Individual provider Active NPI

John M Michael, MD

  • Diagnostic Radiology Physician
  • Indianapolis, IN
National Provider Identifier
1023094786
Registry record updated Oct 3, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
01047652A Issued in IN
Practice address
5901 Technology Center Dr
Indianapolis, IN 46278-6013
Phone
(317) 328-5050
Fax
(317) 715-9965
NPI assigned
Dec 15, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2016

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 01047652A IN Primary

Addresses

Primary practice location

5901 Technology Center Dr
Indianapolis, IN 46278-6013

Mailing address

5901 Technology Center Dr
Indianapolis, IN 46278-6013
Phone (317) 328-5050

Other identifiers 8

IdentifierTypeStateIssuer
200338490MedicaidIN
P00228895OtherINRR MEDICARE 351158723
003995OtherINSIHO-351158723
000000368995OtherINANTHEM-351158723
P00228895OtherINRR MEDICARE-351158723
Q0089173OtherINCMOSHO351158723&352047427
000000492360OtherINANTHEM 203778927
108233OtherINHEALTH ALLIANCE-351158723

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20050622000336 IN Practitioner - Diagnostic Radiology 2769427608 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Indiana University School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
X-Ray Physicians of Shelbyville PCGroup PAC ID 2264420215, 43 clinicians
Imaging Associates of Indiana PCGroup PAC ID 1254503345, 293 clinicians

Practice addresses (Care Compare)

10810 Crooked Stick LN
Carmel, IN 46032-9552
Phone (903) 663-4800

1201 S Main St
Crown Point, IN 46307-8481
Phone (219) 757-6320

2001 W 86TH St
Indianapolis, IN 46260-1902
Phone (219) 757-6320

Hospital & facility affiliations

  • Major Hospital Hospital, Shelbyville, IN, CCN 150097
  • Ascension St Vincent Hospital Hospital, Indianapolis, IN, CCN 150084
  • Ascension St Vincent Kokomo Hospital, Kokomo, IN, CCN 150010
  • Ascension St Vincent Anderson Hospital, Anderson, IN, CCN 150088
  • St Vincent Heart Center Hospital, Carmel, IN, CCN 150153

Merit-based Incentive Payment System (MIPS)

Final score
68 of 100Reported as group
Quality
80
Improvement activities
0

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
X-Ray Physicians of Shelbyville PC Diagnostic Radiology CurrentSince Jan 1, 2025 Accepting new patients
Major Hospital Current Accepting new patients
Imaging Associates of Indiana, PC Diagnostic Radiology CurrentSince Jan 13, 2026 Accepting new patients
Advanced Medical Imaging LLC Diagnostic Radiology CurrentSince Dec 19, 2022 Accepting new patients
Riverside Radiology and Interventional Associates Inc Diagnostic Radiology CurrentSince Oct 10, 2024 Accepting new patients
Summit Radiology P C Diagnostic Radiology Past Accepting new patients
St Vincent Northwest Radiology LLC Diagnostic Radiology Past Accepting new patients
Columbus Radiology Inc Diagnostic Radiology Past Accepting new patients
Rush Memorial Hospital Past Accepting new patients

Locations (25 of 35)

2101 Jackson St
Ste 116
Anderson, IN 46016
Phone (765) 646-8172

2015 Jackson St
Anderson, IN 46016
Phone (765) 646-8243

2020 Meridian St
Ste 150
Anderson, IN 46016
Phone (765) 646-8663

2020 Meridian St
Anderson, IN 46016
Phone (317) 863-2593

9613 E US Highway 36
Avon, IN 46123
Phone (317) 415-5980

13420 N Meridian St
Ste 100
Carmel, IN 46032
Phone (317) 582-7474

13500 N Meridian St
Carmel, IN 46032
Phone (317) 573-7000

14455 Clay Terrace Blvd
Carmel, IN 46032
Phone (317) 415-5747

13250 Hazel Dell Pkwy
Ste 104
Carmel, IN 46033
Phone (317) 415-6117

10580 N Meridian St
Carmel, IN 46290
Phone (317) 338-2273

10603 N Meridian St
Carmel, IN 46290
Phone (317) 415-6050

790 Creekview Dr
Columbus, IN 47201
Phone (812) 373-2113

2502 25th St
Columbus, IN 47201
Phone (812) 372-8883

1201 S Main St
Crown Point, IN 46307
Phone (219) 738-2100

7199 Easy St
Fishers, IN 46038
Phone (317) 415-6110

13861 Olio Rd
Fishers, IN 46037
Phone (317) 338-7136

10995 Allisonville Rd
#100
Fishers, IN 46038
Phone (317) 773-0008

10995 Allisonville Rd
Ste 100
Fishers, IN 46038
Phone (317) 842-7928

8050 Township Line Rd
Indianapolis, IN 46260
Phone (317) 338-2442

8111 Township Line Rd
Indianapolis, IN 46260
Phone (317) 415-7921

4880 Century Plaza Rd
Ste 200
Indianapolis, IN 46254
Phone (317) 293-4113

7440 Woodland Dr
Indianapolis, IN 46278
Phone (317) 450-3357

8402 Harcourt Rd
Indianapolis, IN 46260
Phone (317) 338-6815

8602 Allisonville Rd
Indianapolis, IN 46250
Phone (317) 703-1970

8451 S Emerson Ave
Indianapolis, IN 46237
Phone (317) 884-7540

Organizations & group practices 9

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

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": "1134604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1475452800000",
    "number": "1023094786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5901 TECHNOLOGY CENTER DR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462786013",
            "telephone_number": "317-328-5050",
            "fax_number": "317-328-5053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5901 TECHNOLOGY CENTER DR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462786013",
            "telephone_number": "317-328-5050",
            "fax_number": "317-715-9965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICHAEL",
        "first_name": "JOHN",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-15",
        "last_updated": "2016-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IN",
            "license": "01047652A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200338490",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE 351158723",
            "identifier": "P00228895",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SIHO-351158723",
            "identifier": "003995",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM-351158723",
            "identifier": "000000368995",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE-351158723",
            "identifier": "P00228895",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CMOSHO351158723&352047427",
            "identifier": "Q0089173",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM 203778927",
            "identifier": "000000492360",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH ALLIANCE-351158723",
            "identifier": "108233",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

Verify at the official NPI Registry.