NPIMap

Michael Hugh Parker, M.D.

Individual provider Active NPI Diagnostic Radiology Physician · Lake Park, GA

NPI 1104807205 · NPPES record last updated Jan 14, 2019

Key facts

NPI
1104807205
Entity type
Individual (NPI type 1)
Primary specialty
Diagnostic Radiology Physician 2085R0202X
License
034684 (GA)
Practice address
5662 Danieli Dr N
Lake Park, GA 31636-2824
Phone
(952) 595-1100
Fax
(612) 294-4903
NPI assigned
Nov 7, 2005
Sex
Male
Sole proprietor
No

Organizations & group practices 20

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 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Medicare Care Compare profile

Specialty
Diagnostic Radiology
Education
University of Maryland School of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Union Hospital of Cecil County (281 clinicians)

Practice addresses (Care Compare)

106 Bow St
Elkton, MD 21921-5544
Phone (410) 398-4000

5662 Danieli Dr N
Lake Park, GA 31636-2824
Phone (410) 398-3868

Hospital & facility affiliations

  • Union Hospital of Cecil County Hospital · Elkton, MD · CCN 210032

Merit-based Incentive Payment System (MIPS)

Final score
91.94 of 100 (group)
Quality
90.51
Improvement activities
40

Medicare participation

Medicare fee-for-service enrollment
Enrolled (3 enrollments) in GA, FL, MD
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20060209000619 GA Practitioner - Diagnostic Radiology 4183639347 Reassigns benefits to 8 organizations
I20250611003889 FL Practitioner - Diagnostic Radiology 4183639347 Reassigns benefits to 2 organizations
I20251002002171 MD Practitioner - Diagnostic Radiology 4183639347 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
034684GAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Radiology Specialists LTD Marasso-Miller Diagnostic Radiology Current
since Aug 2, 2019		 Accepting new patients
Mori Bean and Brooks Inc Diagnostic Radiology Current
since Oct 29, 2023		 Accepting new patients
Union Hospital of Cecil County Diagnostic Radiology Current
since Sep 15, 2025		 Accepting new patients
Diagnostic Centers of America LLP Diagnostic Radiology Current
since Jun 26, 2025		 Accepting new patients
Union Hospital of Cecil County Current
since Sep 15, 2025		 Accepting new patients
Donalsonville Hospital Inc Current
since Apr 8, 2019		 Accepting new patients
Virtual Radiologic Professionals, LLC Diagnostic Radiology Current
since Apr 8, 2019		 Accepting new patients
Simonmed Imaging Florida LLC Diagnostic Radiology Current
since May 14, 2025		 Accepting new patients
Radiology Associates of Macon PC Diagnostic Radiology Current
since Apr 1, 2019		 Accepting new patients
Open MRI & Imaging Center of Elkton,LLC Diagnostic Radiology Current
since Sep 15, 2025		 Accepting new patients
Union Hospital of Cecil County Current
since Sep 15, 2025		 Accepting new patients
Radiology Associates of South Florida LLC Diagnostic Radiology Current
since Mar 17, 2019		 Accepting new patients
Diagnostic Centers of America LLP Diagnostic Radiology Current
since Jun 26, 2025		 Accepting new patients
Boca Radiology Group PA Diagnostic Radiology Past Accepting new patients
Suncoast Open MRI LLC Diagnostic Radiology Past Accepting new patients
Atlantic Radiology Associates, LLC Diagnostic Radiology Past Accepting new patients
Open MRI of Tifton LLC Past
since Jun 1, 2007		 Accepting new patients
Diagnostic Centers of America LLP Diagnostic Radiology Past Accepting new patients

Locations

16220 N Scottsdale Rd
Ste 600
Scottsdale, AZ 85254

6080 Boynton Beach Blvd
Ste 140
Boynton Beach, FL 33437
Phone (561) 736-3227

265 Citrus Tower Blvd
Ste 100
Clermont, FL 34711
Phone (352) 241-7440

2820 NE 214th St
Miami, FL 33180
Phone (786) 691-4151

3601 Pga Blvd
Ste 100
Palm Beach Gardens, FL 33410

14302 Bruce B Downs Blvd
Tampa, FL 33613
Phone (813) 975-1111

102 Hospital Cir
Donalsonville, GA 39845
Phone (229) 524-8489

770 Pine St
Ste 290
Macon, GA 31201
Phone (478) 743-1458

1900 Tebeau St
Waycross, GA 31501
Phone (912) 283-3030

106 Bow St
Elkton, MD 21921
Phone (410) 298-2000

11995 Singletree Ln
Ste 500
Eden Prairie, MN 55344
Phone (952) 595-1143

Interoperability endpoints

  • Direct secure messaging: mparker157581@uihcdirect.org
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 034684 GA Yes

Addresses

Primary practice location

5662 Danieli Dr N
Lake Park, GA 31636-2824

Mailing address

11995 Singletree LN Ste 500
Eden Prairie, MN 55344-5349
Phone (952) 595-1301

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jan 14, 2019.

{
    "created_epoch": "1131321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547424000000",
    "number": "1104807205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11995 SINGLETREE LN STE 500",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553445349",
            "telephone_number": "952-595-1301",
            "fax_number": "612-294-4903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5662 DANIELI DR N",
            "city": "LAKE PARK",
            "state": "GA",
            "postal_code": "316362824",
            "telephone_number": "952-595-1100",
            "fax_number": "612-294-4903"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER",
        "first_name": "MICHAEL",
        "middle_name": "HUGH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-07",
        "last_updated": "2019-01-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "GA",
            "license": "034684",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Park, GA

All providers in Lake Park, GA · Diagnostic Radiology Physician in Georgia

Sources for this page

Verify at the official NPI Registry.