Individual provider Active NPI

Carl Collins

  • Diagnostic Radiology Physician
  • Southfield, MI
National Provider Identifier
1063900496
Registry record updated Mar 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
5101026316 Issued in MI
Practice address
16001 W 9 Mile Rd
Southfield, MI 48075-4818
Phone
(248) 849-3000
NPI assigned
May 1, 2018
Last updated
Mar 4, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 6805 TN
Diagnostic Radiology Physician 2085R0202X 5101026316 MI Primary

Addresses

Primary practice location

16001 W 9 Mile Rd
Southfield, MI 48075-4818

Mailing address

16001 W 9 Mile Rd
Southfield, MI 48075-4818
Phone (248) 849-3000

Other practice location 1

7211 Wellington Dr Ste 101
Knoxville, TN 37919-5968
Phone (865) 588-8005

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI, TN, PA, NC, IN, MO, IL, TX, OK9 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 9

Enrollment IDStateProvider typePAC IDDetails
I20231010003629 MI Practitioner - Diagnostic Radiology 2163758293 Reassigns benefits to 6 organizations
I20260319003160 TN Practitioner - Diagnostic Radiology 2163758293 Reassigns benefits to 1 organization
I20260331001372 PA Practitioner - Diagnostic Radiology 2163758293 Reassigns benefits to 1 organization
I20260409000479 NC Practitioner - Diagnostic Radiology 2163758293 Reassigns benefits to 2 organizations
I20260617003000 IN Practitioner - Diagnostic Radiology 2163758293 Reassigns benefits to 1 organization
I20260617003242 MO Practitioner - Diagnostic Radiology 2163758293 Reassigns benefits to 1 organization
I20260623002205 IL Practitioner - Diagnostic Radiology 2163758293 Reassigns benefits to 1 organization
I20260627000744 TX Practitioner - Diagnostic Radiology 2163758293 Reassigns benefits to 1 organization
I20260627000785 OK Practitioner - Diagnostic Radiology 2163758293 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Michigan State University College of Osteopathic Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wilmington Health PLLCGroup PAC ID 6103722509, 364 clinicians
KND Development 59 LLCGroup PAC ID 3678602802, shared by 22 NPIs, 176 clinicians
Ain Imaging PLCGroup PAC ID 1355513003, 15 clinicians
NDS Radiology PLLCGroup PAC ID 2062408875, 15 clinicians
Family Practice Center PCGroup PAC ID 0244124212, 351 clinicians
Summit Medical Group, PLLCGroup PAC ID 2860396330, 636 clinicians

Practice addresses (Care Compare)

1101 W University Dr
Rochester, MI 48307-1863
Phone (248) 844-4541

1202 Medical Ctr Dr
Wilmington, NC 28401-7307
Phone (910) 341-1540

1225 S Latson Rd
Howell, MI 48843-7643
Phone (866) 501-3627

16001 W 9 Mile Rd
Southfield, MI 48075-4818
Phone (248) 849-3000

2401 Southside Blvd
Greensboro, NC 27406-3311
Phone (336) 271-2800

27555 Middlebelt Rd
Farmingtn HLS, MI 48334-5011
Phone (248) 478-5512

28455 Haggerty Rd
Suite 100
Novi, MI 48377-2982
Phone (248) 553-2200

28700 Cabot Dr
Suite 500
Novi, MI 48377-2949
Phone (248) 476-6980

30055 Northwestern Hwy
Providence Farmington
Farmingtn HLS, MI 48334-3230
Phone (248) 865-4000

351 S 40TH St
Muskogee, OK 74401-4916
Phone (918) 682-6161

355 Barclay Cir
Suite B
Rochester Hills, MI 48307-5816
Phone (248) 601-6161

365 E N Ave
Northlake, IL 60164-2628
Phone (708) 345-8100

37595 7 Mile Rd
Livonia, MI 48152-1487
Phone (734) 462-2300

39595 W 10 Mile Rd
Suite 102
Novi, MI 48375-2948
Phone (248) 476-6980

47601 Grand River Ave
Novi, MI 48374-1233
Phone (248) 465-4100

482 Saint Clair Ave
Grosse Pointe, MI 48230-1504
Phone (717) 932-5200

4830 Londonderry Rd
Harrisburg, PA 17109-5207
Phone (717) 657-2595

500 NW 68TH St
Kansas City, MO 64118-2455
Phone (816) 420-6300

6129 Palmetto St
Philadelphia, PA 19111-5729
Phone (215) 722-8555

72 S Washington St
Suite 101
Oxford, MI 48371-6421
Phone (248) 969-3200

7211 Wellington Dr
Suite 101
Knoxville, TN 37919-5968
Phone (865) 558-9822

7800 Oakmont Blvd
Fort Worth, TX 76132-4203
Phone (817) 346-0094

8060 Knue Rd
Indianapolis, IN 46250-1976
Phone (317) 813-8900

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5101026316MIMDDiagnostic Radiology Physician
6805TNMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ain Imaging PLC Diagnostic Radiology CurrentSince Jul 1, 2024 Accepting new patients
Summit Medical Group, PLLC Internal Medicine CurrentSince Feb 18, 2026 Accepting new patients
NDS Radiology Inc. Internal Medicine CurrentSince Jan 19, 2025 Accepting new patients
Summit Medical Group, PLLC Internal Medicine CurrentSince Feb 18, 2026 Accepting new patients
Basha Diagnostics P C Diagnostic Radiology CurrentSince Jul 1, 2024 Accepting new patients
Southfield Radiology Associates, PLLC Diagnostic Radiology Current Accepting new patients
Southfield Radiology Associates PLLC Diagnostic Radiology CurrentSince Oct 1, 2023 Accepting new patients
NDS Radiology PLLC PastSince Feb 23, 2025 Accepting new patients

Locations

27555 Middlebelt Rd
Farmington Hills, MI 48334
Phone (248) 478-5512

1225 S Latson Rd
Howell, MI 48843
Phone (248) 662-4300

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

28700 Cabot Dr
Ste 500
Novi, MI 48377
Phone (248) 476-6980

39595 W 10 Mile Rd
Ste 102
Novi, MI 48375
Phone (248) 476-6980

30701 Woodward Ave
Ste Ll
Royal Oak, MI 48073
Phone (248) 288-1600

16001 W 9 Mile Rd
Southfield, MI 48075
Phone (248) 424-3000

7211 Wellington Dr
Ste 101
Knoxville, TN 37919
Phone (865) 588-8005

Interoperability endpoints

  • Direct secure messaging: ccollins1123639@direct.hfhs.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 18

Hospital & facility affiliations 12

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": "1525132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772582400000",
    "number": "1063900496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16001 W 9 MILE RD",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480754818",
            "telephone_number": "248-849-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16001 W 9 MILE RD",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480754818",
            "telephone_number": "248-849-3000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7211 Wellington Dr Ste 101",
            "address_purpose": "LOCATION",
            "city": "Knoxville",
            "state": "TN",
            "postal_code": "379195968",
            "country_code": "US",
            "telephone_number": "865-588-8005",
            "fax_number": "865-588-7716",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLLINS",
        "first_name": "CARL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-01",
        "last_updated": "2026-03-04",
        "certification_date": "2026-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TN",
            "license": "6805",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MI",
            "license": "5101026316",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

Verify at the official NPI Registry.