NPIMap

Individual provider Active NPI

Cynthia Marie Wheeler, M.D.

  • Diagnostic Radiology Physician
  • Clinton Township, MI
National Provider Identifier
1073537478
Registry record updated Oct 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
4301056628 Issued in MI
Practice address
36175 Harper Ave
Clinton Township, MI 48035-3274
Phone
(586) 741-3772
Fax
(586) 741-4604
NPI assigned
Jul 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2007

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 4301056628 MI Primary

Addresses

Primary practice location

36175 Harper Ave
Clinton Township, MI 48035-3274

Mailing address

36175 Harper Ave
Clinton Township, MI 48035-3274
Phone (586) 741-3772

Other identifiers 8

IdentifierTypeStateIssuer
495680OtherMIHEALTH ALLIANCE PLAN
4908409OtherMIPROCARE
SJ820005OtherMIM-CARE
1006439OtherMIMCLAREN
0Q26008OtherBCBS OF MICHIGAN
P00343263OtherRR MEDICARE
0Q26008OtherBLUE CARE NETWORK
4908409MedicaidMI

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040717000253 MI Practitioner - Diagnostic Radiology 8628057189 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Wayne State University School of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1215 E Michigan Ave
Unitversity of Michigan Health Spar
Lansing, MI 48912-1811
Phone (517) 364-5650

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301056628MIMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Edward W Sparrow Hospital Association CurrentSince Jul 1, 2024 Accepting new patients
Edward W Sparrow Hospital Association Current Accepting new patients
Edward W Sparrow Hospital Association CurrentSince Jul 1, 2024 Accepting new patients
Lansing Radiology Associates P C Diagnostic Radiology CurrentSince Mar 15, 2016 Accepting new patients
Eastpointe Radiologists, P.C. Diagnostic Radiology PastSince Feb 23, 2025 Accepting new patients
Regional Medical Imaging, P.C. Diagnostic Radiology PastSince Jun 1, 2019 Accepting new patients
Eastpointe Radiologists, PC Diagnostic Radiology Past Accepting new patients
Macomb Magnetic Resonance Imaging Center Inc Diagnostic Radiology Past Accepting new patients
Richard J. Taras DO PC Diagnostic Radiology PastSince Mar 9, 2015 Accepting new patients

Locations

8175 Reliable Pkwy
Chicago, IL 60686

4748 Reliable Pkwy
Chicago, IL 60686

1215 E Michigan Ave
Lansing, MI 48912
Phone (517) 336-8080

1200 E Michigan Ave
Ste 500
Lansing, MI 48912
Phone (517) 364-5123

1200 E Michigan Ave
Fl 1
Lansing, MI 48912

1215 E Michigan Ave
Fl 4
Lansing, MI 48912
Phone (517) 364-3480

800 E Columbia St
Mason, MI 48854
Phone (517) 244-8900

2289 W Grand River Ave
Okemos, MI 48864
Phone (517) 349-2300

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 8

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": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193702400000",
    "number": "1073537478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36175 HARPER AVE",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480353274",
            "telephone_number": "586-741-3772",
            "fax_number": "586-741-4604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36175 HARPER AVE",
            "city": "CLINTON TOWNSHIP",
            "state": "MI",
            "postal_code": "480353274",
            "telephone_number": "586-741-3772",
            "fax_number": "586-741-4604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHEELER",
        "first_name": "CYNTHIA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-27",
        "last_updated": "2007-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MI",
            "license": "4301056628",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH ALLIANCE PLAN",
            "identifier": "495680",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROCARE",
            "identifier": "4908409",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "M-CARE",
            "identifier": "SJ820005",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MCLAREN",
            "identifier": "1006439",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF MICHIGAN",
            "identifier": "0Q26008",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00343263",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CARE NETWORK",
            "identifier": "0Q26008",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4908409",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton Township, MI

Sources for this page

Verify at the official NPI Registry.