Individual provider Active NPI

Miki Hirano

  • Diagnostic Radiology Physician
  • Chicago, IL
National Provider Identifier
1043667611
Registry record updated Aug 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
036157531 Issued in IL
Practice address
250 E Superior St Ste 4-2304
Chicago, IL 60611-2914
Phone
(312) 926-5522
Fax
(312) 695-5645
NPI assigned
May 24, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2023

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 125068560 IL
Diagnostic Radiology Physician 2085R0202X 0101278710 VA
Diagnostic Radiology Physician 2085R0202X 2023-01018 NC
Diagnostic Radiology Physician 2085R0202X MD90020 SC
Diagnostic Radiology Physician 2085R0202X 036157531 IL Primary

Addresses

Primary practice location

250 E Superior St Ste 4-2304
Chicago, IL 60611-2914

Mailing address

5220 Greens Dairy Rd
Raleigh, NC 27616-4612
Phone (919) 781-1437

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, VA, SC, NY4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20230627000235 NC Practitioner - Diagnostic Radiology 8729325048 Reassigns benefits to 5 organizations
I20230711000492 VA Practitioner - Diagnostic Radiology 8729325048
I20230711000653 SC Practitioner - Diagnostic Radiology 8729325048
I20240514000918 NY Practitioner - Diagnostic Radiology 8729325048 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
R Franklin University of Med & Sci/Chicago Medical School, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Raleigh Radiology Wakemed Imaging, LLCGroup PAC ID 8325453459, 57 clinicians
Raleigh Radiology Associates IncGroup PAC ID 6800874611, 58 clinicians
Valley Radiology P aGroup PAC ID 0749181089, 32 clinicians
Scotland Memorial Hospital, IncGroup PAC ID 0648208504, 259 clinicians

Practice addresses (Care Compare)

11640 Northpark Dr
Suite 110
Wake Forest, NC 27587-5741
Phone (919) 781-1437

200 Park at N Hills St
Raleigh, NC 27609-2660
Phone (469) 757-1042

3000 New Bern Ave
Raleigh, NC 27610-1231
Phone (919) 350-7000

3186 Village Dr
Suite 201
Fayetteville, NC 28304-3979
Phone (910) 486-5700

500 Jefferson St
Whiteville, NC 28472-3634
Phone (910) 642-8011

500 Lauchwood Dr
Laurinburg, NC 28352-5501
Phone (856) 848-3227

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.8 of 100Reported as group
Quality
91.79
Promoting interoperability
100
Improvement activities
40
Cost
75.18

Merit-based Incentive Payment System (MIPS)

Final score
93.55 of 100Reported as group
Quality
100
Improvement activities
40
Cost
78.49

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036157531ILMDDiagnostic Radiology Physician
125068560ILMDDiagnostic Radiology Physician
2023-01018NCMDDiagnostic Radiology Physician
MD90020SCMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Raleigh Radiology, LLC Diagnostic Radiology CurrentSince Aug 15, 2023 Accepting new patients
Pinnacle Health Services of North Carolina, LLC Diagnostic Radiology CurrentSince Jan 1, 2025 Accepting new patients
Medical Imaging Center, LLC CurrentSince Mar 21, 2025 Accepting new patients
Pinnacle Health Services of North Carolina LLC Diagnostic Radiology CurrentSince Feb 1, 2025 Accepting new patients
Valley Radiology P a Diagnostic Radiology CurrentSince Mar 1, 2025 Accepting new patients
Cumberland County Hospital System Inc Diagnostic Radiology CurrentSince Jun 1, 2025 Accepting new patients
New York University CurrentSince Jun 1, 2024 Accepting new patients
Columbus Regional Healthcare System CurrentSince Mar 1, 2025 Accepting new patients
Pinnacle Health Services of North Carolina, LLC Diagnostic Radiology CurrentSince Jan 1, 2025 Accepting new patients
Columbus Regional Healthcare System CurrentSince Mar 1, 2025 Accepting new patients
Brier Creek Imaging, LLC Diagnostic Radiology CurrentSince Mar 17, 2025 Accepting new patients
Pinnacle Health Services of North Carolina, LLC Diagnostic Radiology CurrentSince Jan 1, 2025 Accepting new patients
New York University CurrentSince Jun 1, 2024 Accepting new patients
Scotland Memorial Hospital Inc Diagnostic Radiology CurrentSince Apr 1, 2025 Accepting new patients
Scotland Memorial Hospital Inc CurrentSince Apr 1, 2025 Accepting new patients
Central Dupage Physician Group PastSince Oct 5, 2021 Accepting new patients

Locations

150 Parkway Office Ct
Ste 100
Cary, NC 27518

501 S Poplar St
Elizabethtown, NC 28337
Phone (910) 862-4043

3186 Village Dr
Ste 201
Fayetteville, NC 28304
Phone 9104865700104

500 Lauchwood Dr
Laurinburg, NC 28352
Phone (856) 848-3227

3000 New Bern Ave
Raleigh, NC 27610
Phone (919) 350-7000

3200 Blue Ridge Rd
Ste 100
Raleigh, NC 27612
Phone (919) 256-3576

5220 Greens Dairy Rd
Raleigh, NC 27616
Phone (540) 493-4581

11640 Northpark Dr
Ste 110
Wake Forest, NC 27587

500 Jefferson St
Whiteville, NC 28472
Phone (910) 642-1776

13303 Jamaica Ave
Richmond Hill, NY 11418
Phone (718) 206-6942

14 Wall St
Fl 9
Wall Street, NY 10005
Phone (646) 501-3224

2000 Hospital Dr
Mt Pleasant, SC 29464
Phone (803) 533-2200

Interoperability endpoints

  • Direct secure messaging: mhirano2993743@carolinashealthcaresystem.direct-ci.com

Organizations & group practices 18

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.

View all 18

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": "1464048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690934400000",
    "number": "1043667611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5220 GREENS DAIRY RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276164612",
            "telephone_number": "919-781-1437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 E SUPERIOR ST STE 4-2304",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606112914",
            "telephone_number": "312-926-5522",
            "fax_number": "312-695-5645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIRANO",
        "first_name": "MIKI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-24",
        "last_updated": "2023-08-02",
        "certification_date": "2023-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IL",
            "license": "125068560",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "VA",
            "license": "0101278710",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NC",
            "license": "2023-01018",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "SC",
            "license": "MD90020",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IL",
            "license": "036157531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.