Active NPI
Alan B Engel, MD
- Diagnostic Radiology Physician
- Grand Rapids, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 4301067495
- Practice address
- 3264 N Evergreen Dr NE
Grand Rapids, MI 49525-9746 - Phone
- (616) 363-7272
- Fax
- (616) 361-5828
- NPI assigned
- Sep 12, 2005
- 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 9
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 01040471 | IN | |
| Neuroradiology Physician | 2085N0700X | 01040471 | IN | |
| Nuclear Radiology Physician | 2085N0904X | 01040471 | IN | |
| Pediatric Radiology Physician | 2085P0229X | 01040471 | IN | |
| Body Imaging Physician | 2085B0100X | 01040471 | IN | |
| Diagnostic Radiology Physician | 2085R0202X | 4301067495 | MI | Primary |
| Therapeutic Radiology Physician | 2085R0203X | 01040471 | IN | |
| Vascular & Interventional Radiology Physician | 2085R0204X | 01040471 | IN | |
| Diagnostic Ultrasound Physician | 2085U0001X | 01040471 | IN |
Addresses
Primary practice location
3264 N Evergreen Dr NE
Grand Rapids, MI 49525-9746
Mailing address
3264 N Evergreen Dr NE
Grand Rapids, MI 49525-9746
Phone (616) 363-7272
Other practice location 1
620 W Edison Rd
Suite 110
Mishawaka, IN 46545-2784
Phone (574) 258-1100 ext. 239
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200127890 | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN, MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040209000961 | IN | Practitioner - Diagnostic Radiology | 8628961182 | Reassigns benefits to 3 organizations |
| I20250930002226 | MI | Practitioner - Diagnostic Radiology | 8628961182 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Indiana University School of Medicine, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
100 Michigan Ave NE
Grand Rapids, MI 49503-2560
Phone (616) 363-7272
3900 Hollywood Rd
Saint Joseph, MI 49085-9149
Phone (616) 363-7272
50741 Ashford LN
Granger, IN 46530-8423
Phone (616) 363-7272
Hospital & facility affiliations
- Bronson Methodist Hospital
- Lakeland Hospital, St Joseph
- Bronson Battle Creek Hospital
- Corewell Health Watervliet Hospital
- Bronson Lakeview Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Mastectomy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01040471 | IN | MD | Pediatric Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northwest Radiology Network P C | Diagnostic Radiology | Current | Accepting new patients |
| Imaging Associates of Indiana, PC | Diagnostic Radiology | Current | Accepting new patients |
| Advanced Radiology Services PC | Diagnostic Radiology | Current | Accepting new patients |
| Spartan Radiology, Inc | Diagnostic Radiology | Past | Accepting new patients |
Locations
10603 N Meridian St
Carmel, IN 46290
Phone (317) 415-6050
1201 S Main St
Crown Point, IN 46307
Phone (219) 738-2100
100 Michigan St NE
Grand Rapids, MI 49503
Phone (616) 391-1680
3264 N Evergreen Dr NE
Grand Rapids, MI 49525
Phone (616) 391-6001
Interoperability endpoints
- aengel524636@direct.franciscanalliance.org
Organizations & group practices 4
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.
-
- Diagnostic Radiology Physician
- Grand Rapids, MI
- NPI 1740283324
Diagnostic Radiology, IN, MI
-
- Diagnostic Radiology Physician
- Indianapolis, IN
- NPI 1699072611
Diagnostic Radiology, IN
-
- Diagnostic Radiology Physician
- Indianapolis, IN
- NPI 1447259338
Diagnostic Radiology, IN
-
- Diagnostic Radiology Physician
- Grand Rapids, MI
- NPI 1932768058
Diagnostic Radiology
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Watervliet, MI
- NPI 1700994845
Hospital
-
- General Acute Care Hospital
- Saint Joseph, MI
- NPI 1134220031
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1126483200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754006400000",
"number": "1184619637",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3264 N EVERGREEN DR NE",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495259746",
"telephone_number": "616-363-7272",
"fax_number": "616-361-5828"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3264 N EVERGREEN DR NE",
"city": "GRAND RAPIDS",
"state": "MI",
"postal_code": "495259746",
"telephone_number": "616-363-7272",
"fax_number": "616-361-5828"
}
],
"practiceLocations": [
{
"address_1": "620 W Edison Rd",
"address_2": "Suite 110",
"address_purpose": "LOCATION",
"city": "Mishawaka",
"state": "IN",
"postal_code": "465452784",
"country_code": "US",
"telephone_number": "574-258-1100 x239",
"fax_number": "574-258-1101",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ENGEL",
"first_name": "ALAN",
"middle_name": "B",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-12",
"last_updated": "2025-08-01",
"certification_date": "2025-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "IN",
"license": "01040471",
"primary": false
},
{
"code": "2085N0700X",
"taxonomy_group": "",
"desc": "Radiology, Neuroradiology",
"state": "IN",
"license": "01040471",
"primary": false
},
{
"code": "2085N0904X",
"taxonomy_group": "",
"desc": "Radiology, Nuclear Radiology",
"state": "IN",
"license": "01040471",
"primary": false
},
{
"code": "2085P0229X",
"taxonomy_group": "",
"desc": "Radiology, Pediatric Radiology",
"state": "IN",
"license": "01040471",
"primary": false
},
{
"code": "2085B0100X",
"taxonomy_group": "",
"desc": "Radiology, Body Imaging",
"state": "IN",
"license": "01040471",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "MI",
"license": "4301067495",
"primary": true
},
{
"code": "2085R0203X",
"taxonomy_group": "",
"desc": "Radiology, Therapeutic Radiology",
"state": "IN",
"license": "01040471",
"primary": false
},
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "IN",
"license": "01040471",
"primary": false
},
{
"code": "2085U0001X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Ultrasound",
"state": "IN",
"license": "01040471",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200127890",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Grand Rapids, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2025; 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.