Individual provider Active NPI

Affaan Khan Bangash, DO

  • Diagnostic Radiology Physician
  • Mount Clemens, MI
National Provider Identifier
1063620540
Registry record updated Feb 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
5101016886 Issued in MI
Practice address
1000 Harrington St
Mount Clemens, MI 48043-2920
Phone
(630) 776-3318
NPI assigned
May 18, 2007
Last updated
Feb 23, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 5101016886 MI Primary
Diagnostic Radiology Physician 2085R0202X OP70048421 WA
Diagnostic Radiology Physician 2085R0202X 295654 NY

Addresses

Primary practice location

1000 Harrington St
Mount Clemens, MI 48043-2920

Mailing address

1381 Bison LN
Hoffman Estates, IL 60192-4554
Phone (630) 776-3318

Other practice location 1

203 S Western Ave
Tonasket, WA 98855-8803
Phone (509) 486-2151

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, IL, NY, CA, DC, WA6 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 6

Enrollment IDStateProvider typePAC IDDetails
I20110506000602 FL Practitioner - Diagnostic Radiology 3375728348 Reassigns benefits to 2 organizations
I20180613000731 IL Practitioner - Diagnostic Radiology 3375728348 Reassigns benefits to 9 organizations
I20240828002015 NY Practitioner - Diagnostic Radiology 3375728348 Reassigns benefits to 2 organizations
I20251205002092 CA Practitioner - Diagnostic Radiology 3375728348 Reassigns benefits to 1 organization
I20251209002406 DC Practitioner - Diagnostic Radiology 3375728348 Reassigns benefits to 2 organizations
I20260209002731 WA Practitioner - Diagnostic Radiology 3375728348 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Lake Erie College of Osteopathic Medicine, Erie, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Evergreen Radia LLCGroup PAC ID 4587568076, 116 clinicians
Radia California Radiology Medical Group IncGroup PAC ID 8921465998, 134 clinicians
Radia Inc P SGroup PAC ID 9931012812, 275 clinicians
Swedish Health ServicesGroup PAC ID 3173433067, 156 clinicians
Jamaica HospitalGroup PAC ID 2264324334, 252 clinicians
Mori Bean and Brooks IncGroup PAC ID 8820077878, 966 clinicians
Eastpointe Radiologists PCGroup PAC ID 7618876327, 112 clinicians
County of Santa ClaraGroup PAC ID 1254244973, 1,000 clinicians

Practice addresses (Care Compare)

