Individual provider Active NPI

Angelica Radzioch, D.O.

  • Family Medicine Physician
  • Mount Clemens, MI
National Provider Identifier
1306229018
Registry record updated Jul 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
5101021571 Issued in MI
Practice address
1000 Harrington St
Mount Clemens, MI 48043-2920
Phone
(586) 493-8000
NPI assigned
Jun 30, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 5101021571 MI Primary

Addresses

Primary practice location

1000 Harrington St
Mount Clemens, MI 48043-2920

Mailing address

35103 Silvano St
Clinton TWP, MI 48035-2685
Phone (586) 791-5250

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Apr 28, 2026 through Apr 28, 2028

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Michigan State University College of Human Medicine, 2015
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

45441 Heydenreich Rd
Macomb, MI 48044-6601

Hospital & facility affiliations

  • McLaren Macomb Hospital, Mount Clemens, MI, CCN 230227

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
McLaren Macomb Family Medicine CurrentSince Aug 1, 2018 Accepting new patients
McLaren Medical Group Family Medicine CurrentSince Jun 29, 2023 Accepting new patients
McLaren Medical Group CurrentSince Jun 29, 2023 Accepting new patients

Locations

32901 23 Mile Rd
Ste 120
Chesterfield, MI 48047
Phone (586) 725-4604

37399 Garfield Rd
Ste 203
Clinton Twp, MI 48036
Phone (586) 228-2911

35103 Silvano St
Clinton Twp, MI 48035
Phone (586) 791-5250

39373 Garfield Rd
Clinton Twp, MI 48038
Phone (586) 286-4880

45441 Heydenreich Rd
Macomb, MI 48044
Phone (586) 226-8600

46857 Garfield Rd
Macomb, MI 48044
Phone (586) 532-8500

1000 Harrington St
Mount Clemens, MI 48043
Phone (586) 493-3727

Interoperability endpoints

  • Direct secure messaging: aradzioch267955@direct.hfhs.org

Organizations & group practices 3

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 2

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": "1435622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1532563200000",
    "number": "1306229018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35103 SILVANO ST",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480352685",
            "telephone_number": "586-791-5250",
            "fax_number": "586-791-0408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 HARRINGTON ST",
            "city": "MOUNT CLEMENS",
            "state": "MI",
            "postal_code": "480432920",
            "telephone_number": "586-493-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RADZIOCH",
        "first_name": "ANGELICA",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-30",
        "last_updated": "2018-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "5101021571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Clemens, MI

Sources for this page

Verify at the official NPI Registry.