NPIMap

Individual provider Active NPI

Michael J. Flaherty, M.D.

  • Diagnostic Radiology Physician
  • McHenry, IL
National Provider Identifier
1205880176
Registry record updated Nov 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
036103716 Issued in IL
Practice address
4201 W Medical Center Dr
McHenry, IL 60050-8409
Phone
(815) 334-5566
Fax
(815) 759-4008
NPI assigned
May 22, 2006
Last updated
Nov 9, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2023

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 036103716 IL Primary

Addresses

Primary practice location

4201 W Medical Center Dr
McHenry, IL 60050-8409

Mailing address

4201 W Medical Center Dr
McHenry, IL 60050-8409
Phone (815) 334-5566

Other practice location 1

419 S Washington St
Suite 101
Casper, WY 82601-2951
Phone (815) 394-3995

Other practice location 2

5225 23rd Ave S
Fargo, ND 58104-7927
Phone (701) 417-2575

Other identifiers 1

IdentifierTypeStateIssuer
036103716MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO, WV, UT, ND, AR5 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 5

Enrollment IDStateProvider typePAC IDDetails
I20191015001412 CO Practitioner - Diagnostic Radiology 5395713358 Reassigns benefits to 1 organization
I20200810002572 WV Practitioner - Radiation Oncology 5395713358
I20220419001547 UT Practitioner - Diagnostic Radiology 5395713358 Reassigns benefits to 1 organization
I20220916002309 ND Practitioner - Diagnostic Radiology 5395713358 Reassigns benefits to 1 organization
I20231024003918 AR Practitioner - Diagnostic Radiology 5395713358 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Texas Tech University Health Science Center School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sanford Medical Center FargoGroup PAC ID 8426967803, 1,210 clinicians
Radiologists PAGroup PAC ID 9830140607, 20 clinicians

Practice addresses (Care Compare)

1220 Sheyenne St
West Fargo, ND 58078-2637
Phone (701) 234-4445

1720 University Dr S
Fargo, ND 58103-4940
Phone (701) 234-2000

2400 32ND Ave S
Fargo, ND 58103-5800
Phone (701) 234-2000

5225 23Rd Ave S
Fargo, ND 58104-7927
Phone (701) 417-2575

7301 Rogers Ave
Fort Smith, AR 72903-4100
Phone (479) 452-9416

801 Broadway N
Fargo, ND 58102-3641
Phone (701) 234-2000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.19 of 100Reported as apm
Quality
83.05
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
94.29 of 100Reported as apm
Quality
87.32
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
82.73 of 100Reported as group
Quality
71.75
Promoting interoperability
100
Improvement activities
40
Cost
70.68

Merit-based Incentive Payment System (MIPS)

Final score
90.96 of 100Reported as group
Quality
99.75
Improvement activities
40
Cost
70.21

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Princeton Community Hospital Assn Inc. CurrentSince Jul 1, 2020 Accepting new patients
Sanford Medical Center Fargo CurrentSince Jun 3, 2022 Accepting new patients
Princeton Community Hospital Assn., Inc CurrentSince Jul 1, 2020 Accepting new patients
Uintah Basin Medical Center CurrentSince Jan 15, 2022 Accepting new patients
Sanford Medical Center Fargo CurrentSince Jun 3, 2022 Accepting new patients
Radiologists PA Diagnostic Radiology CurrentSince Sep 9, 2023 Accepting new patients
X-Ray Professional Association Diagnostic Radiology CurrentSince Oct 1, 2020 Accepting new patients
Uintah Basin Medical Center CurrentSince Jan 15, 2022 Accepting new patients
Camelot Radiology Associates LTD Diagnostic Radiology PastSince Feb 21, 2007 Accepting new patients

Locations

1501 S Waldron Rd
Ste 109
Fort Smith, AR 72903
Phone (479) 242-3310

5707 Jenny Lind Rd
Fort Smith, AR 72908
Phone (479) 242-2546

7301 Rogers Ave
Fort Smith, AR 72903
Phone (479) 314-4600

2400 32nd Ave S
Fargo, ND 58103
Phone (701) 234-8800

5225 23rd Ave S
Fargo, ND 58104
Phone (701) 234-5933

1220 Sheyenne St
West Fargo, ND 58078
Phone (701) 234-4445

14 Maple St
Ste 100
Gilford, NH 03249
Phone (603) 524-4220

80 Highland St
Laconia, NH 03246
Phone (603) 527-7100

250 W 300 N
#752
Roosevelt, UT 84066
Phone (435) 722-4691

401 E Vermillion St
Athens, WV 24712
Phone (304) 384-7325

122 12th St
Princeton, WV 24740
Phone (304) 487-7061

Interoperability endpoints

  • Direct secure messaging: michael.flaherty@direct.wyomingmedicalcenter.org

Organizations & group practices 9

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 13

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

View all 13

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699488000000",
    "number": "1205880176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4201 W MEDICAL CENTER DR",
            "city": "MCHENRY",
            "state": "IL",
            "postal_code": "600508409",
            "telephone_number": "815-334-5566",
            "fax_number": "815-759-4008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4201 W MEDICAL CENTER DR",
            "city": "MCHENRY",
            "state": "IL",
            "postal_code": "600508409",
            "telephone_number": "815-334-5566",
            "fax_number": "815-759-4008"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "419 S Washington St",
            "address_2": "Suite 101",
            "address_purpose": "LOCATION",
            "city": "Casper",
            "state": "WY",
            "postal_code": "826012951",
            "country_code": "US",
            "telephone_number": "815-394-3995",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5225 23rd Ave S",
            "address_purpose": "LOCATION",
            "city": "Fargo",
            "state": "ND",
            "postal_code": "581047927",
            "country_code": "US",
            "telephone_number": "701-417-2575",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FLAHERTY",
        "first_name": "MICHAEL",
        "middle_name": "J.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-22",
        "last_updated": "2023-11-09",
        "certification_date": "2023-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IL",
            "license": "036103716",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036103716",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in McHenry, IL

Sources for this page

Verify at the official NPI Registry.