Barrington, IL 60010
Phone (425) 688-5000

13020 Meridian Ave S
Everett, WA 98208-6468
Phone (425) 357-3960

13303 Jamaica Ave
Richmond Hill, NY 11418-2618
Phone (718) 291-3276

3301 Kanan CT
Oak Brook, IL 60523-1630
Phone (904) 399-5550

3857 N Oakley Ave
Chicago, IL 60618-3813
Phone (586) 464-0731

4500 Parsons Blvd
Flushing, NY 11355-2205
Phone (718) 670-5447

751 S Bascom Ave
Santa Clara Vly Med
San Jose, CA 95128-2604
Phone (408) 885-5000

8900 Van Wyck Expy
Jamaica, NY 11418-2832
Phone (718) 206-6000

9 Hubbell CT
Barrington, IL 60010-5137
Phone (904) 399-5550

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
TP161KYMDInternal Medicine Physician
5101016886MIMDDiagnostic Radiology Physician
295654NYMDDiagnostic Radiology Physician
OP70048421WAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Proscan NCH Imaging LLC Diagnostic Radiology CurrentSince Jun 1, 2021 Accepting new patients
Tower Imaging Medical Associates, Inc. Diagnostic Radiology CurrentSince Oct 1, 2025 Accepting new patients
Mori Bean and Brooks Inc Diagnostic Radiology CurrentSince Oct 1, 2025 Accepting new patients
Okanogan County Public Hospital Dist No 4 CurrentSince Jan 20, 2026 Accepting new patients
TJH Medical Services, P.C. CurrentSince Aug 1, 2024 Accepting new patients
Okanogan County Public Hospital District No. 3 CurrentSince Feb 25, 2026 Accepting new patients
County of Santa Clara CurrentSince Nov 1, 2025 Accepting new patients
Adventist Physician Services, Inc. CurrentSince Oct 2, 2025 Accepting new patients
Florida United Radiology LC Diagnostic Radiology Current Accepting new patients
Jamaica Hospital CurrentSince Aug 1, 2024 Accepting new patients
Sheridan Radiology Services of Pinellas, Inc. Diagnostic Radiology Current Accepting new patients
County of Santa Clara Current Accepting new patients
Radia California Radiology Medical Group Inc Diagnostic Radiology CurrentSince Sep 3, 2025 Accepting new patients
Okanogan County Public Hospital Dist No 4 CurrentSince Jan 20, 2026 Accepting new patients
Jamaica Hospital CurrentSince Aug 1, 2024 Accepting new patients
Okanogan County Public Hospital Dist No 4 CurrentSince Jan 20, 2026 Accepting new patients
Eastpointe Radiologists, P.C. Diagnostic Radiology CurrentSince Jul 10, 2025 Accepting new patients
Central Washington Health Services Association CurrentSince Jan 16, 2026 Accepting new patients
County of Santa Clara CurrentSince Nov 1, 2025 Accepting new patients
South Sound Radiologists Inc P S Diagnostic Radiology CurrentSince Sep 3, 2025 Accepting new patients
Proscan NCH Imaging LLC Diagnostic Radiology CurrentSince Jun 1, 2021 Accepting new patients
Evergreen Radia LLC Diagnostic Radiology CurrentSince Sep 1, 2025 Accepting new patients
Radia Inc P S Diagnostic Radiology CurrentSince Sep 4, 2025 Accepting new patients
Blackwell Physicians, LLC Diagnostic Radiology CurrentSince Oct 2, 2025 Accepting new patients
Norcal Healthconnect LLC Past Accepting new patients
Sheridan Radiology Services of West Florida, Inc. Diagnostic Radiology Past Accepting new patients
Ucm Medical Group Sub, LLC Past Accepting new patients
Eastpointe Radiologists, PC Diagnostic Radiology Past Accepting new patients
Radia Imaging Center Holdings LLC Diagnostic Radiology Past Accepting new patients

Locations (25 of 52)

7475 Camino Arroyo
Gilroy, CA 95020
Phone (408) 852-2400

1993 McKee Rd
San Jose, CA 95116
Phone (408) 254-6320

500 Tully Rd
San Jose, CA 95111
Phone (408) 817-1433

750 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-2320

751 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-5110

660 S Fair Oaks Ave
Sunnyvale, CA 94086
Phone (408) 885-7366

119 Oakfield Dr
Brandon, FL 33511
Phone (813) 571-5150

5352 Linton Blvd
Delray Beach, FL 33484
Phone (561) 495-3166

1000 Mar Walt Dr
Ft Walton Bch, FL 32547
Phone (850) 374-9610

502 W Highland Blvd
Inverness, FL 34452
Phone (352) 344-6481

1210 S Old Dixie Hwy
Jupiter, FL 33458
Phone (561) 743-5073

700 W Oak St
Kissimmee, FL 34741
Phone (407) 518-3553

5000 W Oakland Park Blvd
Lauderdale Lakes, FL 33313
Phone (866) 747-5834

2801 N State Road 7
Margate, FL 33063
Phone (954) 683-7041

20900 Biscayne Blvd
Miami, FL 33180
Phone (305) 682-7290

2001 W 68th St
Miami Lakes, FL 33016
Phone (305) 364-2151

1100 NW 95th St
Miami Shores, FL 33150
Phone (305) 835-6000

1020 Crosspointe Dr
Ste 103
Naples, FL 34110
Phone (239) 624-4443

2001 Kingsley Ave
Orange Park, FL 32073
Phone (904) 215-7015

1800 SE Tiffany Ave
Port St Lucie, FL 34952
Phone (772) 398-1969

1401 W Seminole Blvd
Sanford, FL 32771
Phone (317) 805-2316

13695 US Highway 1
Sebastian, FL 32958
Phone (772) 589-3185

1501 Pasadena Ave S
South Pasadena, FL 33707
Phone (727) 341-7777

6000 49th St N
St Petersburg, FL 33709
Phone (727) 521-4411

2626 Capital Medical Blvd
Tallahassee, FL 32308
Phone (850) 325-5000

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 32

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.

View all 32

Hospital & facility affiliations 5

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": "1179446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771804800000",
    "number": "1063620540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1381 BISON LN",
            "city": "HOFFMAN ESTATES",
            "state": "IL",
            "postal_code": "601924554",
            "telephone_number": "630-776-3318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 HARRINGTON ST",
            "city": "MOUNT CLEMENS",
            "state": "MI",
            "postal_code": "480432920",
            "telephone_number": "630-776-3318"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "203 S Western Ave",
            "address_purpose": "LOCATION",
            "city": "Tonasket",
            "state": "WA",
            "postal_code": "988558803",
            "country_code": "US",
            "telephone_number": "509-486-2151",
            "fax_number": "509-223-1640",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BANGASH",
        "first_name": "AFFAAN",
        "middle_name": "KHAN",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-18",
        "last_updated": "2026-02-23",
        "certification_date": "2026-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MI",
            "license": "5101016886",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WA",
            "license": "OP70048421",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NY",
            "license": "295654",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Clemens, MI

Sources for this page

Verify at the official NPI Registry.