Individual provider Active NPI

Michael Hugh Parker, M.D.

  • Diagnostic Radiology Physician
  • Lake Park, GA
National Provider Identifier
1104807205
Registry record updated Jan 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
034684 Issued in 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
Last updated
Jan 14, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2019

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 034684 GA Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, FL, MD3 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 3

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

Care Compare profile

Medicare Care Compare
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 CountyGroup PAC ID 6901719822, 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

Merit-based Incentive Payment System (MIPS)

Final score
91.94 of 100Reported as group
Quality
90.51
Improvement activities
40

National Provider Directory

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

Practice roles

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

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

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
  • Direct secure messaging: mparker157581@uihcdirect.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 1

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": "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

Sources for this page

Verify at the official NPI Registry.