Individual provider Active NPI

Michael Alan Redd, D.O.

  • Diagnostic Radiology Physician
  • Fort Bliss, TX
National Provider Identifier
1326239559
Registry record updated Feb 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
DOS-1172 Issued in HI
Practice address
18511 Highlander Medics St
Fort Bliss, TX 79906-5327
Phone
(915) 742-5318
NPI assigned
Aug 5, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2025

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 DOS-1172 HI Primary

Addresses

Primary practice location

18511 Highlander Medics St
Fort Bliss, TX 79906-5327

Mailing address

14585 Spanish Point Dr
El Paso, TX 79938-5310
Phone (801) 362-8690

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, TX, NY, PA4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20230410000811 NJ Practitioner - Diagnostic Radiology 7214220797 Reassigns benefits to 1 organization
I20230509002430 TX Practitioner - Diagnostic Radiology 7214220797 Reassigns benefits to 5 organizations
I20240712000592 NY Practitioner - Diagnostic Radiology 7214220797 Reassigns benefits to 2 organizations
I20250115001912 PA Practitioner - Diagnostic Radiology 7214220797 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2006
Medicare assignment
May accept Medicare assignment
Group practices
Radiology Affiliates of Central New Jersey PCGroup PAC ID 1759277239, 129 clinicians
Empire State Radiology P CGroup PAC ID 4385075241, 266 clinicians
Greensboro Radiology PAGroup PAC ID 8729074901, 236 clinicians
Mori Bean and Brooks IncGroup PAC ID 8820077878, 966 clinicians

Practice addresses (Care Compare)

1 Hamilton Health PL
Hamilton, NJ 08690-3542
Phone (609) 584-6604

14585 Spanish Point Dr
El Paso, TX 79938-5310
Phone (718) 223-4685

160 E Main St
Port Jervis, NY 12771-2114
Phone (718) 223-4685

1916 W Gray St
Apt 128
Houston, TX 77019-4831
Phone (609) 585-8800

46 W Windward CV
The Woodlands, TX 77381-4267
Phone (336) 274-6682

Hospital & facility affiliations

  • St Francis Hospital - the Heart Center Hospital, Roslyn, NY, CCN 330182
  • Good Samaritan Hospital Medical Center Hospital, West Islip, NY, CCN 330286
  • St Catherine of Siena Hospital Hospital, Smithtown, NY, CCN 330401
  • Nyack Hospital Hospital, Nyack, NY, CCN 330104
  • Chsli St Joseph Hospital Hospital, Bethpage, NY, CCN 330332

Merit-based Incentive Payment System (MIPS)

Final score
78.06 of 100Reported as group
Quality
72.79
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DOS-1172HIMDDiagnostic Radiology Physician
14687CAMDMental Health Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Radiology Affiliates of Central New Jersey PC Diagnostic Radiology CurrentSince Dec 27, 2022 Accepting new patients
Coastal Radiology Associates, PLLC Diagnostic Radiology CurrentSince Jan 31, 2023 Accepting new patients
Greensboro Radiology, PA Diagnostic Radiology CurrentSince Nov 12, 2024 Accepting new patients
HR Physician Services Current Accepting new patients
HR Physician Services CurrentSince Nov 1, 2024 Accepting new patients
Empire State Radiology P C Diagnostic Radiology CurrentSince Sep 19, 2023 Accepting new patients
HR Physician Services CurrentSince Nov 11, 2024 Accepting new patients
Mori Bean and Brooks Inc Diagnostic Radiology CurrentSince May 17, 2024 Accepting new patients
HR Physician Services CurrentSince Nov 1, 2024 Accepting new patients
HR Physician Services CurrentSince Nov 11, 2024 Accepting new patients
HR Physician Services CurrentSince Nov 1, 2024 Accepting new patients
Radiological Consultants, Inc. Diagnostic Radiology PastSince Sep 26, 2016 Accepting new patients
Eagle Partners, PLLC Diagnostic Radiology Past Accepting new patients
Imaging Group of Delaware, PA Diagnostic Radiology Past Accepting new patients

Locations

1 Hamilton Health Pl
Trenton, NJ 08690
Phone (609) 584-6763

601 Hamilton Ave
Trenton, NJ 08629
Phone (609) 599-5000

160 E Main St
Port Jervis, NY 12771
Phone (845) 856-7000

1000 N Village Ave
#13202
Rockville Ctr, NY 11570

1000 N Village Ave
Rockville Ctr, NY 11570
Phone (516) 705-1012

3300 Tillman Dr
Bensalem, PA 19020
Phone (215) 244-7400

23 Bustleton Pike
Ste 200
Feasterville Trevose, PA 19053
Phone (215) 464-0770

1648 Huntingdon Pike
Meadowbrook, PA 19046
Phone (215) 938-3413

1650 Huntingdon Pike
Meadowbrook, PA 19046
Phone (215) 707-7200

5800 Ridge Ave
Philadelphia, PA 19128
Phone (215) 487-4334

7390 Bustleton Ave
Philadelphia, PA 19152
Phone (215) 268-9480

9807 Bustleton Ave
Philadelphia, PA 19115
Phone (215) 676-2200

700 Quincy Ave
Scranton, PA 18510
Phone (570) 340-2100

12554 Riata Vista Cir
Austin, TX 78727
Phone (512) 519-3462

5323 Harry Hines Blvd
Ut Southwest Medical Center, TX 75390

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 5

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": "1186272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739577600000",
    "number": "1326239559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14585 SPANISH POINT DR",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799385310",
            "telephone_number": "801-362-8690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18511 HIGHLANDER MEDICS ST",
            "city": "FORT BLISS",
            "state": "TX",
            "postal_code": "799065327",
            "telephone_number": "915-742-5318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REDD",
        "first_name": "MICHAEL",
        "middle_name": "ALAN",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-05",
        "last_updated": "2025-02-15",
        "certification_date": "2025-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "HI",
            "license": "DOS-1172",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Bliss, TX

Sources for this page

Verify at the official NPI Registry.