Active NPI
Paolo Marciano Agostinelli, MD PHD
- Vascular & Interventional Radiology Physician
- Royal Oak, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular & Interventional Radiology Physician
- License
- 4301094023
- Practice address
- Interventional Radiology
3601 W 13 Mile Rd
Royal Oak, MI 48073-6712 - Phone
- (248) 898-7456
- Fax
- (248) 898-4316
- NPI assigned
- Mar 10, 2007
- Last updated
- Feb 14, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 2004012738 | MO | |
| Vascular & Interventional Radiology Physician | 2085R0204X | 4301094023 | MI | Primary |
Addresses
Primary practice location
Interventional Radiology
3601 W 13 Mile Rd
Royal Oak, MI 48073-6712
Mailing address
Interventional Radiology
3601 W 13 Mile Rd
Royal Oak, MI 48073-6712
Phone (248) 898-7456
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Interventional Radiology
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10000 Telegraph Rd
Taylor, MI 48180-3330
Phone (313) 295-5142
18100 Oakwood Blvd
Suite 200
Dearborn, MI 48124-4085
Phone (313) 593-7301
18101 Oakwood Blvd
Dearborn, MI 48124-4089
25045 Ford Rd
Suite 100
Dearborn, MI 48128-1088
Phone (313) 359-7650
33101 Annapolis St
Wayne, MI 48184-2405
Phone (313) 359-7600
33155 Annapolis St
Wayne, MI 48184-2405
Phone (734) 467-4000
3601 W 13 Mile Rd
Royal Oak, MI 48073-6712
3601 W 13 Mile Rd Ec
Beaumont Emergency Services Ro
Royal Oak, MI 48073-6712
Phone (248) 898-0575
44201 Dequindre Rd
Troy, MI 48085-1117
Phone (248) 964-1187
44201 Dequindre Rd Ec
Beaumont Emergency Services TR
Troy, MI 48085-1117
Phone (248) 964-5111
468 Cadieux Rd
Grosse Pointe, MI 48230-1507
Phone (313) 473-1605
5450 Fort St
Trenton, MI 48183-4601
Phone (734) 671-3877
729 W Ann Arbor TRL
Suite 2
Plymouth, MI 48170-6225
Phone (800) 475-6112
Hospital & facility affiliations
- Beaumont Hospital - Dearborn
- Lake Huron Medical Center
- Garden City Hospital
- Corewell Health Trenton Hospital
- Beaumont Hospital - Taylor
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.64 of 100
- Quality
- 85.06
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 77.9
Merit-based Incentive Payment System (MIPS)
- Final score
- 53.55 of 100
- Quality
- 30
- Improvement activities
- 40
- Cost
- 57.47
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine, Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2004012738 | MO | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| McLaren Central Michigan | Current | Accepting new patients | |
| McLaren Flint | Diagnostic Radiology | Current | Accepting new patients |
| McLaren Flint | Current | Accepting new patients | |
| Beaumont Medical Group Hospital -Based Services | Current | Accepting new patients | |
| McLaren Bay Region | Current | Accepting new patients | |
| McLaren Central Michigan | Current | Accepting new patients | |
| McLaren Central Michigan | Current | Accepting new patients | |
| Great Lakes Radiology Services | Diagnostic Radiology | Current | Accepting new patients |
| McLaren Hospital Group | Diagnostic Radiology | Current | Accepting new patients |
| McLaren Bay Region | Current | Accepting new patients | |
| Oakwood Healthcare Inc | Past | Accepting new patients |
Locations
1900 Columbus Ave
Bay City, MI 48708
Phone (989) 894-3000
4 Columbus Ave
Ste 310
Bay City, MI 48708
Phone (989) 377-4570
10090 E Lippincott Blvd
Davison, MI 48423
Phone (810) 653-1130
401 S Ballenger Hwy
Flint, MI 48532
Phone (810) 342-1000
2900 Collins Rd
Lansing, MI 48910
Phone (517) 975-7500
3520 Forest Rd
Lansing, MI 48910
Phone (517) 975-7800
1375 N Main St
Lapeer, MI 48446
Phone (810) 667-5500
1221 South Dr
Mt Pleasant, MI 48858
Phone (989) 772-6700
2940 Health Pkwy
Mt Pleasant, MI 48858
Phone (989) 466-2877
560 W Mitchell St
Ste 560
Petoskey, MI 49770
Phone (231) 487-2150
729 W Ann Arbor Trl
Ste 2
Plymouth, MI 48170
Phone (734) 673-3764
50 N Perry St
Pontiac, MI 48342
Phone (248) 338-5300
2601 Electric Ave
Port Huron, MI 48060
Phone (810) 216-1500
573 N Bradley Hwy
Rogers City, MI 49779
Phone (989) 734-2171
3601 W 13 Mile Rd
Royal Oak, MI 48073
44201 Dequindre Rd
Troy, MI 48085
Phone (248) 471-8255
Interoperability endpoints
- pagostinelli63615@direct.hfhs.org
- pmarciano1245101@epic00.shdirect.org
Organizations & group practices 12
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.
-
- Hospitalist Physician
- Royal Oak, MI
- NPI 1427567858
-
- Diagnostic Radiology Physician
- Plymouth, MI
- NPI 1891529111
-
- Diagnostic Radiology Physician
- Dearborn, MI
- NPI 1679529978
-
- Family Medicine Physician
- Bay City, MI
- NPI 1508131087
-
- General Acute Care Hospital
- Mt Pleasant, MI
- NPI 1245266063
-
- Psychiatry Physician
- Bay City, MI
- NPI 1942560339
-
- Family Medicine Physician
- Mt Pleasant, MI
- NPI 1710235775
-
- Rural Health Clinic/Center
- Gladwin, MI
- NPI 1841812989
-
- Social Worker
- Flint, MI
- NPI 1356480685
-
dba Corewell Health Retail Pharmacy Westland
- Community/Retail Pharmacy
- Westland, MI
- NPI 1033128178
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Beaumont Outpatient Diabetes Education
- Community Health Clinic/Center
- Dearborn, MI
- NPI 1790414670
Hospital
-
dba Beaumont Hospital - Taylor
- General Acute Care Hospital
- Taylor, MI
- NPI 1487605168
-
dba Beaumont Hospital - Dearborn
- General Acute Care Hospital
- Dearborn, MI
- NPI 1740230119
-
dba Beaumont Hospital - Trenton
- General Acute Care Hospital
- Trenton, MI
- NPI 1740230648
-
dba Garden City Hospital
- General Acute Care Hospital
- Garden City, MI
- NPI 1043625940
-
- General Acute Care Hospital
- Port Huron, MI
- NPI 1306227764
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173484800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1676332800000",
"number": "1083746671",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "INTERVENTIONAL RADIOLOGY",
"address_2": "3601 W 13 MILE RD",
"city": "ROYAL OAK",
"state": "MI",
"postal_code": "480736712",
"telephone_number": "248-898-7456",
"fax_number": "248-898-4316"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "INTERVENTIONAL RADIOLOGY",
"address_2": "3601 W 13 MILE RD",
"city": "ROYAL OAK",
"state": "MI",
"postal_code": "480736712",
"telephone_number": "248-898-7456",
"fax_number": "248-898-4316"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARCIANO AGOSTINELLI",
"first_name": "PAOLO",
"name_prefix": "Dr.",
"credential": "MD PHD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-10",
"last_updated": "2023-02-14",
"certification_date": "2023-02-08",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "MO",
"license": "2004012738",
"primary": false
},
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "MI",
"license": "4301094023",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Royal Oak, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.