr
Greenville, NC 27834
Phone (252) 744-9490

600 Moye Blvd
Greenville, NC 27834
Phone (252) 744-1111

9 Doctors Park
Greenville, NC 27834

630 E 11th St
Washington, NC 27889
Phone (252) 946-2137

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1132617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651017600000",
    "number": "1023091147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 30750",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278330750",
            "telephone_number": "252-752-5000",
            "fax_number": "252-931-7694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 W ARLINGTON BLVD STE 210",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278345758",
            "telephone_number": "252-752-5000",
            "fax_number": "252-931-7694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COAN",
        "first_name": "MICHAEL",
        "middle_name": "ROBERT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-22",
        "last_updated": "2022-04-27",
        "certification_date": "2022-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NC",
            "license": "200501027",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD NORTH CAROLINA",
            "identifier": "1393Y",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5901653",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, NC

Sources for this page

Verify at the official NPI Registry.