Individual provider Active NPI

Paolo Marciano Agostinelli, MD PHD

  • Vascular & Interventional Radiology Physician
  • Royal Oak, MI
National Provider Identifier
1083746671
Registry record updated Feb 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
4301094023 Issued in MI
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, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2023

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 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090708000701 MI Practitioner - Interventional RadiologyPractitioner - Diagnostic Radiology 5193877918 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional RadiologyAlso: Diagnostic Radiology
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
DRS Harris Birkhill Wang Songe and Assoc PCGroup PAC ID 3779495338, 63 clinicians
Beaumont Medical Group Hospital Based ServicesGroup PAC ID 3072875889, 575 clinicians
Great Lakes Radiology ServicesGroup PAC ID 7113456831, 32 clinicians

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

Merit-based Incentive Payment System (MIPS)

Final score
89.64 of 100Reported as group
Quality
85.06
Promoting interoperability
100
Improvement activities
40
Cost
77.9

Merit-based Incentive Payment System (MIPS)

Final score
53.55 of 100Reported as group
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

LicenseStateTypeSpecialty
2004012738MOMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
McLaren Central Michigan Current Accepting new patients
McLaren Flint Diagnostic Radiology CurrentSince Aug 1, 2025 Accepting new patients
McLaren Flint CurrentSince Aug 1, 2025 Accepting new patients
Beaumont Medical Group Hospital -Based Services CurrentSince Feb 1, 2023 Accepting new patients
McLaren Bay Region CurrentSince Aug 1, 2025 Accepting new patients
McLaren Central Michigan CurrentSince Aug 1, 2025 Accepting new patients
McLaren Central Michigan CurrentSince Aug 1, 2025 Accepting new patients
Great Lakes Radiology Services Diagnostic Radiology CurrentSince Jan 1, 2025 Accepting new patients
McLaren Hospital Group Diagnostic Radiology CurrentSince Aug 1, 2025 Accepting new patients
McLaren Bay Region CurrentSince Aug 1, 2025 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

  • Direct secure messaging: pagostinelli63615@direct.hfhs.org
  • Direct secure messaging: 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.

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": "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

Verify at the official NPI Registry.